Authors

  1. Oliver, Beth DNP, RN
  2. Travis, Arlene DNP, ANP-BC, CHFN-K, CHC
  3. Hughes, Ellen MA, ACNP, NEA-BC
  4. Condrat, Lindsay MSN, RN, ACNP-BC
  5. Ullman, Jennifer MSN, RN, ACNP-BC
  6. Cohen, Bevin PhD, RN, MPH, MS
  7. Cartwright, Frances PhD, RN-BC, AOCN, FAAN

Abstract

Background: Heart failure readmissions are common, though some are preventable through evidence-based management.

 

Local Problem: Despite outperforming national benchmarks for 30-day readmissions, compliance with an evidence-based institutional heart failure management pathway was inconsistent. The purpose of this project was to reduce 30-day heart failure readmission rates through an educational intervention and an electronic health record (EHR) redesign.

 

Methods: The cardiac services nursing leadership team conducted an education and documentation needs assessment to identify knowledge gaps and practical barriers to effective utilization of evidence-based interventions for heart failure management.

 

Interventions: This intervention included an Advanced Cardiovascular Education (ACE) Academy and an EHR workflow redesign for clinical and supportive nursing staff.

 

Results: The 30-day heart failure readmission rates reduced immediately following the intervention, and rates continued to decrease over a 3-year follow-up.

 

Conclusions: Even among hospitals outperforming national benchmarks, 30-day heart failure readmissions can be reduced and sustained with enhanced education and EHR redesign.