Implementation of a multidisciplinary disease management program for heart failure patients.
Institutions across the country are considering the feasibility of a disease management program for heart failure (HF) patients. Published reports suggest that such programs can save money and improve outcomes. However, the design of a disease management program can be challenging. This paper describes the structure and function of a successful disease management program for heart failure patients. The program is supported by a multidisciplinary team of nurses, pharmacists, dietitians, social workers, and physicians who approach the problem from a self care perspective. Program components include standardized educational materials, reinforcement of educational contacts, monthly support groups, and a quarterly newsletter. Existing staff built the program with few additional resources and staff. The program, which costs only approximately $330/patient for a 6 month intervention, has decreased hospital readmissions (29%) and days in the hospital (43%) significantly. (c)1999 by CHF, Inc.
Riegel
B
B
Sharp HealthCare, San Diego, CA 92123.
Thomason
T
T
Carlson
B
B
Bernasconi
B
B
Clark
A
A
Hoagland
P
P
Liu
P
P
Maringer
D
D
Rizos
A
A
Watkins
J
J