A Strategy to Reduce Heart Failure Readmissions and Inpatient Costs

A Strategy to Reduce Heart Failure Readmissions and Inpatient Costs

BACKGROUND The objective of this study was to evaluate the effect of a disease management intervention on rehospitalization rates in hospitalized heart failure (HF) patients. METHODS Patients treated with the TEACH-HF intervention that included Teaching and Education, prompt follow-up Appointments, Consultation for support services, and Home follow-up phone calls (TEACH-HF) from January 2010 ...

Hospital Strategies to Reduce Heart Failure Readmissions

Heart failure (HF) currently affects 6.5 million adults in the United States (1), and its prevalence is projected to increase by 25% by 2030 (2). Hospitalization represents a turning point in the natural history of HF, with a combined mortality and readmission rate of 30% within 90 days post-discharge; one-quarter of patients are readmitted within 30 days (3,4). Hospitalizations are responsible...

Heart Failure Interventions to Reduce Hospital Readmissions

Allocating scarce resources in real-time to reduce heart failure readmissions: a prospective, controlled study

OBJECTIVE To test a multidisciplinary approach to reduce heart failure (HF) readmissions that tailors the intensity of care transition intervention to the risk of the patient using a suite of electronic medical record (EMR)-enabled programmes. METHODS A prospective controlled before and after study of adult inpatients admitted with HF and two concurrent control conditions (acute myocardial in...

Home diuretic protocol for heart failure: partnering with home health to improve outcomes and reduce readmissions.

CONTEXT The management of heart failure (HF) is challenging, with high rates of readmission and no single solution. MaineHealth, a health care system serving southern Maine, has shown initial success with home health nurses partnering with physicians in the management of complex patients with HF using the MaineHealth Home Diuretic Protocol (HDP). OBJECTIVE To demonstrate that augmented diuret...