Lessons Learned: A Mixed Methods Analysis of Barriers to Swing Bed Utilization in Critical Access Hospitals in Montana.
Purpose: Critical access hospitals (CAHs) provide access to care and economic stability to rural regions. At times rural populations need higher-level health care from distant urban-based acute care hospitals (ACHs), distancing them from their social network. Sample/Method: This paper evaluates pote...
| Publicado en: | Online Journal of Rural Nursing & Health Care Vol. 15; no. 2; pp. 88 - 104 |
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| Autores principales: | , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Online Journal of Rural Nursing & Healthcare
2015
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=112385213&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 112385213 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 15393399 1CZA jtl: Online Journal of Rural Nursing & Health Care issn: 15393399 maglogo: N pubinfo: dt: 2015 vid: 15 iid: 2 pid: 24740 pub: Online Journal of Rural Nursing & Healthcare place: Chicago, Illinois artinfo: ui: 112385213 112385213 112385213 10.14574/ojrnhc.v15i2.366 112385213 ppf: 88 ppct: 16 formats: fmt: @attributes: type: P tig: atl: Lessons Learned: A Mixed Methods Analysis of Barriers to Swing Bed Utilization in Critical Access Hospitals in Montana. aug: au: Jones, Faith Sabin, Tawnie Roper, Karen L. Crocker, Samuel Cardarelli, Roberto affil: Chief Clinical Officer, Mineral Regional Health Center, Frontier Medicine Better Health Partnership, Superior MT sug: subj: Hospitals, Rural Montana Transitional Care Montana Subacute Care Montana Human Multimethod Studies Montana Inpatients Interviews Convenience Sample Social Networks Patient Classification Workflow Time Factors Rehabilitation Outcomes (Health Care) Functional Status ab: Purpose: Critical access hospitals (CAHs) provide access to care and economic stability to rural regions. At times rural populations need higher-level health care from distant urban-based acute care hospitals (ACHs), distancing them from their social network. Sample/Method: This paper evaluates potential barriers to transferring patients back to CAH swing beds for restorative care through formative interviews with staff from both ACHs and CAHs. Four CAHs also completed workflow analytics to identify process factors that impede timely transfer of patients from ACHs to CAH swing beds. Findings: Thematic messages included a lack of consensus about swing bed eligibility criteria and delay in response from CAHs on transfer requests. Workflow analytics identified numerous opportunities to improve efficiency in transfer requests. Results showed an average of 217.5 hours were required from time of transfer request to when the patient arrived to the CAH. Conclusions: Educational programs are underway to help address these knowledge deficiencies and process barriers. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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