title: Initiative leads to 11% drop in HF readmissions.
abstract: A multi-pronged readmission reduction program at the University of California San Francisco Medical Center resulted in a 46% drop in readmissions for heart failure patients over a three-year period. The program is led by two heart failure coordinators who spend 15 to 20 minutes with at-risk patients every day during their hospital stay and follow up by telephone after discharge. A multidisciplinary team revised the educational materials to make them easy to understand and had them reviewed by cardiologists and the program's Patient Advisory Council. The heart failure team collaborates with post-acute providers and outpatient treatment centers to develop ways to improve transitions between levels of care and ensure that patients receive the same education on managing their conditions regardless of where they are receiving care.
mesh_terms: D000046:Academic Medical Centers; D006333:Heart Failure; D006801:Humans; D033183:Interdisciplinary Communication; D019982:Organizational Case Studies; D010359:Patient Readmission / Q000639:trends*; D058996:Quality Improvement; D012495:San Francisco