Pilot Program to Improve Self-Management of Patients with Heart Failure by Redesigning Care Coordination

Objectives. We tested both an educational and a care coordination element of health care to examine if better disease-specific knowledge leads to successful self-management of heart failure (HF). Background. The high utilization of health care resources and poor patient outcomes associated with HF j...

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Bibliographic Details
Published in:Nursing Research and Practice 2014-01, Vol.2014 (2014), p.306-315
Main Authors: Shaw, Jessica D., O’Neal, Daniel J., Siddharthan, Kris, Neugaard, Britta I.
Format: Article
Language:English
Subjects:
Activities of daily living
Cardiac patients
Cardiovascular disease
Care and treatment
Caregivers
Chronic illnesses
Continuity of care
Education
Health care
Health services
Heart failure
Homeless people
Hospitals
Mental health
Mortality
Nurses
Nursing
Older people
Patients
Services
Veterans
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Summary:Objectives. We tested both an educational and a care coordination element of health care to examine if better disease-specific knowledge leads to successful self-management of heart failure (HF). Background. The high utilization of health care resources and poor patient outcomes associated with HF justify tests of change to improve self-management of HF. Methods. This prospective study tested two components of the Chronic Care Model (clinical information systems and self-management support) to improve outcomes in the self-management of HF among patients who received intensive education and care coordination during their acute care stay. A postdischarge follow-up phone call assessed their knowledge of HF self-management compared to usual care patients. Results. There were 20 patients each in the intervention and usual care groups. Intervention patients were more likely to have a scale at home, write down their weight, and practice new or different health behaviors. Conclusion. Patients receiving more intensive education knew more about their disease and were better able to self-manage their weight compared to patients receiving standard care.
ISSN:2090-1429
2090-1437
DOI:10.1155/2014/836921