Evaluating Patient Activation Measure (PAM) Scores and Readmission Rates Following Implementation of a Nurse-Initiated Multi-Faceted Strategy for Patients on a U.S. Navy Inpatient Oncology Unit: A Quality Improvement Project

Abstract

Chronically ill patients often experience multiple hospitalizations. Oncology patients have been shown to have more readmissions to the hospital than non-oncology patients. Recent reports estimate a $17.4 billion cost burden is associated with readmissions within 30 days of discharge. Evidence suggests that one way to help patients take control of their health and avoid readmission is by bolstering behaviors that foster self-efficacy and sustain a patients ability to manage his/her health, also known as patient engagement. Strategically providing education, resources, and knowledge assessments related to patient health conditions and treatments at the bedside have been shown to impact patient engagement. One reliable way of measuring patient engagement is by evaluating patient responses to the Patient Activation Measure (PAM) survey. Patient activation is a reliable precursor to patient engagement, whereby increased PAM scores have demonstrated improved levels of self-care management, health outcomes, and decreased readmissions. The purpose of this project was to describe the impact of nurse-driven strategies on PAM scores and readmission rates on an inpatient oncology unit at a large military medical center. A secondary objective was to compile observations and staff feedback into lessons-learned to be shared as a subsequent presentation.

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Document Details

Document Type
Technical Report
Publication Date
Jun 30, 2016
Accession Number
AD1022747

Entities

People

  • Andrea Mcglynn
  • Carlin Callaway
  • Courtney Powell
  • Craig Cunningham
  • Kenneth Steele
  • Shawna Grover
  • Vorachai Sribanditmongkol

Organizations

  • Naval Medical Center Portsmouth

Tags

DTIC Thesaurus Topics

  • Department Of Defense
  • Education
  • Feedback
  • Governments
  • Health Services
  • Hospitalizations
  • Hospitals
  • Information Operations
  • Lessons Learned
  • Military Medicine
  • Observation
  • Oncology
  • Patient Care
  • Precursors
  • United States
  • United States Government

Fields of Study

  • Medicine

Readers

  • Joint Military Operations and Doctrine.
  • Medical or Health Care Field.
  • Organizational Process Management (OPM).