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Improving Resident Satisfaction with Post-Hospitalization Follow-up at Mayo Clinic Florida
  • +7
  • Megan Melody,
  • Samantha Espinosa,
  • Karl Mareth,
  • Lindsay Gardner,
  • Alexander Heckman,
  • Annamaria Mechtler,
  • SeQuoya Killebrew,
  • Matthew Dudgeon,
  • Richard White,
  • Leigh Speicher
Megan Melody
Mayo Clinic Florida

Corresponding Author:[email protected]

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Samantha Espinosa
Mayo Clinic Florida
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Karl Mareth
Mayo Clinic Florida
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Lindsay Gardner
Mayo Clinic Florida
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Alexander Heckman
Mayo Clinic Florida
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Annamaria Mechtler
Mayo Clinic Florida
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SeQuoya Killebrew
Mayo Clinic Florida
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Matthew Dudgeon
Mayo Clinic Florida
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Richard White
Mayo Clinic Florida
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Leigh Speicher
Mayo Clinic Florida
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Abstract

Rationale, aims, and objectives: Post-hospitalization follow-up within 30 days following discharge has been shown to positively impact time to readmission, healthcare costs, and patient self-reported adherence and satisfaction. We aimed to improve resident satisfaction with the process of establishing post-hospitalization, primary care provider (PCP) follow-up. Methods: In this quality improvement study we surveyed all internal medicine residents at our institution regarding their satisfaction with the process of establishing PCP follow-up at the time of hospital discharge. A streamlined process was developed and two subsequent interventions were enacted; a dedicated teaching session and distribution of pocket cards outlining the process. Residents were then surveyed following each intervention to assess for impact on overall satisfaction and burden of work. Results: Initially, 77.3% of residents were not satisfied with the process of establishing post-hospitalization PCP follow-up. Following the first intervention there was a trend towards increasing satisfaction rates by 16.7% (p= 0.20), and after the second intervention there was a statistically significant increase in satisfaction rates from baseline by 44% (p= 0.007). There was also a reduction in the feeling of workload burden associated with establishing PCP follow-up from 32% to 25%, and over 67% of participants either agreed or strongly agreed that the workload was not too burdensome. Conclusion: This quality improvement initiative established that resident physicians at our institution previously found the process of establishing PCP follow-up at the time of patient discharge both confusing and burdensome. Through the implementation of our interventions we were able to achieve our aims of improving resident satisfaction.
06 May 2020Submitted to Journal of Evaluation in Clinical Practice
09 May 2020Submission Checks Completed
09 May 2020Assigned to Editor