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Implementation of a multidisciplinary disease management program for heart failure patients
B Riegel1, T Thomason, B Carlson
1Sharp HealthCare, San Diego, CA 92123.
Congestive Heart Failure (Greenwich, Conn.)
|August 22, 2002
Summary
Implementing a multidisciplinary heart failure (HF) disease management program significantly reduces hospital readmissions and length of stay. This cost-effective, self-care focused intervention improves patient outcomes.
Area of Science:
- Cardiology
- Healthcare Management
- Public Health
Background:
- Heart failure (HF) disease management programs are increasingly considered for feasibility.
- Published reports indicate potential cost savings and improved patient outcomes.
- Designing effective HF disease management programs presents challenges.
Purpose of the Study:
- To describe the structure and function of a successful heart failure disease management program.
- To highlight the components and multidisciplinary approach of the program.
- To present the cost-effectiveness and impact on patient outcomes.
Main Methods:
- A multidisciplinary team (nurses, pharmacists, dietitians, social workers, physicians) was utilized.
- The program focused on a self-care perspective with standardized educational materials.
- Components included educational reinforcement, monthly support groups, and a quarterly newsletter.
Main Results:
- The program was built with existing staff and minimal additional resources.
- The intervention cost approximately $330 per patient for a 6-month period.
- Significant reductions were observed: 29% decrease in hospital readmissions and 43% decrease in hospital days.
Conclusions:
- A well-structured, multidisciplinary heart failure disease management program can be successfully implemented.
- The program demonstrates significant cost-effectiveness and positive impacts on patient outcomes.
- Focusing on self-care and utilizing existing resources can lead to successful disease management.
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