Dissertation/Thesis Abstract

Evaluation of the LBJ Hospital Ask Your Nurse Advice Line
by Johnson, Charles Dean, Jr., M.P.H., The University of Texas School of Public Health, 2008, 40; 1454270
Abstract (Summary)

This retrospective, case-control study investigated the effectiveness of the Houston, Texas Ask Your Nurse Advice Line (AYN) in diverting callers with non-emergent medical conditions away from the emergency department (ED). After asking callers a series of questions, AYN nurses evaluate the medical condition and make recommendations for appropriate care, e.g., home care, see a clinic physician, or visit the ED. To evaluate the AYN, the rate of caller ED visits before accessing the AYN for the first time was compared to the caller ED visit rate afterwards. The pre-post rate change was compared to that of a control group of similar caller age, race, gender, and insurance status drawn from a Harris County Hospital District HCHD database.

The treatment group (AYN caller) had a 66% reduction in ED visits after the first AYN call compared to an 18% drop in ED visits among control group subjects during the same time period. Study results were presented to HCHD staff on August 30th, 2007 and recommendations were made for future studies that would provide a basis for policy development.

Indexing (document details)
Advisor: Begley, Charles E.
Commitee: Amick, Benjamin C.
School: The University of Texas School of Public Health
Department: Health Promotion & Behavioral Sciences Management
School Location: United States -- Texas
Source: MAI 47/01M, Masters Abstracts International
Source Type: DISSERTATION
Subjects: Nursing, Public health, Health care
Keywords: Emergency department, Emergency room costs, Health care management, Nurse advice line, Program evaluation, Telephone triage, Texas
Publication Number: 1454270
ISBN: 978-0-549-64919-9
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