Reduction in Re-Hospitalization Rates Utilizing Physical Therapists Within a Post–Acute Transitional Care Program for Home Care Patients With Heart Failure

Reduction in Re-Hospitalization Rates Utilizing Physical Therapists Within a Post–Acute Transitional Care Program for Home Care Patients With Heart Failure

Up to 25% of patients hospitalized with heart failure (HF) are re-admitted within 30 days. The highest risk of re-admission is within the first days after discharge. Transitional care programs usually only involve nurses and physicians. The purpose of this study was to describe a post–acute care pro...

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Bibliographic Details
Published in:Home health care management & practice Vol. 29; no. 1; pp. 7 - 12
Main Authors: Miller, Amy, Edenfield, Erin E., Roberto, Janet, Erb, Joann K.
Format: Journal Article
Language:English
Published: Los Angeles, CA SAGE Publications 01-02-2017
SAGE PUBLICATIONS, INC
Subjects:
Acute services
Health care expenditures
Heart failure
Home health care
Hospitalization
Interdisciplinary aspects
Nurses
Patients
Physical therapists
Physical therapy
Physicians
Professional training
Readmission
Selfmonitoring
Therapists
Thresholds
United States > US
heart failure
multidisciplinary
post–acute care
physical therapy
transitional care
re-hospitalization
re-admission
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Summary:Up to 25% of patients hospitalized with heart failure (HF) are re-admitted within 30 days. The highest risk of re-admission is within the first days after discharge. Transitional care programs usually only involve nurses and physicians. The purpose of this study was to describe a post–acute care program including physical therapists and to evaluate re-admission rates following program implementation. The program provided HF-specific training encouraging nurses and physical therapists to assess HF status and instruct on self-monitoring. Thresholds for communication with medical providers were established. Patient groups before (n = 162) and after implementation (n = 300) were similar. Following implementation, there was a 16% decrease in re-hospitalization with little change in the number of visits. Similar multidisciplinary programs may impact re-hospitalization rates and health care costs for HF.
Bibliography:ObjectType-Article-2
SourceType-Scholarly Journals-1
ObjectType-Feature-1
content type line 23
ISSN:1084-8223
1552-6739
DOI:10.1177/1084822316654881