Decreased Readmissions and Improved Quality of Care With Use of Inexpensive Checklist in Heart Failure

Basoor, Abhijeet; Cotant, John F.; Patel, Kiritkumar; Choksi, Nishit; Halabi, Abdul R.; DeGregorio, Michele

doi:10.1016/s0735-1097(12)61027-4

Cited by 8 publications

(8 citation statements)

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“…A total of 1252 abstracts were reviewed, resulting in the identification of 10 categories of initiatives grouped under 3 broad headings (Figure 1, Table 1): 'Facilitating entry into the hospice and community care system' (27), 'Preventing admission' and 'Facilitating discharge' (Table 1) (56,66,72,(75)(76)(77)(78).…”

Section: Overviewmentioning

confidence: 99%

“…May et al also found that there were significant cost savings (63%) linked with a shorter length of stay. Further, beneficial effects of an inexpensive quality-of-life checklist on readmission rates were investigated by means of a prospective cohort study (75). The researchers compared outcomes among 48 intervention subjects and 48 controls admitted to hospital with heart failure in Michigan.…”

Section: Innovations Supporting Early Hospital Dischargementioning

confidence: 99%

“…Relatively few publications examined initiatives designed to facilitate patient discharge from hospital once they had been admitted. The little evidence of these initiatives' effects suggests that early specialist palliative care provided by doctors and nurses can reduce hospital bed days (56,66,72,75). There may even be benefits to starting such conversations in the emergency department (72).…”

Section: What This Study Addsmentioning

confidence: 99%

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A scoping review of initiatives to reduce inappropriate or non-beneficial hospital admission and bed days in people nearing the end of their life: Much innovation but limited supporting evidence

Taylor

Ellis

Gao

et al. 2019

Preprint

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Objectives Hospitalisation during the last weeks of life when there is no medical need or desire to be there is distressing and expensive. This study sought palliative care initiatives which may avoid or shorten hospital stay at the end of life and analysed their success in terms reducing bed days.Methods Part 1 included a search of literature in PubMed and Google Scholar between 2013 and 2018, an examination of governmental and organisational publications plus discussions with experts. This initial sweep sought to identify and categorise relevant palliative care initiatives. In Part 2, we looked for publications providing data on hospital admissions and bed days for each category.Results A total of 1252 abstracts were reviewed, resulting in 10 broad classes being identified. Further screening revealed 50 relevant publications describing a range of multi-component initiatives. Studies were generally small and retrospective. Most researchers claim their service delivered benefits. In descending frequency, benefits identified were support in the community, integrated care, out-of-hours telephone advice, care home education and telemedicine. Nurses and hospices were central to many initiatives. Barriers and factors underpinning success were rarely addressed.Conclusions A wide range of initiatives have been introduced to improve end-of-life experiences. Formal evidence supporting their effectiveness in reducing inappropriate/non-beneficial hospital bed days was generally limited or absent.

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Section: Overviewmentioning

confidence: 99%

Section: Innovations Supporting Early Hospital Dischargementioning

confidence: 99%

Section: What This Study Addsmentioning

confidence: 99%

See 1 more Smart Citation

A scoping review of initiatives to reduce inappropriate or non-beneficial hospital admission and bed days in people nearing the end of their life: Much innovation but limited supporting evidence

Taylor

Ellis

Gao

et al. 2019

Preprint

View full text Add to dashboard Cite

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“…[26] Two studies found that a quality improvement heart failure checklist tool was effective in lowering readmission rates. [27,28] A 2014 study reviewed literature on successful readmission reduction strategies. This study found that monitoring symptoms after discharge, providing social and community support, and educating patients to promote self-management helps reduce readmissions.…”

Section: Evolution Of Readmission Reduction Strategiesmentioning

confidence: 99%

An environmental analysis of the evolution of readmission reduction strategies: A study of United States hospitals

Upadhyay

Opoku-Agyeman

Borkowski

2017

JHA

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Objective: Environmental factors have changed the manner in which issues in the U.S. healthcare industry are addressed. One of these changes is in the area of quality improvement, specifically readmission reduction. The purpose of this paper is two-fold: (1) analyze macro-environmental segments (political, technological, economic, and socio-demographic); and (2) trace the historic evolution of readmission reduction programs to understand how macro-environmental factors have shaped the development of readmission reduction strategies. Methods: Scopus, PubMed, and ABI/Inform electronic databases were searched for articles on readmission reduction programs from 2000 to 2014. In addition, literature on macro-environment was retrieved from these sources for the same time period. Studies were identified using specific search terms and inclusion criteria. A total of 24 articles were selected for review. Data on the following variables were extracted: type of organization studied, type of quality improvement strategy used, type of patients studied, and results of the strategy. In addition, an examination of macro-environmental factors that may have affected the above variables was done. Finally, results were integrated and presented in a chronological order. Results: Findings suggest that macro-environmental factors have influenced the development of readmission reduction strategies over time. This paper informs healthcare managers about being cognizant of environmental trends when devising readmission reduction strategies within hospitals. Conclusions: Insights from this paper urge hospital administrators to forge collaborations with key stakeholders while developing new quality improvement strategies when facing an unstable and complex environment.

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“…Adherence to guideline‐directed medical therapy, 13 the provision of an effective care plan to patients with advanced HF and an effective discharge planning performed by a multidisciplinary expert team are all purported to reduce hospitalization rates and health costs 14–16 . Unfortunately, data from registries show that only a small proportion of patients with HF achieve optimal doses of recommended HF therapy 17–20 …”

Section: Introductionmentioning

confidence: 99%

A current and future outlook on upcoming technologies in remote monitoring of patients with heart failure

Bekfani

Fudim

Cleland

et al. 2020

European J of Heart Fail

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Heart failure is a major health and economic challenge in both developing and developed countries. Despite advances in pharmacological and device therapies for patients with a reduced left ventricular ejection fraction (LVEF) and heart failure, their quality of life and exercise capacity are often persistently impaired, morbidity and mortality remain high and the health economic and societal costs are considerable. For patients with heart failure and preserved LVEF, diuretic management has an essential role for controlling congestion and symptoms, even if no intervention has convincingly shown to reduce morbidity or mortality. Remote monitoring might improve care delivery and clinical outcomes for patients regardless of LVEF. A great variety of innovative remote monitoring technologies and algorithms are being introduced, including patient self‐managed testing, wearable devices, technologies either integrated into established clinically indicated therapeutic devices, such as pacemakers and defibrillators, or as stand‐alone are in development providing the promise of further improvements in service delivery and clinical outcomes. In this article, we will discuss unmet needs in the management of patients with heart failure, how remote monitoring might contribute to future solutions, and provide an overview of current and novel remote monitoring technologies.

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Decreased Readmissions and Improved Quality of Care With Use of Inexpensive Checklist in Heart Failure

Cited by 8 publications

References 0 publications

A scoping review of initiatives to reduce inappropriate or non-beneficial hospital admission and bed days in people nearing the end of their life: Much innovation but limited supporting evidence

A scoping review of initiatives to reduce inappropriate or non-beneficial hospital admission and bed days in people nearing the end of their life: Much innovation but limited supporting evidence

An environmental analysis of the evolution of readmission reduction strategies: A study of United States hospitals

A current and future outlook on upcoming technologies in remote monitoring of patients with heart failure

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