Regional Workshops to Disseminate Decision Guide to Reduce Potentially Preventable Hospital Transfers: Application of the Diffusion of Innovation Model.
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| Title: | Regional Workshops to Disseminate Decision Guide to Reduce Potentially Preventable Hospital Transfers: Application of the Diffusion of Innovation Model. |
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| Authors: | Tappen, Ruth M. rtappen@health.fau.edu, Sopcheck, Janet jsopcheck@comcast.net, Southard, Karen ksouthard@thecarolinascenter.org, Hain, Debra dhain@health.fau.edu, Suriaga, Armiel asuriaga2016@health.fau.edu |
| Source: | Journal of Continuing Education in the Health Professions. Spring2024, Vol. 44 Issue 2, p97-104. 8p. |
| Subject Terms: | *Diffusion of innovations, *Adult education workshops, *Research methodology, *Comparative studies, Research funding, Hospital admission & discharge, Long-term health care, Patient readmissions, Health policy, Descriptive statistics, Nursing care facilities |
| Abstract: | Supplemental Digital Content is Available in the Text. Introduction: Medically unnecessary, potentially preventable transfers of nursing home (NH) residents to acute care poses multiple risks for residents. Family and resident insistence on these preventable transfers has not been thoroughly addressed in transfer reduction programs. Methods: The Diffusion of Innovation model guided dissemination of an evidence-based patient decision guide that addressed resident and family insistence on hospital transfer. Twenty workshops were held across eight states of Centers for Medicare and Medicaid Services Region IV. All Medicare-certified NHs in Region IV received emailed invitations to the workshops in their states. Quantitative and qualitative data were collected on workshop attendees, the facilities they represented, and response to the workshop including adoption of the Guide and its effect on hospital readmissions. Results: Altogether, 1124 facility representatives and affiliated professionals attended the workshops. NH administrators rated the program 4.4 out of 5. Of those who responded, 71% said that they were using the Guide as a result of the workshop; 89% of these said that it was helpful, especially to initiate difficult conversations about end-of-life care and to discuss the care a contemporary NH can provide. Readmission rates dropped 30% in the NHs that reported their results. Discussion: The use of the Diffusion of Innovation model was effective in delivering information to a large number of facilities in sufficient detail to implement the Decision Guide. However, the workshop format provided little opportunity to respond to concerns that arose after the workshops, to diffuse the innovation further, or to build sustainability. [ABSTRACT FROM AUTHOR] |
| Copyright of Journal of Continuing Education in the Health Professions is the property of Lippincott Williams & Wilkins and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.) | |
| Database: | Education Research Complete |
| FullText | Text: Availability: 0 |
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| Header | DbId: ehh DbLabel: Education Research Complete An: 177467734 AccessLevel: 6 PubType: Academic Journal PubTypeId: academicJournal PreciseRelevancyScore: 0 |
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| Items | – Name: Title Label: Title Group: Ti Data: Regional Workshops to Disseminate Decision Guide to Reduce Potentially Preventable Hospital Transfers: Application of the Diffusion of Innovation Model. – Name: Author Label: Authors Group: Au Data: <searchLink fieldCode="AR" term="%22Tappen%2C+Ruth+M%2E%22">Tappen, Ruth M.</searchLink><i> rtappen@health.fau.edu</i><br /><searchLink fieldCode="AR" term="%22Sopcheck%2C+Janet%22">Sopcheck, Janet</searchLink><i> jsopcheck@comcast.net</i><br /><searchLink fieldCode="AR" term="%22Southard%2C+Karen%22">Southard, Karen</searchLink><i> ksouthard@thecarolinascenter.org</i><br /><searchLink fieldCode="AR" term="%22Hain%2C+Debra%22">Hain, Debra</searchLink><i> dhain@health.fau.edu</i><br /><searchLink fieldCode="AR" term="%22Suriaga%2C+Armiel%22">Suriaga, Armiel</searchLink><i> asuriaga2016@health.fau.edu</i> – Name: TitleSource Label: Source Group: Src Data: <searchLink fieldCode="JN" term="%22Journal+of+Continuing+Education+in+the+Health+Professions%22">Journal of Continuing Education in the Health Professions</searchLink>. Spring2024, Vol. 44 Issue 2, p97-104. 