The Impact of Stroke Nurse Navigation on Patient Compliance Postdischarge.

Abstract

Purpose: The purpose of this study was to describe the impact a stroke nurse navigation program has on concurrent chart reviews and patient compliance postdischarge. Design: Phase I: Concurrent chart review of The Joint Commission Primary Stroke Center core measures for ischemic stroke patients. Phase II: Longitudinal study of 100 ischemic stroke patients discharged to home. Methods: Telephone surveys were conducted at prescribed intervals posthospital discharge (Phase II). Surveys focused onmedication compliance, follow-up medical appointment compliance, and neurovascular emergency department (ED) visits/readmissions. Findings: Phase I trends included increased stroke performancemeasures compliance. Phase II favorable trends included increased medication compliance (>98%), increased follow-up appointments (100%), decreased rate of neurovascular ED visits/rehospitalizations (3%), and improvement in activities of daily living and quality of life measures through 12 months postdischarge. Conclusions: Stroke nurse navigation increased conformity of stroke performance measures and stroke patient discharge compliance through 12 months postdischarge.