Heart Failure (F Peacock, Section Editor)

Current Emergency and Hospital Medicine Reports

, Volume 2, Issue 2, pp 120-125

Decreasing Heart Failure Revisits

  • Nancy M. AlbertAffiliated withNursing Institute, Office of Research and Innovation, Cleveland Clinic Health System, Cleveland ClinicKaufman Center for Heart Failure, Heart and Vascular Institute, Cleveland Clinic Email author 
  • , Robin TruppAffiliated withDuke University Hospital SystemUniversity of Illinois at Chicago

Abstract

Heart failure (HF) is a complex medical condition that is associated with a high rate of HF-related revisits (emergency department and HF hospitalization). Heart failure revisits are associated with worse clinical outcomes and are under scrutiny because of rules imposed by the US Patient Protection and Affordable Care Act and the Hospital Value Based Purchasing program. Many program models and individual strategies have been tested as methods to decrease HF revisits. Many models use similar themes; however, interventions are not always well described in the literature, care providers vary and most programs used a bundled intervention approach, making it difficult to determine the value of specific interventions. Since many program models and strategies did not have strong evidence of effectiveness, more research is needed to decrease HF-related revisits. In this article, programs and strategies designed to decrease HF revisits will be described and discussed from a global perspective.

Keywords

Rehospitalization Emergency department visits Transitional care Post-discharge programs Self-care adherence Patient education