| Summary: | The TC program, designed to decrease preventable readmissions and support patients who have chronic illnesses including HF, at BUMCP has had a low referral rate. This low referral rate results in the program being unable to make an impact to decrease readmission rates in the HF population and increase quality of life among this patient population. The purpose of this project was to identify current barriers to referral and develop interventions directed at the identified barriers. An online survey was sent to a hospitalist group employed at BUMCP. Results revealed perceived barriers include decreased accessibility, limited number of accepted patient diagnoses, and lack of involvement in launch of TC. Recommended interventions include increased accessibility through 24 hours day, seven days week availability, abolishment of current accepted patient diagnoses, and implementation of Lewin's Change Theory to increase buy-in from physicians.
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