Your Heart's Connection: Phase Two

Monday, 18 November 2013

Monica Lee Worrell, BSN
The University of Cincinnati Medical Center, Cincinnati, OH

Learning Objective 1: The learner will identify resources to promote patient education on prescribed medication, indication for use, and the importance of compliance in the heart failure patient.

Learning Objective 2: The learner will identify educational barriers using the "teachback" method for the heart failure patient.

Introduction:  The “Your Hearts Connection Team” of healthcare providers implemented a disease management program to provide a comprehensive education and resource liaison to support and empower heart failure (HF) patients. The primary focus of the program supported patient empowerment through providing resources and education to amplify the treatment and management of HF while optimizing positive patient outcomes.

Interventions: During phase one a team of healthcare providers applied interventions that enabled the team to apply optimal contributions to transform the organizations standards of care to heart failure patients. Although it was successful there was still work to be accomplished with medication education.

Phase two’s focus on medication education: The primary care nurse will provide the patient with a medication administration record (MAR) daily beginning on admission and utilize the MAR as a teaching tool to educate the patients on medications, indications for use, and the importance of medication compliance. Teaching will be reinforced at every medication administration utilizing the “teachback” method to evaluate an understanding of the information. Upon discharge they will be asked to take the MAR copies with them to their follow up appointment,

Goal: To decrease the hospital readmission rate by 2% in one year of implementation by increasing the patient’s medication knowledge and compliance.