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Dissertation
The Implementation of Primary Care Follow-up After ED Visit
University of Iowa
Doctor of Nursing Practice (DNP), University of Iowa
Spring 2024
Abstract
Background: Over the past decade, the US has seen fewer patients with an established primary care provider. This has caused more patients to be seen in the Emergency Department (ED) for low-acuity complaints, including UTIs, URIs, pregnancy testing, STI testing, and minor lacerations. It is recommended that patients schedule a primary care follow-up appointment to bridge care after ED treatment. Current literature suggests that implementing additional interventions before patient discharge from the Emergency Department will increase follow-up compliance and improve health outcomes. Purpose: This quality improvement project aims to increase primary care follow-up compliance by providing an appointment before ED discharge. Methods: The project used a plan-do-study-act (PDSA) model to guide the quality improvement process. It investigated whether a new scheduling process would be more successful than the established process within the Emergency Department. The established process included a hotline number for the patient to call to schedule an appointment with an available provider. The new scheduling process included providing eligible patients with an appointment before ED discharge. Findings: The pilot process had a 100% scheduling success rate for available appointments when compared to the established process of 40%. The pilot saw increased patient satisfaction with the ease of scheduling before discharge. However, the process was not as successful in appointment attendance at 38%. Although attendance was not as successful, the process could become more successful with expanding provider availability. Discussion: Increasing the number of patients with established primary care providers could decrease the number of patients seen in the ED for low acuity complaints. Providing an additional scheduling intervention increases patient satisfaction and follow-up compliance. The intervention negated the burdensome process of calling the scheduling department, increased patient satisfaction, and increased appointments scheduled after discharge.
Details
- Title: Subtitle
- The Implementation of Primary Care Follow-up After ED Visit
- Creators
- Marissa Katherine Amidon - University of Iowa
- Contributors
- Ann Weltin (Chair) - University of Iowa
- Resource Type
- Dissertation
- Project Type
- Poster
- Degree Awarded
- Doctor of Nursing Practice (DNP), University of Iowa
- Degree in
- Family Nurse Practitioner
- Date degree season
- Spring 2024
- Publisher
- University of Iowa
- Number of pages
- 1 page
- Copyright
- Copyright © 2024 Marissa Katherine Amidon
- Language
- English
- Academic Unit
- College of Nursing; Doctor of Nursing Practice Projects
- Record Identifier
- 9984627254802771
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