Behavioral Health Nurse Navigator for Inpatient Services, St. Luke's University Health Network, Sacred Heart Campus, 421 Chew Street, Allentown, PA 18102, United States of America.
Arch Psychiatr Nurs. 2021 Apr;35(2):168-171. doi: 10.1016/j.apnu.2021.01.002. Epub 2021 Jan 27.
Inpatient behavioral health units across the United States have high readmission rates. The Centers for Medicare and Medicaid Services (CMS) as well as healthcare organizations are focused on reducing readmission rates, especially those readmissions that occur within 30-90 days. Behavioral Health Nurse Navigation was implemented at St. Luke's University Health Network's Sacred Heart Campus to investigate, address, and divert early behavioral health readmissions through evidence-based discharge calls and problem-solving methods.
Following approval for Behavioral Health Nurse Navigation, workflow and discharge call screens were developed for behavioral health discharge calls. Discharge call screens populated at specific intervals and calls were made at those times. Data was maintained on those patients who participated in calls. Increased collaboration and dissemination of information ensued.
613 patients participated in discharge calls from March 2020 to October 2020 as 98% of patients liked receiving calls. 56% of participants used substances; the most commonly used substance was THC. MDD was the most common diagnosis among participants and most patients utilized St. Luke's Psychiatric Associates for outpatient mental health care. Participants most often required assistance in the areas of medication, community coordination, and support/reassurance. The Behavioral Health Nurse Navigation diversion rate ranged from 81% to 96%.
Behavioral Health Nurse Navigation promotes patients' successful adherence to discharge plans through increased collaboration, communication, and skillful problem-solving in the areas of medication, community coordination, and therapeutic reassurance/support. The outcome of Behavioral Health Nurse Navigation is increased patient satisfaction, compliance with treatment, and diversion of patients at high risk for early readmission.
美国各地的住院行为健康病房的再入院率很高。医疗保险和医疗补助服务中心（CMS）以及医疗机构都专注于降低再入院率，特别是那些在 30-90 天内发生的再入院率。圣卢克大学卫生网络的圣心校区实施了行为健康护士导航，通过基于证据的出院电话和解决问题的方法，调查、解决和转移早期行为健康再入院。
在获得行为健康护士导航的批准后，为行为健康出院电话制定了工作流程和出院电话屏幕。出院电话屏幕会在特定的时间间隔弹出，并在这些时间进行电话呼叫。那些参与电话呼叫的患者的数据被保留下来。随之而来的是增加了协作和信息的传播。
2020 年 3 月至 10 月期间，有 613 名患者参加了出院电话，因为 98%的患者喜欢接听电话。56%的参与者使用物质；最常用的物质是 THC。在参与者中，MDD 是最常见的诊断，大多数患者利用圣卢克精神病医生协会进行门诊心理健康护理。参与者最常需要在药物、社区协调和支持/安慰方面的帮助。行为健康护士导航的转移率在 81%至 96%之间。
行为健康护士导航通过增加协作、沟通和在药物、社区协调和治疗安慰/支持方面的熟练解决问题的能力，促进患者成功地遵守出院计划。行为健康护士导航的结果是增加了患者的满意度、对治疗的依从性，并转移了那些有早期再入院高风险的患者。
