ArticleApplied clinical informatics2016
Using Telehealth to Reduce All-Cause 30-Day Hospital Readmissions among Heart Failure Patients Receiving Skilled Home Health Services.
Article in Applied clinical informatics, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 35 papers, 1 of them a synthesis that pooled it.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
35 citing papers in PubMed, 1 synthesis or guideline pooled it, 76 citations in OpenAlex.
- Telemedicine to Support Heart Failure Patients during Social Distancing: A Systematic Review.Global heart · 2022Pooled it
- Sociodemographic Characteristics Predicting Digital Health Intervention Use After Acute Myocardial Infarction.Journal of cardiovascular translational research · 2021Trial
- Enhancing Patient Outcomes while Containing Costs after Complex Abdominal Operation: A Randomized Controlled Trial of the Whipple Accelerated Recovery Pathway.Journal of the American College of Surgeons · 2019Trial
- Telehealth Use by Home Health Agencies Before, During, and After COVID-19.Health services research · 2025Article
- Impact of Telehealth on Health Disparities Associated With Travel Time to Hospital for Patients With Recurrent Admissions: 4-Year Panel Data Analysis.Journal of medical Internet research · 2024Article
- A rapid review of telehealth in women with recent de novo hypertensive disease of pregnancy.Journal of clinical hypertension (Greenwich, Conn.) · 2024Review
- Article
- Intramural Health Care Through Video Consultations and the Need for Referrals and Hospital Admissions: Retrospective Quantitative Subanalysis of an Evaluation Study.Interactive journal of medical research · 2024Article
- Remote patient monitoring: A current concept update on the technology adoption in the realm of orthopedics.Journal of clinical orthopaedics and trauma · 2024Article
- The effects on rehospitalization rate of transitional care using information communication technology in patients with heart failure: A scoping review.International journal of nursing studies advances · 2023Article
- VA Home Telehealth Program for Initiating and Optimizing Heart Failure Guideline-Directed Medical Therapy.Federal practitioner : for the health care professionals of the VA, DoD, and PHS · 2023Article
- Telehealth Use to Address Cardiovascular Disease and Hypertension in the United States: A Systematic Review and Meta-Analysis, 2011-2021.Telemedicine reports · 2023Review
- The SMILe integrated care model in allogeneic SteM cell TransplantatIon faciLitated by eHealth: a protocol for a hybrid effectiveness-implementation randomised controlled trial.BMC health services research · 2022Article
- Palliative Care Landscape in the COVID-19 Era: Bibliometric Analysis of Global Research.Healthcare (Basel, Switzerland) · 2022Review
- Effectiveness of Telemedicine Visits in Reducing 30-Day Readmissions Among Patients With Heart Failure During the COVID-19 Pandemic.Journal of the American Heart Association · 2022Article
- Cancer Patient-Reported Experience Measures (PREMs) Regarding the Policies Implemented to Contain the Spread of Sars-CoV-2 and Vaccination Campaign at Veneto Institute of Oncology.Patient preference and adherence · 2022Article
- Early (0-7 day) and late (8-30 day) readmission predictors in acute coronary syndrome, atrial fibrillation, and congestive heart failure patients.Hospital practice (1995) · 2021Article
- Virtual primary care in high-income countries during the COVID-19 pandemic: Policy responses and lessons for the future.The European journal of general practice · 2021Review
- In-Clinic Versus Web-Based Multidisciplinary Exercise-Based Rehabilitation for Treatment of Low Back Pain: Prospective Clinical Trial in an Integrated Practice Unit Model.Journal of medical Internet research · 2021Article
- Impact of COVID-19 on Urology Practice in Saudi Arabia.Risk management and healthcare policy · 2021Article
Corrections and comments
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Authors and funding
7 authors at 4 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe reduction of all-cause hospital readmission among heart failure (HF) patients is a national priority. Telehealth is one strategy employed to impact this sought-after patient outcome. Prior research indicates varied results on all-cause hospital readmission highlighting the need to understand telehealth processes and optimal strategies in improving patient outcomes.
objectivesThe purpose of this paper is to describe how one Medicare-certified home health agency launched and maintains a telehealth program intended to reduce all-cause 30-day hospital readmissions among HF patients receiving skilled home health and report its impact on patient outcomes.
methodsUsing the Transitional Care Model as a guide, the telehealth program employs a 4G wireless tablet-based system that collects patient vital signs (weight, heart rate, blood pressure and blood oxygenation) via wireless peripherals, and is preloaded with subjective questions related to HF and symptoms and instructional videos.
resultsYear one all-cause 30-day readmission rate was 19.3%. Fiscal year 2015 ended with an all-cause 30-day readmission rate of 5.2%, a reduction by 14 percentage points (a 73% relative reduction) in three years. Telehealth is now an integral part of the University of Pennsylvania Health System's readmission reduction program.
conclusionsTelehealth was associated with a reduction in all-cause 30-day readmission for one mid-sized Medicare-certified home health agency. A description of the program is presented as well as lessons learned that have significantly contributed to this program's success. Future expansion of the program is planned. Telehealth is a promising approach to caring for a chronically ill population while improving a patient's ability for self-care.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.