Enhancing Care Coordination Through Patient- and Family-Initiated Telephone Encounters: A Quality Improvement Project
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- 作者：Judith A. Vessey ; PhD ; MBA ; RN ; FAAN<sup>asup><sup> ; sup><sup>bsup><sup> ; sup><sup>Judith.vessey@childrens.harvard.edu" class="auth_mail" title="E-mail the corresponding authorsup> ; Jennifer McCrave ; RN ; BSN ; CNRN<sup>csup> ; Catherine Curro-Harrington ; RN ; CPN<sup>csup> ; Rachel L. DiFazio ; PhD ; RN ; FAAN<sup>csup>
- 关键词：Care coordination ; Telephone triage ; Pediatric chronic conditions ; Quality improvement
- 刊名：Journal of Pediatric Nursing
- 出版年：2015
- 出版时间：November-December 2015
- 年：2015
- 卷：30
- 期：6
- 页码：915-923
- 全文大小：202 K
文摘
Telehealth activities are often conducted by ambulatory nurses to assist with care coordination; these activities are especially important for children with complex, chronic conditions. This quality-improvement project examines specific components of nursing care delivered to children on the neurology and gastroenterology services through patient-initiated telephone encounters. Metrics and nurse-sensitive indicators explored include the type of services requested, the nurses' ability to resolve patients' concerns while eliminating otherwise unnecessary care, and associated costs with providing this care. The usefulness of a standardized instrument, the care coordination management tool, used in this project is discussed.