Evaluating Patient Activation Measure (PAM) Scores and Readmission Rates Following Implementation of a Nurse-Initiated Multi-Faceted Strategy for Patients on a U.S. Navy Inpatient Oncology Unit: A Quality Improvement Project
Technical Report,01 Oct 2014,30 Jun 2016
NAVAL MEDICAL CENTER PORTSMOUTH VA PORTSMOUTH United States
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Chronically ill patients often experience multiple hospitalizations. Oncology patients have been shown to have more readmissions to the hospital than non-oncology patients. Recent reports estimate a 17.4 billion cost burden is associated with readmissions within 30 days of discharge. Evidence suggests that one way to help patients take control of their health and avoid readmission is by bolstering behaviors that foster self-efficacy and sustain a patients ability to manage hisher health, also known as patient engagement. Strategically providing education, resources, and knowledge assessments related to patient health conditions and treatments at the bedside have been shown to impact patient engagement. One reliable way of measuring patient engagement is by evaluating patient responses to the Patient Activation Measure PAM survey. Patient activation is a reliable precursor to patient engagement, whereby increased PAM scores have demonstrated improved levels of self-care management, health outcomes, and decreased readmissions. The purpose of this project was to describe the impact of nurse-driven strategies on PAM scores and readmission rates on an inpatient oncology unit at a large military medical center. A secondary objective was to compile observations and staff feedback into lessons-learned to be shared as a subsequent presentation.