title: Evaluation of the efficacy of a nurse practitioner-led home-based congestive heart failure clinical pathway.
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%.
authors.affiliation: a School of Nursing , Gonzaga University , Warwick , Rhode Island , USA.
authors.forename: Jo-Ann Mary
authors.initials: JA
authors.lastname: Moore
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D019091:Critical Pathways / Q000592:standards* / Q000706:statistics & numerical data; D005260:Female; D006333:Heart Failure / Q000628:therapy*; D006699:Home Care Services / Q000592:standards / Q000706:statistics & numerical data; D006801:Humans; D008297:Male; D009722:Nurse Practitioners / Q000592:standards* / Q000706:statistics & numerical data; D010359:Patient Readmission / Q000191:economics / Q000706:statistics & numerical data; D017216:Telemedicine / Q000592:standards / Q000706:statistics & numerical data; D000078329:Workforce
keywords: Clinical pathway; congestive heart failure; home care; hospital readmissions; nurse practitioner; telemonitoring