2022 Quality Summit ePosters (Non-CE) - CathPCI Registry-20. Oregon Health Science University-Hillsboro Medical Center Cardiac Rehab Referral Improvement Project

20. Oregon Health Science University-Hillsboro Medical Center Cardiac Rehab Referral Improvement Project

Pdf Summary

The document outlines the use of the A3 problem-solving tool to address the low referral rates to cardiac rehabilitation (CR) for patients undergoing percutaneous coronary intervention (PCI) at HMC. The first PDSA cycle involved implementing daily inpatient CR rounds where the CR specialist conducted daily chart reviews and ensured orders were placed for eligible patients. Phase 1 rehab was then delivered prior to discharge. <br /><br />Data collected after initiating the intervention showed an increase in the referral rates for CR, but the goal of capturing above 75% referrals was not reached. The next steps include overcoming barriers such as a shortage of CR personnel, streamlining EPIC order sets, and educating MDs and other teams.<br /><br />The problem statement highlights that only 25% of patients undergoing PCI at HMC are currently referred for Phase 1 CR, despite guidelines recommending referral for all patients. The aim is to increase the referral rate to over 75% by a specific date.<br /><br />Outcome measures will track the percentage of patients referred to CR among those undergoing PCI. Process measures include the percentage of patients where CR was ordered post PCI, the percentage where the CR specialist reminded healthcare providers for CR orders, and the percentage of patients visited by the CR specialist prior to discharge.<br /><br />The document concludes by stating that this project provides a framework for developing reliable, cost-effective, and sustained healthcare improvement projects.<br /><br />Authors mentioned in the document are Anushka C. Gupta and Nandita C. Gupta, MD.

Keywords

A3 problem-solving tool

referral rates

cardiac rehabilitation

percutaneous coronary intervention

HMC

PDSA cycle

inpatient CR rounds

Phase 1 rehab

barriers

EPIC order sets