ArticleJournal of the American Heart Association2015
Protocol-Driven Allied Health Post-Discharge Transition Clinic to Reduce Hospital Readmissions in Heart Failure.
Article in Journal of the American Heart Association, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.
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Who cites it
15 citing papers in PubMed.
- Impact of an intensive follow-up program on the outcome of acute heart failure patients hospitalized in internal medicine versus cardiology units: a single-center retrospective cohort study.Internal and emergency medicine · 2026Article
- Non-Physician-Led Models of Care for Heart Failure Medication Optimization: A Scoping Review.CJC open · 2026Review
- Prognostic efficacy of a post-discharge visiting program for patients with heart failure.Nagoya journal of medical science · 2022Article
- Teledermatology to Facilitate Patient Care Transitions From Inpatient to Outpatient Dermatology: Mixed Methods Evaluation.Journal of medical Internet research · 2022Article
- Cardiac Transitional Care Effectiveness: Does Overall Comorbidity Burden Matter?The American journal of medicine · 2021Article
- Discharging the complex patient - changing our focus to patients' networks of care providers.BMC health services research · 2021Article
- Optimization of Heart Failure Patients Discharge Plan in Rajaie Cardiovascular Medical and Research Center: An Action Research.International journal of community based nursing and midwifery · 2021Article
- SALAD-BAAR: A numerical risk score for hospital admission or emergency department presentation in ambulatory patients with cardiovascular disease.Clinical cardiology · 2021Article
- Hospitalization for acute heart failure: the in-hospital care pathway predicts one-year readmission.Scientific reports · 2020Article
- The Impact of Pharmacist-Based Services Across the Spectrum of Outpatient Heart Failure Therapy.Current treatment options in cardiovascular medicine · 2019Review
- Reduced length of stay and 30-day readmission rate on an inpatient vascular surgery service.Journal of vascular nursing : official publication of the Society for Peripheral Vascular Nursing · 2019Article
- Essential Elements of Early Post Discharge Care of Patients with Heart Failure.Current heart failure reports · 2018Review
- Cardiology Consultation in the Emergency Department Reduces Re-hospitalizations for Low-Socioeconomic Patients with Acute Decompensated Heart Failure.The American journal of medicine · 2017Article
- Role of the Pharmacist for Improving Self-care and Outcomes in Heart Failure.Current heart failure reports · 2017Review
- Trends in Medical and Surgical Admission Length of Stay by Race/Ethnicity and Socioeconomic Status: A Time Series Analysis.Health services research and managerial epidemiologyArticle
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Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundHeart failure (HF) patients have high rates of hospitalization and rehospitalization. METHODS AND
resultsA protocol-driven clinic staffed by an allied health care team was designed for patients discharged from the hospital with a diagnosis of congestive HF. The clinic provided follow-up visits 1 week and 4 to 6 weeks after hospital discharge. One-hundred and fourteen patients were observed at least 1 time, and 80% of these patients completed the 2-visit protocol. Clinical evaluations were provided by a nurse practitioner specializing in HF and a clinical pharmacist; these evaluations included physical examination, laboratory evaluation, medical education and reconciliation, medication adjustment and titration, and care coordination. Referrals to home health and appropriate services were provided. At visit 1, 25% of patients were hypervolemic and 13% were hypovolemic. At visit 2, 20% were hypervolemic and 13% were hypovolemic. Medicine reconciliation errors were common, with an average of 2.1 and 0.8 errors per person recorded for visits 1 and 2, respectively. Clinic participants showed a 44.3% reduction in 30-day readmission rates, as compared to the hospital's average 30-day readmission rates.
conclusionsProtocol-driven postdischarge transition care delivered by allied health staff addressed multiple transition issues and was associated with a dramatic reduction in readmission rates.
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