Author

Author Type

Graduate Student

Date of Award

2022

Document Type

Capstone

Publication Status

Version of Record

Submission Date

October 2026

College Granting Degree

Christine E. Lynn College of Nursing

Thesis/Dissertation Advisor [Chair]

Maria de los Angeles Ortega Hernandez

Thesis/Dissertation Co-Chair

Leslie Pena

Abstract

Open-heart surgery is one of the most frequently performed surgeries in the United Sates. Despite advances in techniques, there is still a significant number of complications leading to readmission. As of 2021, the national pooled 30-day readmission rate was 12.9% (95% CI: 11.3-14.4%). Various studies report rates of 30-day readmission from 8% to 21%, thus making open-heart surgery a target to achieve value-oriented health care milestones by policymakers. A program evaluation was conducted via chart review to compare the rate of readmission of a local cardiothoracic program to the national average. The program focuses on early follow-up post discharge and direct communication and access to the team (surgeon and advanced practice providers). A total of 98 patient charts were reviewed and the rate of readmission was calculated to be 6.1%. There was also a 3.1% rate of emergency room visit without readmission noted. Due to the significant different between these percentages, it is recommended that the team shares their processes to develop a clear protocol for other teams in the area to adopt into their practice.

Extent

17 p.

Identifier

faudnp000045

Format

pdf

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