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Health Coaching for Patients With Type 2 Diabetes Mellitus to Decrease 30-Day Hospital Readmissions.

Veronica H Sullivan1, Mary M Hays, Susan Alexander

  • 1Veronica H. Sullivan, DNP, MSN, RN, is a clinical assistant professor at The University of Alabama in Huntsville. Dr. Sullivan is an instructor in the BSN program. She has 15 years' experience as a nurse. Her prior experience includes medical-surgical, community health, geriatric, and psychiatric-mental health nursing. Mary M. Hays, DSN, MSN, RN, is associate professor emeritus at The University of Alabama in Huntsville, where her 17-year career included teaching pathophysiology and nursing administration. Dr. Hays' clinical experiences for more than 30 years include intensive cardiac care and step-down units and long-term care as director of nursing and administrative consultant. Susan Alexander, DNP, ANP-BC, ADM-BC, is an associate professor at the University of Alabama in Huntsville, working with graduate students in doctoral and master's programs since 2009. Her clinical areas of interest includes older adults with chronic diseases, specifically diabetes. Her prior experiences include acute, home-based, hospice, and palliative care.

Professional Case Management
|January 29, 2019
PubMed
Summary
This summary is machine-generated.

Health coaching improved self-management skills for Type 2 diabetes mellitus (T2DM) patients, significantly reducing 30-day hospital readmissions in a pilot program.

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Area of Science:

  • Healthcare Management
  • Patient Self-Management
  • Chronic Disease Management

Background:

  • Type 2 diabetes mellitus (T2DM) poses significant challenges for patients requiring effective self-management strategies.
  • Reducing hospital readmissions is a key objective in acute care settings.

Purpose of the Study:

  • To implement a health coaching program for T2DM patients.
  • To enhance patient self-management skills.
  • To decrease 30-day hospital readmissions.

Main Methods:

  • A pilot program was conducted in a 273-bed acute care hospital.
  • Health coaching focused on self-management, goal setting, and support.
  • Weekly reminders and post-discharge phone visits were utilized.

Main Results:

  • The majority of patients achieved their health goals.
  • 16 out of 20 patients avoided hospital readmission within 30 days.
  • The program demonstrated positive outcomes in T2DM self-management.

Conclusions:

  • Health coaching empowers T2DM patients to improve self-management.
  • The program model is adaptable for other chronic illnesses.
  • Case managers can play a vital role in supporting chronic disease self-care and reducing readmissions.