Project H.E.A.R.T.S. – Help Eliminate All Readmissions to the SICU

Penn Presbyterian Medical Center (Philadelphia, Pennsylvania)

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Project Topic

Reducing readmissions to the ICU

CSI Participants

Helen Chacko, RN, BSN
Bryan Fagan, RN, BSN, CCRN
Lorie Fosbenner, RN, BSN, CCRN
Gina Terranova, RN, BSN, CCRN-CSC

Project Goals/Objectives

  1. To decrease the number of ICU re-admissions 25 percent through use of a risk assessment tool
  2. To identify a relationship between ICU re-admissions and 30-day hospital readmissions
  3. To increase staff knowledge of readmission risk factors
  4. To increase staff knowledge and awareness about patient risk factors for ICU readmission

Project Outcomes

  1. Increased ICU readmissions during the post-project implementation period (from 21 to 26 readmissions per 1000 patients)
  2. Increased length of stay (LOS) for first ICU admission 1.1 days
  3. Decreased LOS for second ICU admission 2.5 days
  4. Decreased total hospital LOS 1.3 days.

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The AACN CSI Academy program supports change projects based on quality improvement methods. Although CSI teams seek to ensure linkage between their project and clinical/fiscal outcomes, data cannot be solely attributed to the project and are estimations of impact.