|
 |
Reducing Heart Failure Readmissions by Teaching Patient-Centered Care to Internal Medicine Residents
JD Record, C Rand, C Christmas... - Archives of Internal ..., 2011 - Am Med Assoc Patients were admitted for a principal diagnosis of congestive HF to the teaching general medicine
service at Johns Hopkins Bayview Medical Center between October 18, 2007, and August
31, 2009. In October 2007, the number of patients assigned to 1 of the 4 teaching service ...
Patients were admitted for a principal diagnosis of congestive HF to the teaching general medicine service at Johns Hopkins Bayview Medical Center between October 18, 2007, and August 31, 2009. In October 2007, the number of patients assigned to 1 of the 4 teaching service teams (each consisting of 1 faculty attending physician, 1 resident, 2 interns, and 2 basic medicine clerkship students) was reduced by half to provide trainees more time with their patients during and after hospitalization.3 The balance of patients were admitted to the hospitalist service. Patient assignment to the intervention vs a standard teaching team was based on a rotating call schedule. A patient-centered, transition-focused curriculum for this intervention team called for 3 components to be implemented for all patients: (1) a medication adherence assessment, (2) telephone call(s) to outpatient provider(s), and (3) a telephone call to each patient after discharge to assess the patient's experience of the care transition and his or her understanding of the hospital stay and plans for follow-up. Trainees were encouraged to consider how each patient's psychosocial circumstances affect medical care. In addition, the intervention team visited selected patients at home or in a nursing facility after discharge to better appreciate the patient's perspective of the transition in care.
More Details:
Reducing Heart Failure Readmissions by Teaching Patient-Centered Care to Internal Medicine Residents |
|
|
