CSI Summary
Available only to registered AACN.org users.
Project Topic
Decreasing acute myocardial infarction (AMI) readmissions
CSI Participants
Kimberly Palma, RN, MSNLuke Smith, RN, MSN
Beth Walker, RN, MSN
Project Goals/Objectives
- Reduce AMI 30-day readmission rate
- Improve patient education and compliance
- Provide structured, uniform program guide to patients who have suffered an AMI
Project Outcomes
- Reduced AMI readmission rate 5.2 percent – from 9.1 percent in 2015 to 3.9 percent for the first half of 2016
- Increased patient compliance picking up prescribed medications to 100 percent after implementation of the program
- Enhanced patient education and compliance by distributing program guide that 88 percent of AMI patients found helpful
- Improved AMI patients' follow through on post-discharge physician visits – 84 percent of patients saw a physician within the first week of discharge
- The outcomes resulted in an estimated fiscal impact of $422,400.
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Permission to Reuse Materials
The materials associated with this AACN Clinical Scene Investigator (CSI) Academy project are the property of the participating hospital noted above, not AACN. Requests to use content contained in the CSI team’s summary, presentation or toolkit should be directed to the hospital. We suggest reaching out to the hospital’s Communications, Marketing or Nursing Education department for assistance.
Disclaimer
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.