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You promised you’d call!!! Interactive Voice Response System for Cardiac Surgery Patients After Discharge. Cindy Lawlor RN BScN. Objectives. Describe an Interactive Voice Response System Background of “TelAsk” IVRS implemented a PHC Rationale for implementation of a discharge program
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You promised you’d call!!!Interactive Voice Response System for Cardiac Surgery Patients After Discharge Cindy Lawlor RN BScN
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
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
PHC Experience • Identified need for a follow-up discharge program • Opportunity for funding • Presented to multi-disciplinary team • Program successfully implemented February 2008
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
Summary • Limitations – small numbers • IVR group had significantly less anxiety, trended towards less unplanned visits • Positive outcomes
Implications for Practice • Patient/Caregiver information • Problems sleeping/Pain management • Counseling • Early intervention
Future Plans • Role expansion from NP to staff RN • Increase access – broaden call back times • Expand to other programs • Research
THANK YOU! Questions ?