The Home Healthcare Universal Best Practice Protocol.

Home Healthc Now

Gina L. Panozzo, DNP, RN-BC, is an Assistant Professor, School of Nursing, Aurora University, Aurora, Illinois. Jeanette Rossetti, EdD, MS, RN, is a Professor, School of Nursing, Northern Illinois University, Dekalb, Illinois. Katherine Hess, MS, RN-BC, is an Instructor, Chamberlain College of Nursing, DeVry Education Group Addison, Illinois.

Published: April 2018

AI Article Synopsis

  • A quality improvement project was initiated at a home healthcare agency to tackle high rehospitalization and emergency department rates that exceeded state and national averages.
  • The project introduced the Home Health Universal Best Practice Protocol, which is an evidence-based and comprehensive approach designed to reduce avoidable hospital visits through methods like risk assessment, telehealth, and the teach-back method.
  • Within six months, the protocol successfully decreased rehospitalization and emergency department rates while also improving referral rates for the home healthcare agency.

Article Abstract

To address rehospitalization rates and emergency department rates that were above the state and national averages, a quality improvement project was implemented at a midsized home healthcare agency. In order to address these escalating rates, the Home Health Universal Best Practice Protocol was developed and implemented by a home healthcare consultant. The protocol is evidence-based, time-specific, comprehensive, and includes interventions that are linked to reducing avoidable hospital visits. Interventions include risk assessment for rehospitalization, initiation of telehealth, utilization of teach-back method, and timely documentation. The Home Health Universal Best Practice Protocol was effective in not only exceeding objectives regarding decreasing rehospitalization and emergency department rates within a 6-month period but also in improving home healthcare agency referral rates.

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Source
http://dx.doi.org/10.1097/NHH.0000000000000561DOI Listing

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