Evaluation of the efficacy of a nurse practitioner-led home-based congestive heart failure clinical pathway

Frequent exacerbations of symptoms and financial penalties for 30-day hospital readmissions of patients with congestive heart failure (CHF) have led to new disease management approaches. A nurse practitioner (NP)-led interdisciplinary program for CHF management that included home telemonitoring and...

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Bibliographic Details
Published in:Home health care services quarterly 2016-01, Vol.35 (1), p.39-51
Main Author: Moore, Jo-Ann Mary
Format: Article
Language:English
Subjects:
Aged
Aged, 80 and over
Clinical pathway
congestive heart failure
Critical Pathways - standards
Critical Pathways - statistics & numerical data
Efficacy
Female
Health administration
Heart failure
Heart Failure - therapy
home care
Home Care Services - manpower
Home Care Services - standards
Home Care Services - statistics & numerical data
Home health care
hospital readmissions
Hospitalization
Humans
Male
Management
nurse practitioner
Nurse practitioners
Nurse Practitioners - standards
Nurse Practitioners - statistics & numerical data
Patient Readmission - economics
Patient Readmission - statistics & numerical data
Patients
Symptoms
Telemedicine - standards
Telemedicine - statistics & numerical data
telemonitoring
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Summary:Frequent exacerbations of symptoms and financial penalties for 30-day hospital readmissions of patients with congestive heart failure (CHF) have led to new disease management approaches. A nurse practitioner (NP)-led interdisciplinary program for CHF management that included home telemonitoring and early NP assessments and interventions was piloted by a home health agency. A 4-month evaluation of the efficacy of a clinical pathway for CHF patients resulted in the enrollment of 22 CHF patients in the program. Two clients were readmitted within 30 days. The new program was effective in reducing 30-day readmission rates to 9% compared to the national average of 23%.
ISSN:0162-1424
1545-0856
DOI:10.1080/01621424.2016.1175992