Patient Navigator Program: Focus MI — It Takes a Village Lessons Learned - 2020 Quality Summit presentation (Non-CE)-Patient Navigator Program: Focus MI — It Takes a Village Lessons Learned

Patient Navigator Program: Focus MI — It Takes a Village Lessons Learned - Gluckman

Video Transcription

Video Summary

In this video, Dr. Ty Gluckman, the Medical Director of the Center for Cardiovascular Analytics, Research and Data Science at the Providence Heart Institute in Portland, Oregon, discusses the Patient Navigator Program Focus MI. This program aimed to reduce readmission rates for patients with myocardial infarction (MI) and improve care transitions. The program involved 15 hospitals and lasted for two years, from 2018 to 2019. The hospitals received training, toolkits, and quarterly benchmark reports to track their performance. The key findings of the program included the importance of early patient follow-up, the implementation of patient navigators, pharmacist involvement in reducing medication errors, collaboration with community partners, interdisciplinary teams, and obtaining buy-in from administrative, physician, and clinical teams. Data from the program showed a decrease in readmission rates and improvements in medication reconciliation and patient attendance at cardiac rehabilitation sessions. Overall, participating hospitals expressed satisfaction with the program and identified areas for improvement, such as better discharge instructions and increased patient education. The program highlighted the importance of communication, coordination, and support for patients with MI.

Keywords

Patient Navigator Program Focus MI

readmission rates

care transitions

early patient follow-up

patient navigators

medication errors