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The Impact of Stroke Nurse Navigation on Patient Compliance Post Discharge.

PURPOSE: The purpose of this study was to describe the impact a Stroke Nurse Navigation Program has on concurrent chart reviews and patient compliance post discharge.

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 on medication compliance, follow-up medical appointment compliance, and neurovascular Emergency Department (ED) visits/readmissions.

FINDINGS: Phase I trends included increased stroke performance measures 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 post discharge.

CONCLUSIONS: Stroke Nurse Navigation increased conformity of stroke performance measures and stroke patient discharge compliance through 12 months post discharge.

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