HerzMobil Tirol network: rationale for and design of a collaborative heart failure disease management program in Austria

Summary Heart failure (HF) is approaching epidemic proportions worldwide and is the leading cause of hospitalization in the elderly population. High rates of readmission contribute substantially to excessive health care costs and highlight the fragmented nature of care available to HF patients. Dise...

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Published in:	Wiener Klinische Wochenschrift Vol. 126; no. 21-22; pp. 734 - 741
Main Authors:	Von der Heidt, Andreas, Ammenwerth, Elske, Bauer, Karl, Fetz, Bettina, Fluckinger, Thomas, Gassner, Andrea, Grander, Willhelm, Gritsch, Walter, Haffner, Immaculata, Henle-Talirz, Gudrun, Hoschek, Stefan, Huter, Stephan, Kastner, Peter, Krestan, Susanne, Kufner, Peter, Modre-Osprian, Robert, Noebl, Josef, Radi, Momen, Raffeiner, Clemens, Welte, Stefan, Wiseman, Andreas, Poelzl, Gerhard
Format:	Journal Article
Language:	English
Published:	Vienna Springer Vienna 01-11-2014
Subjects:	Austria Cooperative Behavior Delivery of Health Care - organization & administration Endocrinology Gastroenterology Heart Failure - diagnosis Heart Failure - therapy Humans Internal Medicine Medicine Medicine & Public Health Models, Organizational Original Article Pneumology/Respiratory System Telemedicine - organization & administration Austria Disease Management Programm Disease management program Chronische Herzinsuffizienz Telemonitoring Chronic heart failure HerzMobil Tirol Netzwerk HerzMobil Tirol network
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Summary:	Summary Heart failure (HF) is approaching epidemic proportions worldwide and is the leading cause of hospitalization in the elderly population. High rates of readmission contribute substantially to excessive health care costs and highlight the fragmented nature of care available to HF patients. Disease management programs (DMPs) have been implemented to improve health outcomes, patient satisfaction, and quality of life, and to reduce health care costs. Telemonitoring systems appear to be effective in the vulnerable phase after discharge from hospital to prevent early readmissions. DMPs that emphasize comprehensive patient education and guideline-adjusted therapy have shown great promise to result in beneficial long-term effects. It can be speculated that combining core elements of the aforementioned programs may substantially improve long-term cost-effectiveness of patient management. We introduce a collaborative post-discharge HF disease management program (HerzMobil Tirol network) that incorporates physician-controlled telemonitoring and nurse-led care in a multidisciplinary network approach.
Bibliography:	ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23
ISSN:	0043-5325 1613-7671
DOI:	10.1007/s00508-014-0665-7