Development of a collaborative transitions-of-care program for heart failure patients

2015 ◽  
Vol 72 (13) ◽  
pp. 1147-1152 ◽  
Author(s):  
Stephen Gunadi ◽  
Suzanne Upfield ◽  
Ngoc-Diep Pham ◽  
Jenni Yea ◽  
Maryliz Bayas Schmiedeberg ◽  
...  
Keyword(s):  
Heart Failure ◽  
Care Program ◽  
Transitions Of Care ◽  
Heart Failure Patients

Quality of Life In Heart Failure Patients Following a Multidisciplinary Four-Week Transition to Care Program

Heart & Lung ◽  
2014 ◽  
Vol 43 (4) ◽  
pp. 384
Author(s):  
Charlene Whitaker-Brown ◽  
Sanjeev Gulati ◽  
Deborah Fenner ◽  
Amanda Thompson ◽  
Stephanie Woods
Keyword(s):  
Quality Of Life ◽  
Heart Failure ◽  
Care Program ◽  
Heart Failure Patients

Specialized Care Program for End-Stage Heart Failure Patients. Initial Experience in a Heart Failure Unit

2006 ◽  
Vol 59 (2) ◽  
pp. 109-116
Author(s):  
Eulàlia Roig ◽  
Félix Pérez-Villa ◽  
Alfredo Cuppoletti ◽  
Magdalena Castillo ◽  
Nuria Hernández ◽  
...  
Keyword(s):  
Heart Failure ◽  
Care Program ◽  
Initial Experience ◽  
Heart Failure Patients ◽  
Heart Failure Unit ◽  
Specialized Care ◽  
End Stage Heart Failure ◽  
End Stage

scholarly journals Assessing Hospital Readmission Risk Factors in Heart Failure Patients Enrolled in a Telemonitoring Program

2013 ◽  
Vol 2013 ◽  
pp. 1-6 ◽  
Author(s):  
Adrian H. Zai ◽  
Jeremiah G. Ronquillo ◽  
Regina Nieves ◽  
Henry C. Chueh ◽  
Joseph C. Kvedar ◽  
...  
Keyword(s):  
Heart Failure ◽  
Predictive Value ◽  
Hospital Readmission ◽  
Care Program ◽  
Psychosocial Characteristics ◽  
Heart Failure Patients ◽  
Predictive Algorithm ◽  
Patient Reported ◽  
Study Participants ◽  
The Impact

The purpose of this study was to validate a previously developed heart failure readmission predictive algorithm based on psychosocial factors, develop a new model based on patient-reported symptoms from a telemonitoring program, and assess the impact of weight fluctuations and other factors on hospital readmission. Clinical, demographic, and telemonitoring data was collected from 100 patients enrolled in the Partners Connected Cardiac Care Program between July 2008 and November 2011. 38% of study participants were readmitted to the hospital within 30 days. Ten different heart-failure-related symptoms were reported 17,389 times, with the top three contributing approximately 50% of the volume. The psychosocial readmission model yielded an AUC of 0.67, along with sensitivity 0.87, specificity 0.32, positive predictive value 0.44, and negative predictive value 0.8 at a cutoff value of 0.30. In summary, hospital readmission models based on psychosocial characteristics, standardized changes in weight, or patient-reported symptoms can be developed and validated in heart failure patients participating in an institutional telemonitoring program. However, more robust models will need to be developed that use a comprehensive set of factors in order to have a significant impact on population health.

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