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THE DEVELOPMENT OF A SYSTEMATIC DISCHARGE PLANNING PROCESS FOR THE CARE OF COPD PATIENTS IN A SMALL URBAN COMMUNITY HOSPITAL

Barton-Verdi, Michele A.

Abstract Details

2021, Doctor of Philosophy in Urban Education, Cleveland State University, College of Education and Human Services.
Background: Several attempts have been made to examine factors that influence 30-day readmissions in a hospital setting to ensure that inpatient care is accompanied by an effective post-discharge plan that can decrease 30-day readmissions to guide hospitals to use practices that increase hospitals `quality implications (Shah et al., 2015; Kripalani et al., 2007; Rinne et al., 2017, Jenks, Williams and Coleman, 2009, Shah, Press, Husingh-Scheetz & White, 2016; Sickler et al., 2015; Pruitt, 2018; Hansen et al., 2013; Simmering et al., 2016; Alper, O’Malley, & Greenwald, 2019). Purpose: To determine the role of post-discharge care in 30-day readmissions along with the typical clinical outcomes identified, we examined a small urban hospital population and the patient characteristics in each post-discharge care setting (HSC, HHC, LTAC, and SNF). Patients and Methods: A retrospective study was conducted in patients with COPD hospitalizations using the data from a small urban community hospital from 2014 to 2019, n = 1,008. Results: Home health care was identified as having the highest readmission rate in this small urban community hospital using a test of proportions. The weighted variables from a researcher-developed covariate scoring table were analyzed using a Chi-square analysis. The findings provided a reference framework for a systemized discharged planning process according to how the variables/groups were scored.
Kenneth Sparks, Dr. (Committee Chair)
Douglas Wajda, Dr. (Committee Member)
Emily Kullman, Dr. (Committee Member)
Amanda Penko, Dr. (Committee Member)
187 p.

Recommended Citations

Citations

  • Barton-Verdi, M. A. (2021). THE DEVELOPMENT OF A SYSTEMATIC DISCHARGE PLANNING PROCESS FOR THE CARE OF COPD PATIENTS IN A SMALL URBAN COMMUNITY HOSPITAL [Doctoral dissertation, Cleveland State University]. OhioLINK Electronic Theses and Dissertations Center. http://rave.ohiolink.edu/etdc/view?acc_num=csu1623883152504604

    APA Style (7th edition)

  • Barton-Verdi, Michele. THE DEVELOPMENT OF A SYSTEMATIC DISCHARGE PLANNING PROCESS FOR THE CARE OF COPD PATIENTS IN A SMALL URBAN COMMUNITY HOSPITAL. 2021. Cleveland State University, Doctoral dissertation. OhioLINK Electronic Theses and Dissertations Center, http://rave.ohiolink.edu/etdc/view?acc_num=csu1623883152504604.

    MLA Style (8th edition)

  • Barton-Verdi, Michele. "THE DEVELOPMENT OF A SYSTEMATIC DISCHARGE PLANNING PROCESS FOR THE CARE OF COPD PATIENTS IN A SMALL URBAN COMMUNITY HOSPITAL." Doctoral dissertation, Cleveland State University, 2021. http://rave.ohiolink.edu/etdc/view?acc_num=csu1623883152504604

    Chicago Manual of Style (17th edition)