Barriers to Decreasing Hospital Readmission Rates for Chronic Disease Patients in North Dakota as Perceived by Primary Care Nurse Practitioners

Persistent Link:
http://hdl.handle.net/10150/613136
Title:
Barriers to Decreasing Hospital Readmission Rates for Chronic Disease Patients in North Dakota as Perceived by Primary Care Nurse Practitioners
Author:
Ward, Megan Lynn
Issue Date:
2016
Publisher:
The University of Arizona.
Rights:
Copyright © is held by the author. Digital access to this material is made possible by the University Libraries, University of Arizona. Further transmission, reproduction or presentation (such as public display or performance) of protected items is prohibited except with permission of the author.
Abstract:
Patients who have chronic diseases are often readmitted to the hospital within 30 days of being discharged. In the United States preventable hospital readmissions cost approximately $12-$17.4 billion annually. The Institute of Healthcare Improvement [IHI] has identified one key measure for reducing preventable readmissions and that is a timely post hospital follow-up visit. Although this seems to be a simple task, studies have revealed that as many as one-third of patients discharged from the hospital are not following up with their primary care provider. In North Dakota the percentages of patients with chronic diseases such as heart failure, chronic obstructive pulmonary disease, type 2 diabetes, and pneumonia have steadily increased over the last several years. A North Dakota critical access hospital report revealed a high percentage of patients with a chronic disease are being readmitted within 30 days. Identifying barriers to care in North Dakota can help to reduce the rate of readmission within the state. This study seeks to identify perceived barriers as observed by primary care nurse practitioners to improve patient outcomes and reduce hospital readmission rates.
Type:
text; Electronic Dissertation
Keywords:
Chronic Diseases; Healthcare Access; Hospital Readmissions; Primary Care; Nursing; Barriers
Degree Name:
D.N.P.
Degree Level:
doctoral
Degree Program:
Graduate College; Nursing
Degree Grantor:
University of Arizona
Advisor:
DuBois, Janet C.

Full metadata record

DC FieldValue Language
dc.language.isoen_USen
dc.titleBarriers to Decreasing Hospital Readmission Rates for Chronic Disease Patients in North Dakota as Perceived by Primary Care Nurse Practitionersen_US
dc.creatorWard, Megan Lynnen
dc.contributor.authorWard, Megan Lynnen
dc.date.issued2016-
dc.publisherThe University of Arizona.en
dc.rightsCopyright © is held by the author. Digital access to this material is made possible by the University Libraries, University of Arizona. Further transmission, reproduction or presentation (such as public display or performance) of protected items is prohibited except with permission of the author.en
dc.description.abstractPatients who have chronic diseases are often readmitted to the hospital within 30 days of being discharged. In the United States preventable hospital readmissions cost approximately $12-$17.4 billion annually. The Institute of Healthcare Improvement [IHI] has identified one key measure for reducing preventable readmissions and that is a timely post hospital follow-up visit. Although this seems to be a simple task, studies have revealed that as many as one-third of patients discharged from the hospital are not following up with their primary care provider. In North Dakota the percentages of patients with chronic diseases such as heart failure, chronic obstructive pulmonary disease, type 2 diabetes, and pneumonia have steadily increased over the last several years. A North Dakota critical access hospital report revealed a high percentage of patients with a chronic disease are being readmitted within 30 days. Identifying barriers to care in North Dakota can help to reduce the rate of readmission within the state. This study seeks to identify perceived barriers as observed by primary care nurse practitioners to improve patient outcomes and reduce hospital readmission rates.en
dc.typetexten
dc.typeElectronic Dissertationen
dc.subjectChronic Diseasesen
dc.subjectHealthcare Accessen
dc.subjectHospital Readmissionsen
dc.subjectPrimary Careen
dc.subjectNursingen
dc.subjectBarriersen
thesis.degree.nameD.N.P.en
thesis.degree.leveldoctoralen
thesis.degree.disciplineGraduate Collegeen
thesis.degree.disciplineNursingen
thesis.degree.grantorUniversity of Arizonaen
dc.contributor.advisorDuBois, Janet C.en
dc.contributor.committeememberPacheco, Christy L.en
dc.contributor.committeememberOwen-Williams, Eileen A.en
dc.contributor.committeememberDuBois, Janet C.en
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