Cindy Lawlor RN BScN

1. You promised you’d call!!!Interactive Voice Response System for Cardiac Surgery Patients After Discharge Cindy Lawlor RN BScN

2. Objectives • Describe an Interactive Voice Response System • Background of “TelAsk” IVRS implemented a PHC • Rationale for implementation of a discharge program • Describe PHC cardiac surgery program • Summarize pilot evaluation of the system • Discuss implications for nursing practice • Speculate on future plans

3. TelAsk System

11. PHC Cardiac Surgery Program • One of 4 BC programs – Referral centre for high-risk cases • Case volume = approx 900 per year • Types of surgery • Complexity – aging, frail population, multiple co-morbidities • Multi-disciplinary model

12. PHC Experience • Identified need for a follow-up discharge program • Opportunity for funding • Presented to multi-disciplinary team • Program successfully implemented February 2008

13. System Evaluation • 20 patients received usual care • 20 patients received usual care and IVRS • Each group received: • Stop-D inventory (depression, anxiety, stress, anger, social support) prior to discharge and 3 weeks post discharge • Telephone survey 3 weeks post discharge

14. Demographics

15. Unplanned Medical Intervention

16. STOP D Outcomes – UC compared to IVRS p =.06

17. Survey

18. UC: Phone Call

19. IVRS: Phone Call

20. Summary • Limitations – small numbers • IVR group had significantly less anxiety, trended towards less unplanned visits • Positive outcomes

21. TelAsk Activity

22. TelAsk Activity To Date

23. Implications for Practice • Patient/Caregiver information • Problems sleeping/Pain management • Counseling • Early intervention

24. Future Plans • Role expansion from NP to staff RN • Increase access – broaden call back times • Expand to other programs • Research

26. THANK YOU! Questions ?