Date of Project Completion

Fall 11-8-2021

Document Type

Project Paper

Degree Name

Doctor of Nursing Practice



First Advisor

Jennifer Prochnow

Second Advisor

Kimberly Langer


Rochester, MN


Hospital discharge with quality patient education and instruction is paramount for the success of recovery and mitigation of readmission. Identification of gaps within hospital discharge can lead to strategies to improve the discharge process. A project was designed to improve data collection, documentation of discrepancies (gaps/events), and analysis of data relating to patient and process outcomes of a post-discharge follow-up phone call program. Interventions included a newly implemented algorithm to outline a phone call workflow, refine data collection, and evaluate outcomes. Data collection to increase identification of gaps in care from discharge to follow-up aid in improving patient outcomes.


Acknowledgements: Angela Mattson, DNP, RN; Stephanie Witwer, PhD, RN; Jennifer Prochnow, DNP, MBA, RNC-MNN, NEA-BC, PHN; Kimberly Langer, DNP, APRN, CNP, ACNP-BC, FNP-C; Julie Ponto, PhD, APRN, CNS, AGCNS-BC, AOCNS®

Conflicts of Interest: None declared

Included in

Nursing Commons