This doctoral capstone experience was completed in partnership with TriStar Skyline Medical Center’s inpatient rehabilitation Readmission Reduction Program. This project was driven by a need to increase the provision of education for patients qualifying for this program to promote successful comorbidity management upon discharge to reduce avoidable readmissions. The primary focus of this project was to develop educational materials to promote an understanding of how to successfully manage Diabetes Mellitus, COPD, and CHF to reduce disease complications and avoidable readmissions. The educational materials were developed as online interactive modules for in-room education at the patient’s own pace with voice over and knowledge check components, regular PowerPoint presentations, and PDF handouts of the PowerPoint presentations with audio transcript. A central online platform was created to house the educational materials, as well as provide additional resource links for all comorbidities. In addition, evaluative post-education questions were developed to assess for patient-specific barriers commonly associated with readmission. These include questions related to social determinants of health, as well as health related behaviors.
Elena Espiritu, OTD, OTR/L, BCPR
Occupational Therapy, School of
Health Sciences & Nursing, Gordon E. Inman College of
Doctorate of Occupational Therapy (OTD)
readmission reduction; diabetes; COPD; CHF; comorbidity management; comorbidities; readmission; comorbidity education; inpatient rehabilitation; chronic condition
Carroll, Savannah, "Addressing Comorbidity Education Needs in TriStar Skyline’s Readmission Reduction Program" (2021). OTD Capstone Projects. 74.