Bridging the Discharge Gap Effectively (BRIDGE) is a nurse practitioner-led, transitional care cardiology clinic designed to reduce unnecessary hospitalizations. BRIDGE strives to facilitate patients' transition from hospital to home by serving as an extension of the in-patient care team. The clinic aims to schedule patients within fourteen days of hospital discharge. At these 60 minute visits, nurse practitioners assess each patient's status and response to treatment, educate patients on cardiovascular disease and lifestyle modifications, and make evidence-based medication and therapy adjustments when necessary (Bumpus et al., 2017)
Through our research at MCORRP, we have found that most patients presenting to the clinic were referred due to acute coronary syndrome (ACS), congestive heart failure (CHF), or atrial fibrillation were significantly less likely to be readmitted within 30 days than those who did not attend (6.4% vs. 13.1%, p=0.006) (Bumpus et al., 2017). On average, the utilization of this intervention translated into a $4,944 per-patient savings. Stated another way, BRIDGE saved $306,537 in annual healthcare costs at our health system for ACS patients alone. Not only were patients less likely to be readmitted if they attended, they were also less costly to manage (Bumpus et al., 2016). Future studies are focused on factors leading to early readmission, especially for patients with heart failure and atrial fibrillation.
Eva Kline Rogers RN, MSN, NP (734) 998-5909
Eastern Michigan University