Evaluation of Home Telehealth Following Hospitalization for Heart Failure: A Randomized Trial

Wakefield, Bonnie J.; Ward, Marcia M.; Holman, John E.; Ray, Annette; Scherubel, Melody; Burns, Trudy L.; Kienzle, Michael G.; Rosenthal, Gary E.

doi:10.1089/tmj.2007.0131

Cited by 111 publications

(169 citation statements)

References 22 publications

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“…Some organizations have incorporated the use of equipment such as phone calls and video phones as ways to follow up with patients after discharge. Research indicates no significant difference in the effectiveness of either method in preventing readmissions [6,7] . Hospitals will need to give some consideration to the complexity of new equipment.…”

mentioning

confidence: 97%

Transition of care and the impact on the environment of care

Guerrero

Puls

Andrew

2014

JNEP

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An unplanned readmission to the hospital within 30 days of discharge is seen as a failure by the healthcare team to appropriately plan for a safe and effective discharge to the next level of care. According to The Center for Medicare & Medicaid Services (CMS), the national average readmission rate in 2012 was 18.4%. As CMS shifts to a pay for performance strategy, a readmission rate higher than the national average for specific disease processes will result in a financial penalty. Many organizations have identified the need to improve the current discharge planning processes and to provide patients with a safer transition to the next level of care to prevent readmissions. Evidence demonstrates that there is value in reconfiguring the current discharge processes toward interventions that demonstrate a reduction in readmission rates. The discharge process should incorporate a multidisciplinary, multicomponent transition of care intervention that starts while the patient is in the hospital and continues with some type of home-care follow-up. Transition of care is a relatively new term that is used to describe a set of interventions designed to coordinate a patient's care during the movement between healthcare settings. Implementing a well-designed transition of care program allows hospitals to provide a safe Environment of Care to patients during their care transitions. Environment of Care is a term coined by The Joint Commission that is used to describe the environment in which the patient is being cared for. The term usually involves three components: the people, the equipment and tools, and the building. As healthcare changes, it will become increasingly important to provide patients with care management throughout the continuum of care, which means thinking of the patient's Environment of Care in much broader terms. How do transition of care processes affect the patient's Environment of Care? Does a well-implemented transition of care program lead to a positive impact in the patient's overall Environment of Care? This article provides an overview of how implementing a formalized transition of care process can lead to a safer Environment of Care.

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confidence: 97%

Transition of care and the impact on the environment of care

Guerrero

Puls

Andrew

2014

JNEP

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“…Previous studies of veterans with chronic conditions who used CCHT have shown lower mortality 24 and healthcare utilization [25][26][27] , as well as improved quality of life 26 and more timely receipt of care 28 . Other work has found increased time to readmission among veterans with heart failure 29 , including a dose-response relationship 30,31 .…”

Section: Va's Care Coordination Home Telehealth (Ccht) Programmentioning

confidence: 92%

“…McInnes and colleagues 62 reported that approximately 29% of veterans used the Internet to search for health information and that higher education, urban residence, and poorer self-reported health status were positively associated with health-related Internet use. Many existing telehealth technologies still require a telephone land line for data transmission, but even when land lines are available, telecommunications infrastructure, particularly in rural areas, can be unreliable 29 . Reliance on cellular and smart phones to the exclusion of land lines by some veterans may yield further disparities in CCHT use.…”

Section: Examine How Disparities May Encumber Use Of Ccht and Mhv Andmentioning

confidence: 99%

Promoting Access Through Complementary eHealth Technologies: Recommendations for VA’s Home Telehealth and Personal Health Record Programs

et al. 2011

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“…Further, we identified a number of welldesigned studies that examined access interventions, but they were not included in our review because they did not include data regarding either actual or perceived access outcomes. [29][30][31][32][33][34][35][36][37][38][39][40] Therefore, there are studies that report on the impact of access interventions on downstream outcomes that are not included in this review. As discussed above, we suggest that future research examining access interventions collect and compare a broad range of perceived and actual access outcomes across groups.…”

Section: 16mentioning

confidence: 99%