Poster Presentation
Water's Edge Ballroom (Hilton Waikoloa Village)
Wednesday, July 13, 2005
9:30 AM - 10:00 AM
Water's Edge Ballroom (Hilton Waikoloa Village)
Wednesday, July 13, 2005
2:30 PM - 3:00 PM
To Educate and Compare Heart Failure Outcomes (TEACH)
Elizabeth Cohn, RN, NP1, Hal A. Skopicki, MD, PhD2, Jonathan Sackner-Bernstein, MD2, Linda Sue Greenfield, CRNA, PhD3, Patrick Coonan, RN, EdD3, Yosef Dlugacz, PhD4, Karen Nelson, RN4, Monica Latayan, RN5, Betty Pierre-Gilles, Nurse, Practitioner2, Anne Marie Fried, RN6, Linda Spichalsky, RN5, and Ellen Lorenz, RN5. (1) School of Nursing, Adelphi University/North Shore - Long Island Jewish Health System, Garden City, NY, USA, (2) Center for Heart Failure and Cardiomyopathy, North Shore University Hospital, Manhasset, NY, USA, (3) School of Nursing, Adelphi University, Garden City, NY, USA, (4) Quality Management, North Shore - Long Island Jewish Health System, Great Neck, NY, USA, (5) Nursing, North Shore University Hospital Manhasset, Manhasset, NY, USA, (6) Quality Management, North Shore University Hospital Manhasset, Manhasset, NY, USA
| Learning Objective #1: Identify the evidence-based treatment guidelines for the hospitalized patient in heart failure |
| Learning Objective #2: Understand the five components of a clinical and educational program necessary to implement evidence-based nursing care |
Heart failure affects an estimated 5 million Americans and is responsible for one million hospitalizations per year with 45% of heart failure patients experiencing a readmission every six months. This disease accounts for over six billion dollars in Medicare expenditures and represents our hospital systems highest volume discharge DRG. Utilizing a true multidisciplinary approach, a team of nurse practitioners, physicians, nurse educators, staff nurses, private attending cardiologists, staff heart failure experts and the administration of our health system collaboratively developed a program for the evidence-based nursing and medical management of the patient with heart failure. Additional input was solicited from patients and families and that was incorporated into recommendations for the committee. From these recommendations, a five part program was developed to incorporate evidence-based treatment strategies across the 16 hospital system.
The TEACH program (To Educate and Compare Heart Failure Outcomes) designed to promote evidence-based nursing practice consists of: 1) A nursing based comprehensive CareMap which contains information and prompts for best practice; 2) A CD-ROM educational program designed to teach evidence-based heart failure care to nursing staff, social work and allied health professionals; 3) An in-patient heart failure specific education sheet to partner patients with their providers for more effective outcomes; 4) A standing order set for admission and care of the heart failure patient which provides physician prompts; 5) Personalized discharge instructions delineating optimized weight and renal function in addition to a homecare and follow-up plan. The In-hospital management of the heart failure patient has been shown to be heavily influenced by the nursing care and education that the patient receives. The goal of this program was to bring the evidence-based hospital nursing care to the heart failure patient across a 16 hospital system. Initial data suggest significantly increased compliance with evidence-based guidelines across our system.