Nurse-Led Cardiac Rehabilitation Care Coordination Program: IMPROVING FUNCTIONAL OUTCOMES FOR PATIENTS THROUGH AUTOMATIC REFERRAL AND EFFECTIVE CARE COORDINATION.

Kristi BoggessEmily HayesMary Lizzie DuffyChayawat IndranoiAndrew B SoreyLeslie McKeon

Published in: Journal of cardiopulmonary rehabilitation and prevention (2024)

Automated CR referral and nurse care coordination visits for hospitalized patients decreased the transition period between CR Phase 1 and 2. Patients were physically and psychologically prepared for earlier CR Phase 2 enrollment and successfully completed the program in fewer days than the pre-intervention group.

Keyphrases

quality improvement
end stage renal disease
healthcare
primary care
ejection fraction
palliative care
newly diagnosed
chronic kidney disease
prognostic factors
machine learning
peritoneal dialysis
deep learning
patient reported outcomes
pain management
health insurance
chronic pain