Purpose
Staggering numbers of veterans often must wait for more than 90 days to see their Department of Veterans Affairs (VA) medical providers. Many of these 57,436 veterans must seek care in non-VA facilities (Couzner, Ratcliffe, & Crotty, 2012; Martinez, 2014). Furthermore, well-coordinated and timely post-acute follow-up is an important factor in promoting recovery and preventing readmissions among hospitalized veterans, including those who are admitted into non-VA facilities. Consequently, veterans who are admitted into Non-VA facilities often do not receive appropriate and timely post-acute care with their VA primary care teams. The purpose of this project is to increase post-acute follow-up services for veterans by facilitating admissions communications among primary care teams, non-VA inpatient facilities, Fee Basis department, and the Transfer Center.
Design
The student used FADE model, the Model for Evidence-Based Practice Change, and the Neuman System Model Re-hospitalizations to plan and implement evidence-based interventions in bringing the quality of care and system change.
Methods …show more content…
The quality improvement project took place in the Veterans’ Medical Center in Houston, Texas from February 2017 to April 2017. The interventions from the Agency for Healthcare Research Re-Engineer Discharge Toolkit were utilized to facilitate communications and collaboration among the transfer center, fee basis department, and primary care teams. Data were analyzed using descriptive statistics, retrospective chart reviews from the pre-intervention period September 2016 to December 2017 and the post-intervention period (February 2017 to April
Staggering numbers of veterans often must wait for more than 90 days to see their Department of Veterans Affairs (VA) medical providers. Many of these 57,436 veterans must seek care in non-VA facilities (Couzner, Ratcliffe, & Crotty, 2012; Martinez, 2014). Furthermore, well-coordinated and timely post-acute follow-up is an important factor in promoting recovery and preventing readmissions among hospitalized veterans, including those who are admitted into non-VA facilities. Consequently, veterans who are admitted into Non-VA facilities often do not receive appropriate and timely post-acute care with their VA primary care teams. The purpose of this project is to increase post-acute follow-up services for veterans by facilitating admissions communications among primary care teams, non-VA inpatient facilities, Fee Basis department, and the Transfer Center.
Design
The student used FADE model, the Model for Evidence-Based Practice Change, and the Neuman System Model Re-hospitalizations to plan and implement evidence-based interventions in bringing the quality of care and system change.
Methods …show more content…
The quality improvement project took place in the Veterans’ Medical Center in Houston, Texas from February 2017 to April 2017. The interventions from the Agency for Healthcare Research Re-Engineer Discharge Toolkit were utilized to facilitate communications and collaboration among the transfer center, fee basis department, and primary care teams. Data were analyzed using descriptive statistics, retrospective chart reviews from the pre-intervention period September 2016 to December 2017 and the post-intervention period (February 2017 to April