Background: Heart failure is a prevalent health problem associated with increased 30-day hospital readmission rates and increased healthcare costs. Approximately 25% of patients hospitalized for HF are readmitted within 30 days and 30 % within 60-90 days post hospital discharge. Implementation of a transitional care intervention that combines pre-discharge heart failure protocols and telephonic support within 48-72 hours of discharge has been shown to reduce 30-day readmission rates to improve quality of care. The purpose of this project was to implement a telephonic transitional care intervention within 48-72 hours of hospital discharge, in conjunction with standard heart failure guidelines in an effort to reduce readmission rates for heart failure patients. Methods: The project was implemented in an acute care hospital. Heart failure patients (n=19) received a 48-72 hour telephonic follow-up call. The American Heart Association’s evidence-based heart failure telephonic follow-up template was used to collect data. To evaluate self-care management, patients completed the Self-Care of Heart Failure Index prior to discharge. Results: The number of heart failure readmission was 10.5% (n=2). The telephonic transitional care intervention was completed within 48-72 hours for 52.5% of participants. Results of the Self-Care of Heart Failure Index found that more that than half (51.76%) of the patients were able to identify early symptoms of heart failure, implement a treatment, and evaluate their actions. Conclusion: The results indicate the implementation of a 48-72 hour transitional care intervention, in addition to standard heart failure protocol have a positive impact on the reduction of 30-day hospital readmissions. Results of the Self-Heart of Failure Index indicate the need for improved heart failure education for patients and caregivers during hospitalization and post hospitalization. Key Words: heart failure, transitional care, hospital, readmissions
|Advisor:||Gauthier, Donna, Hill, Jason|
|Commitee:||Leigh, Gwen, Lemoine, Jennifer|
|School:||University of Louisiana at Lafayette|
|School Location:||United States -- Louisiana|
|Source:||DAI-B 78/04(E), Dissertation Abstracts International|
|Keywords:||Heart failure, Hospitals, Readmissions, Transitional care|
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