Slowing the Revolving Door of Hospitalization for Acute Heart Failure

Alspach, JoAnn Grif

doi:10.4037/ccn2014527

Cited by 5 publications

(1 citation statement)

References 16 publications

(16 reference statements)

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“…58 It is possible that group clinics may “bridge the gap” in the HF self-management skill deficits that exist in the transition between hospital and home. 59,60 Also, having NPs facilitate HF patients in incorporating self-care practices into their everyday lives may relieve the current and rapidly increasing physician shortage. 61,62,63 This analysis assessed the impact of repeated hospitalizations for HF of all subjects during the entire follow up period.…”

Section: Discussionmentioning

confidence: 99%

Nurse-Led Multidisciplinary Heart Failure Group Clinic Appointments

Smith

Piamjariyakul

Dalton

et al. 2015

Journal of Cardiovascular Nursing

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Background The Self-Management and Care of Heart Failure through Group Clinics Trial (SMAC-HF) evaluated the effects of multidisciplinary group clinic appointments on self-care skills and rehospitalizations in high risk heart failure (HF) patients. Objective The purpose of this article is to: (1) describe key SMAC-HF group clinic interactive learning strategies; (2) describe resources and materials used in the group clinic appointment; and (3) present results supporting this patient-centered group intervention. Methods This clinical trial included 198 HF patients (randomized to either group clinical appointments or to standard care). Data were collected from 72 group clinic appointments via patients’: (1) group clinic session evaluations; (2) HF Self-Care Behaviors Skills; (3) HF related discouragement and quality of life scores and (4) HF related reshopitalizations during the 12 month follow-up. Also the costs of delivery of the group clinical appointments were tabulated. Results Overall, patients rated group appointments as 4.8 out of 5 on the “helpfulness” in managing HF score. The statistical model showed a 33% decrease in the rate of rehospitalizations (incidence rate ratio (IRR) = 0.67) associated with the intervention over the 12-month follow-up period when compared with control patients (χ2(1) = 3.9, p = 0.04). The total cost for implementing five group appointments was $243.58 per patient. Conclusion The intervention was associated with improvements in HF self-care knowledge and home care behavior skills and managing their for HF care. In turn, better self-care was associated with reductions in HF related hospitalizations.

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Section: Discussionmentioning

confidence: 99%

Nurse-Led Multidisciplinary Heart Failure Group Clinic Appointments

Smith

Piamjariyakul

Dalton

et al. 2015

Journal of Cardiovascular Nursing

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The Role of the Nurse Navigator in the Management of the Heart Failure Patient

Monza

Harris

Shaw

2015

Critical Care Nursing Clinics of North America

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Abstracts from The American Telemedicine Association 2016 Annual Meeting and Trade Show

2016

Telemedicine and e-Health

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NowClinic users with valid health plan pharmacy coverage filled at least one prescription within one day of their index event at rates similar to those in the matched control group (70.5% versus 66.8%, p = 0.28). Conclusions: NowClinic users were less likely to have a follow-up visit for the same condition, incurred lower post-index medical costs at 15 days and 30 days, and had nearly identical rates of encounter-related prescription fills when compared to the matched control group. Such outcomes demonstrate that for appropriate treatment conditions, direct-to-patient telemedicine services are a viable alternative to traditional brick and mortar practice-based services. Objectives 1. Compare follow-up rates for urgent care telemedicine and traditional brick and mortar practice patients 2. Describe the impact that urgent care telemedicine has on patients' postvisit medical costs 3. Demonstrate that urgent care telemedicine patients fill encounter-related prescriptions at similar rates when compared to traditional brick and mortar practice patients

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Slowing the Revolving Door of Hospitalization for Acute Heart Failure

Cited by 5 publications

References 16 publications

Nurse-Led Multidisciplinary Heart Failure Group Clinic Appointments

Nurse-Led Multidisciplinary Heart Failure Group Clinic Appointments

The Role of the Nurse Navigator in the Management of the Heart Failure Patient

Abstracts from The American Telemedicine Association 2016 Annual Meeting and Trade Show

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