Use of the Lean A3 Model to Address 9-1-1 Overuse Among Low-Income Older Adults in Tacoma, WA

Date of Award

2018

Document Type

Thesis

College/School

College of Nursing

Degree Name

Master of Science in Nursing (MSN)

Program Concentration

Advanced Community Public Health

Abstract

Tacoma Fire Department identified the Vintage at Tacoma senior living apartment complex as a high utilizer of 9-1-1 services, in both emergent situations and non, with 257 calls made in 2016. Seattle University College of Nursing graduate students were invited to take part in a clinical experience to reduce 9-1-1 call volume through use of the Lean A3 process. The resulting intervention was a 6-week chronic disease self-management program focusing on behavioral aspects of motivation in a lower income, independent, older adult population. Preliminary results during and post intervention show a reduction in call volume from previous years and an opportunity for further work in this area.

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