Founded 1951 Dwight Harken MD 20000 Members 300 Chapters 460 Hospitals 215000 Patients Visited Annually National Based in Dallas About Mended Hearts Visiting helps patients AND visitors ID: 712331
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The Power of Peer Support Slide2
Founded 1951Dwight Harken, MD20,000 Members300 Chapters460 Hospitals215,000 Patients Visited AnnuallyNational - Based in DallasAbout Mended HeartsSlide3
Visiting helps patients AND visitorsHCPs can tell when a patient has been visitedHCPs strongly supportiveVisiting improves outcomesWhat We KnewSlide4
Patients said they felt betterHCPs said they could tell a differencePatients seemed to do betterNo empirical dataWhat We Could ProveSlide5
CMS Hospital Compare DataPatient Attitudes and Awareness – Phase 1Week 1 following hospitalizationPatient Attitudes and Awareness – Phase 2
Week 4-6 following hospitalization
Three Survey PhasesSlide6
Compare hospitals With and without visiting programsAssess readmission ratesMeasure patient attitudesCompliance
Perceived wellness
Self-efficacy
Sense of control
Satisfaction with hospital experience
Survey ObjectivesSlide7
AccessSurvey links provided to patients294 patients completed Phase I survey94 Patients completed Phase II survey 39% response rate
Dates
Phase I – February 15 – August 20, 2014
Phase II – April 10 – August 20, 2014
Survey LogisticsSlide8
ObjectivesAnalyze hospital records from CMS Compare DataAssess impact of MHI peer-to-peer support program on patient outcomes30-Day
readmission
and
mortality
rates
Heart Attack
Heart Failure
Access
CMS data from 4805 hospitals downloaded
164 Mended Hearts hospitals comparable to 4641 other hospitals
Compare DataSlide9
Mended Hearts hospitals’
readmission rates for heart failure
are significantly more likely to be
“better than U.S. national rate”
than other U.S. hospitals
Key CMS Finding:Slide10
Critical TimingNew Reimbursement RulesProven ModelInexpensive SolutionOpportunity: System ApproachReduced Readmissions!Slide11
Phase 1:Visit Impacts Hospital Experience
90% noted favorable impact on hospital experience
More than half
‘much more favorable’
Slide12
Phase 1:Visit Impacts Hospital Experience
Nearly 90% felt visitor was
helpful
More than two-thirds said
‘extremely helpful’Slide13
Phase I: Perceived HelpfulnessSupport from someone with similar experience
Helpful information on medical condition and recovery
EncouragementSlide14
Phase II: Top Three Conditions
Hypertension
High Cholesterol
Coronary Artery DiseaseSlide15
More than 1/4 = depressionMost took specific actionSlide16
Phase II: Sense of Wellness
3/4 patients felt in ‘very good/excellent health’
More than half cited
no impact
on activitiesSlide17Slide18
Phase II Survey Results~25% experienced symptoms post-hospital
AFib most common
Less than 1/5 readmitted to hospital after earlier visit
~25% no additional procedures performed
Almost 2/3 of readmitted patients had same procedure as previous admissionSlide19
Phase II ComplianceFollowing medical regimens:
Rate themselves
extremely highly
Diligent about medications
Especially diuretics
Favorable ratings:
Physical activities
Watching for worsening symptomsSlide20
Phase II Satisfaction30 days post-discharge, patients ‘very satisfied’
with Mended Hearts, for both:
Encounter with visitor
Materials (HeartPack)
More than 90% recommend Mended Hearts
More than half joined Mended HeartsSlide21
Survey Implications
New hospital system approach
System-wide approach
Expand visiting program
Virtual and multimedia visiting
HeartGuide
Discharge process
Stronger connection to rehabSlide22
New Patient Support ToolsHeartGuide
– New Patient Resource
Hard Copy
Digital Online
Smartphone/Tablet App
Enhanced Peer Support
Scheduled Virtual Visitors
Available by phone, email, text
Irrespective of location, hospital affiliationSlide23
Consider the Power of Peer Support in your settingsHelp start a Mended Hearts Chapter Join us!
OpportunitiesSlide24
Call or visit us!
www.mendedhearts.org
1-888-HEART-99