Date of Doctor of Nursing Practice Project Completion
Summer 8-3-2026
Faculty Advisor
Dr. Cline Debbie
Abstract
Purpose:
The goal of this project was to reduce the readmission rate among patients by improving attendance to the post-hospitalization program through phone call reminders.
Background:
Review of baseline data at the project site showed a 60% increase in the readmission rate among adult patients with bipolar disorder in May 2025. This analysis demonstrates that the readmission rate in psychiatric hospitals continues to be an issue.
Methodology:
The project utilized the Plan-Do-Study-Act (PDSA) framework to guide implementation over a six-week period, with readmission rates monitored for a 30-day period. Data collected and tracked included patient attendance, completed phone calls, and 30-day psychiatric readmissions.
Results:
During implementation, 15 patients were enrolled and monitored. Phone reminders in weeks 1–2 improved attendance. Attendance dropped to 12 in weeks 3–4 due to patient withdrawals and one readmission. By weeks 5–6, 12 patients remained in the program, and attendance returned to 100%. The readmission rate fell from 60% at baseline to 8% after implementation. These findings indicate that phone reminders improved attendance and reduced readmission rates.
Implications:
The reduction in readmissions compared with baseline suggests that a reminder phone call increased patient engagement in outpatient care by improving attendance to PHP. Unexpected challenges included patient withdrawal, which affected participation. The results support incorporating phone call reminders into the outpatient program to improve patient care and reduce relapse.
Keywords
PHP- Partial Hospitalization Program, quality improvement
Recommended Citation
Jessica Nwokocha, "Reducing the Readmission Rate in Adult Psychiatric Patients with Bipolar Disorder" (2026). Doctor of Nursing Practice Final Project Abstract. 225.
https://digitalcommons.library.tmc.edu/dnp_abstract/225