title: Reduce costs and improve patient satisfaction with home pre-operative bowel preparations.
abstract: The results of a home-based preoperative bowel preparation, with and without the support of home care services, are compared with hospital-based preoperative bowel preparation. Length of stay, morbidity, and mortality rates; issues of patient satisfaction; and demographics are reported. The method and tools used in planning, implementing, and evaluating the home preoperative bowel preparation program are also shared. Other issues discussed are the healthcare market forces that promote an increased value of care. Economic and patient satisfaction considerations by employers, payers, and patients; the increasing influence of patient choice on healthcare provider selection and care setting preferences; the nursing workforce issues related to the impending shortage; and issues of regulatory and accrediting agencies are also discussed.
authors.affiliation: Gastrointestinal and Surgical Specialties Care Center, Mount Sinai Hospital, New York, NY, USA. hearnk@worldnet.att.net
authors.forename: K
authors.initials: K
authors.lastname: Hearn
authors.forename: M
authors.initials: M
authors.lastname: Dailey
authors.forename: M T
authors.initials: MT
authors.lastname: Harris
authors.forename: C
authors.initials: C
authors.lastname: Bodian
mesh_terms: D000328:Adult; D019090:Case Management / Q000458:organization & administration*; D017046:Cost Savings; D005260:Female; D006699:Home Care Services / Q000458:organization & administration*; D006801:Humans; D007410:Intestinal Diseases / Q000601:surgery*; D008297:Male; D008389:Marketing of Health Services; D008875:Middle Aged; D015403:Nursing Evaluation Research; D010347:Patient Care Planning; D010353:Patient Education as Topic; D017060:Patient Satisfaction; D011300:Preoperative Care / Q000191:economics / Q000451:nursing* / Q000523:psychology*; D015397:Program Evaluation; D012017:Referral and Consultation; D017749:Total Quality Management / Q000458:organization & administration*