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Evaluation of the efficacy of a nurse practitioner-led home-based congestive heart failure clinical pathway.

Authors
  • Moore, Jo-Ann Mary1
  • 1 a School of Nursing , Gonzaga University , Warwick , Rhode Island , USA.
Type
Published Article
Journal
Home health care services quarterly
Publication Date
Jan 01, 2016
Volume
35
Issue
1
Pages
39–51
Identifiers
DOI: 10.1080/01621424.2016.1175992
PMID: 27064361
Source
Medline
Keywords
License
Unknown

Abstract

Frequent exacerbations of symptoms and financial penalties for 30-day hospital readmissions of patients with congestive heart failure (CHF) have led to new disease management approaches. A nurse practitioner (NP)-led interdisciplinary program for CHF management that included home telemonitoring and early NP assessments and interventions was piloted by a home health agency. A 4-month evaluation of the efficacy of a clinical pathway for CHF patients resulted in the enrollment of 22 CHF patients in the program. Two clients were readmitted within 30 days. The new program was effective in reducing 30-day readmission rates to 9% compared to the national average of 23%.

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