8p. – Name: Subject Label: Subject Terms Group: Su Data: *<searchLink fieldCode="DE" term="%22Diffusion+of+innovations%22">Diffusion of innovations</searchLink><br />*<searchLink fieldCode="DE" term="%22Adult+education+workshops%22">Adult education workshops</searchLink><br />*<searchLink fieldCode="DE" term="%22Research+methodology%22">Research methodology</searchLink><br />*<searchLink fieldCode="DE" term="%22Comparative+studies%22">Comparative studies</searchLink><br /><searchLink fieldCode="DE" term="%22Research+funding%22">Research funding</searchLink><br /><searchLink fieldCode="DE" term="%22Hospital+admission+%26+discharge%22">Hospital admission & discharge</searchLink><br /><searchLink fieldCode="DE" term="%22Long-term+health+care%22">Long-term health care</searchLink><br /><searchLink fieldCode="DE" term="%22Patient+readmissions%22">Patient readmissions</searchLink><br /><searchLink fieldCode="DE" term="%22Health+policy%22">Health policy</searchLink><br /><searchLink fieldCode="DE" term="%22Descriptive+statistics%22">Descriptive statistics</searchLink><br /><searchLink fieldCode="DE" term="%22Nursing+care+facilities%22">Nursing care facilities</searchLink> – Name: Abstract Label: Abstract Group: Ab Data: Supplemental Digital Content is Available in the Text. Introduction: Medically unnecessary, potentially preventable transfers of nursing home (NH) residents to acute care poses multiple risks for residents. Family and resident insistence on these preventable transfers has not been thoroughly addressed in transfer reduction programs. Methods: The Diffusion of Innovation model guided dissemination of an evidence-based patient decision guide that addressed resident and family insistence on hospital transfer. Twenty workshops were held across eight states of Centers for Medicare and Medicaid Services Region IV. All Medicare-certified NHs in Region IV received emailed invitations to the workshops in their states. Quantitative and qualitative data were collected on workshop attendees, the facilities they represented, and response to the workshop including adoption of the Guide and its effect on hospital readmissions. Results: Altogether, 1124 facility representatives and affiliated professionals attended the workshops. NH administrators rated the program 4.4 out of 5. Of those who responded, 71% said that they were using the Guide as a result of the workshop; 89% of these said that it was helpful, especially to initiate difficult conversations about end-of-life care and to discuss the care a contemporary NH can provide. Readmission rates dropped 30% in the NHs that reported their results. Discussion: The use of the Diffusion of Innovation model was effective in delivering information to a large number of facilities in sufficient detail to implement the Decision Guide. However, the workshop format provided little opportunity to respond to concerns that arose after the workshops, to diffuse the innovation further, or to build sustainability. [ABSTRACT FROM AUTHOR] – Name: AbstractSuppliedCopyright Label: Group: Ab Data: <i>Copyright of Journal of Continuing Education in the Health Professions is the property of Lippincott Williams & Wilkins and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.) |
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| RecordInfo | BibRecord: BibEntity: Identifiers: – Type: doi Value: 10.1097/CEH.0000000000000510 Languages: – Code: eng Text: English PhysicalDescription: Pagination: PageCount: 8 StartPage: 97 Subjects: – SubjectFull: Diffusion of innovations Type: general – SubjectFull: Adult education workshops Type: general – SubjectFull: Research methodology Type: general – SubjectFull: Comparative studies Type: general – SubjectFull: Research funding Type: general – SubjectFull: Hospital admission & discharge Type: general – SubjectFull: Long-term health care Type: general – SubjectFull: Patient readmissions Type: general – SubjectFull: Health policy Type: general – SubjectFull: Descriptive statistics Type: general – SubjectFull: Nursing care facilities Type: general Titles: – TitleFull: Regional Workshops to Disseminate Decision Guide to Reduce Potentially Preventable Hospital Transfers: Application of the Diffusion of Innovation Model. Type: main BibRelationships: HasContributorRelationships: – PersonEntity: Name: NameFull: Tappen, Ruth M. – PersonEntity: Name: NameFull: Sopcheck, Janet – PersonEntity: Name: NameFull: Southard, Karen – PersonEntity: Name: NameFull: Hain, Debra – PersonEntity: Name: NameFull: Suriaga, Armiel IsPartOfRelationships: – BibEntity: Dates: – D: 01 M: 04 Text: Spring2024 Type: published Y: 2024 Identifiers: – Type: issn-print Value: 08941912 Numbering: – Type: volume Value: 44 – Type: issue Value: 2 Titles: – TitleFull: Journal of Continuing Education in the Health Professions Type: main |
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