Publication Date


Document Type


First Advisor

Cooke, Marcia

Second Advisor

Tanzillo, Tanya

Third Advisor

Goetz, Beth

Degree Name

DNP (Doctor of Nursing Practice)


School of Nursing


Background: Despite decades of strategic initiatives, all-cause 30-day heart failure readmissions remain greater than 20% nationwide. Issues with medications post-discharge increases the risk of 30-day readmissions.

Local Problem: Heart failure readmission rates within 30 days of discharge remain above the organizational benchmark.

Methods: Quality improvement project utilizing pre- and post-evaluation readmission data from a convenience sample of hospitalized adult heart failure patients.

Interventions: A follow-up phone call from a nurse within 72 hours of hospital discharge to perform medication reconciliation.

Results: Thirty-day readmissions for heart failure in the project population were no different from the hospital population as there was no statistical significance in 30-day readmissions for heart failure. There was practical and clinical significance considering the improvement the intervention made in patients’ lives.

Conclusions: Medication reconciliation performed by a nurse post-hospital discharge can identify and correct discrepancies early on preventing worsening morbidity, mortality, and hospital readmission in the heart failure population.


Northern Illinois University