plan EBP .docx - State your proposed EB practice change 15...

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ALL WORK AND NO PLAN MAKES FOR A DISASTER State your proposed EB practice change, 15 points In recently hospitalized patients with heart failure and discharged to home, what is the effect of home telemonitoring on 30-day readmission events, when compared to usual in person follow appointments in the first 30 days after hospital discharge? The main intervention selected for this project is a structured patient telephonic support with specialized staff to educate and increase engagement with heart failure management at home. The plan is to designate two nurses, either registered nurse or licensed practical nurse to place a minimum of weekly telephonic calls to patients that have been discharged with a diagnosis of heart failure. The telephonic interaction must include patient and caregiver education on congestive heart failure management, like daily weight and log, how to identify sign and symptoms of fluid overload, assessment of medication and diet compliance, education on when to seek medical care, how to access care, and clear understanding of cardiology recommendations.
Describe the anticipated barriers to the change process in your institution (or where the change will be implemented). Include the

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