Abstract

Chronic diseases are currently the leading cause of preventable death and disability worldwide. Clinical prevention disease-specific interventions designed with a population health management approach offer solutions. The goal was to determine the impact of follow-up care provided at a nurse practitioner led chronic disease management clinic (CDMC) on 30-day post-acute outcomes of the systolic heart failure (HF) population as compared to those who received usual care (UC). The CDMC utilizes an interprofessional model of care with a self-care management approach. A retrospective chart review was conducted on 72 patients to obtain 30-day hospital readmission, mortality, and ED utilization rates for the HF population discharged from the project hospital. There were no acute readmissions, ED visits, or mortalities in the CDMC group.

Regina Sawyer

Author Details

Regina Sawyer, DNP, RN-BC, NE-BC, PHM

Sigma Membership

Non-member

Type

DNP Capstone Project

Format Type

Text-based Document

Study Design/Type

Other

Research Approach

Pilot/Exploratory Study

Keywords:

Chronic Care Model, Chronic Disease, Heart Failure Clinic, Population health, Nurse Practitioner

Advisor

Marylee Bressie

Second Advisor

Catherine Suttle

Third Advisor

Rosalina Newsom

Degree

DNP

Degree Grantor

Capella University

Degree Year

2016

Rights Holder

All rights reserved by the author(s) and/or publisher(s) listed in this item record unless relinquished in whole or part by a rights notation or a Creative Commons License present in this item record.

All permission requests should be directed accordingly and not to the Sigma Repository.

All submitting authors or publishers have affirmed that when using material in their work where they do not own copyright, they have obtained permission of the copyright holder prior to submission and the rights holder has been acknowledged as necessary.

Review Type

None: Degree-based Submission

Acquisition

Self-submission

Date of Issue

2016-10-20

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