Reducing Heart Failure Hospital Readmissions: A Systematic Review of Disease Management Programs

Reducing Heart Failure Hospital Readmissions: A Systematic Review of Disease Management Programs

The recent enactment of the Patient Protection and Affordable Care Act which established the federal Hospital Readmissions Reduction Program (HRRP) has accelerated efforts to develop heart failure (HF) disease management programs (DMPs) that reduce readmissions in patients hospitalized for HF. This systematic review identified randomized controlled trials of HF DMPs which included home care, ou...

A systematic review of randomized trials of disease management programs in heart failure.

PURPOSE Disease management programs are often advocated for the care of patients with chronic disease. This systematic review was conducted to determine whether these programs improve outcomes for patients with heart failure. METHODS Randomized clinical trials of disease management programs in patients with heart failure were identified by searching Medline 1966 to 1999, Embase 1980 to 1998, ...

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

Reducing Hospital Readmissions

2 Introduction For most patients who leave the hospital, the last thing they want is to return anytime soon. Yet, many Medicare patients discharged from an inpatient stay find themselves back in the hospital within 30 days. Some of these readmissions are planned, and others may be part of the natural course of treatment for specific conditions; but, increasingly, some hospital readmissions are ...