Doctor of Nursing Practice Program

• Committee Chair Name & Credentials:
  Kenneth Nelson, DNP, RN, NE-BC, CPHQ
• Committee Member Name & Credentials:
  Brett Young, MS, RN

DNP Project Abstract

Impact of Leadership Rounding on Patient Satisfaction with Hospital at Home

Purpose
The purpose of this performance improvement project was to increase overall patient satisfaction with Hospital at Home (HAH) within two months of initiating a leadership rounding program at VUMC.

Methods
An electronic documentation tool that served as an interview guide was developed using prior literature findings. Telephonic calls were made to the patient and/or caregivers by the nurse manager or team lead on or after the second day of admission to the HAH program. Interventions were applied immediately where able and findings aggregated to prioritize opportunities at the program level. Overall patient satisfaction was measured using Press Ganey survey results.

Results

• Participants: 37 out of 48 patients admitted to the program in a two-month time period participated in leadership rounding.
• Findings: The top three reported satisfiers with HAH include: comfortable environment (n=26), staff (n=15), and familiar environment (n=13). The top three reported challenges with HAH include: equipment/technology (n=14), medication administration (n=11), and caregiver burden (n=3).
• Outcome: Overall satisfaction with HAH increased from 70% to 82% within two months of initiating a leadership rounding program.

Implications for Practice
Leadership rounding can be effective in improving satisfaction with HAH. Organizations can leverage the rounding guide and findings from this project to proactively address patient satisfaction with their HAH programs.