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Enhanced Discharge Care Initiative at Regional Health Authority Four

Learn how Regional Health Authority Four in Edmundston, N.B. improved discharge care for better patient outcomes. Find out about their team, goals, challenges, and next steps in this insightful case study.

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Enhanced Discharge Care Initiative at Regional Health Authority Four

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  1. AMI Discharge Care Improved:At Regional Health Authority FourEdmundston, N.-B. Carole Ruest, RN

  2. Who We Are: • 205 bed hospital • The RHA4 consists of 3 facilities : • Edmundston Regional Hospital • Grand-Falls General Hospital • Hotel-Dieu Saint-Joseph of Saint-Quentin • 6% of admissions thru ED • Population served approx.50,000

  3. Discharge AIM Statements • ASA ≥ 90 % • Beta blocker ≥ 90 % • ACE inhibitor or ARB ≥ 85 % • Statin ≥ 95 % • Smoking counselling = 100 %

  4. Team Members • Cardiac rehabilitation nurse • Head nurse assistant • Emergency room • Intensive Care Unit • Department of Medecine • Internist • Family doctor

  5. Change Ideas • Documentation tools • Same team on site for inpatients and outpatients for smoking cessation counselling • Discharge medication reviewed by member team and data brought to the internist and family doctor

  6. Measures (for the last 2 years)

  7. Lessons Learned • Have a team • Collect data concurrently

  8. Challenges • Find a team • Find time • Make people buy-in • Language • Collecting data tool • Clock time not synchronize throughout the hospital • Small number of patients (transfer out)

  9. Next Steps • Regionalize the strategy • Set up a team for the 2 other facilities • Find a way to make clock time consistant throughout the hospital

  10. Questions? Thank you! Contact Information: Carole Ruest Name : Regional Health Authority Four Address : 275, boulevard Hébert, Edmundston (NB) E3V 4E4 Phone/email : 506-739-2719, Carole.Ruest@rrs4.ca

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