Allocating scarce resources in real-time to reduce heart failure readmissions: a prospective, controlled study.

ABSTRACT:

Objective

To test a multidisciplinary approach to reduce heart failure (HF) readmissions that tailors the intensity of care transition intervention to the risk of the patient using a suite of electronic medical record (EMR)-enabled programmes.

Methods

A prospective controlled before and after study of adult inpatients admitted with HF and two concurrent control conditions (acute myocardial infarction (AMI) and pneumonia (PNA)) was performed between 1 December 2008 and 1 December 2010 at a large urban public teaching hospital. An EMR-based software platform stratified all patients admitted with HF on a daily basis by their 30-day readmission risk using a published electronic predictive model. Patients at highest risk received an intensive set of evidence-based interventions d

SUBMITTER: Amarasingham R 

PROVIDER: S-EPMC3888600 | biostudies-literature | 2013 Dec

REPOSITORIES: biostudies-literature