Germany's Disease Management Program: Improving Outcomes in Congestive Heart Failure
نویسندگان
چکیده
Hospital admissions among patients with congestive heart failure (CHF) are a major contributor to health care costs. A comprehensive disease management program for CHF was developed for private and statutory health insurance companies in order to improve health outcomes and reduce rehospitalization rates and costs. The program comprises care calls, written training material, telemetric monitoring, and health reports. Currently, 909 members from six insurance companies are enrolled. Routine evaluation, based on medical data warehouse software, demonstrates benefits in terms of improved health outcomes and processes of care. Economical evaluation of claims data indicates significant cost savings in a pre/post study design.
منابع مشابه
CONGESTIVE HEART FAILURE IN CHILDREN: A SURVEY OF 114 PATIENTS
During a period of four years between June, IS, 1988 to June, IS, 1992 one hundred and fourteen patients with congestive heart failure (CHF) were admitted to the pediatric department of Taleghani General Hospital. During the above period, 192 patients with heart disease were hospitalized at this department and CHF was the cause of admission in 59.4% of them. Congenital heart disease (CHO) w...
متن کاملEffects of Extreme Ambient Temperature on Cardiovascular Outcomes: A Systematic Review
Introduction: Extreme weather or climate, including heat waves and cold waves, is considered a health issue causing adverse effects on health, such as cardiovascular diseases (CVDs), mortality and morbidity. Thus, this systematic review aimed to study the impacts of extreme ambient temperature on cardiovascular outcomes. Material and Methods: This study was carried out based on the Preferred R...
متن کاملThe Effectiveness of Healthy Lifestyle Promotion Intervention on Quality of Life in Patients with Congestive Heart Failure via Cognitive-Behavioral Procedure
Introduction: Reduced quality of life in cardiac patients and their frequent hospitalizations in the coronary care units is regarded as a main challenge for such patients. Therefore, this study aimed to explore the effectiveness of healthy lifestyle promotion intervention on quality of life in patients with congestive heart failure via cognitive-behavioral procedure. Methods: In this randomi...
متن کاملDESCRIPTIVE REPORT Congestive Heart Failure : A Disease Management Approach in Long - Term Care Patients
DESIGN: A disease management approach for heart failure based on guidelines from the Agency for Health Care Policy and Research (AHCPR). The key elements in this approach included program preparation, clinical education, protocol implementation, outcomes measurement, and continuous quality improvement. Specially trained consultant pharmacists received approval for the heart failure program from...
متن کاملPrognosis of emergency room stabilization of decompensated congestive heart failure with high dose lasix
Objective: Congestive heart failure (CHF) has become one of the most important health care problems in western countries. This article focuses on the outpatient diagnosis and management of heart failure. We want to compare the outcome of patients who were treated with high dose diuretics in the emergency department (ED) without admission with patients who were admitted to hospi...
متن کامل