Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Heart failure management across the continuum: a communication link.

Annette M Walblay1

  • 1Heart Failure Clinic Coordinator, Dearborn Cardiology Associates, Dearborn, MI, USA. AMWDREAM9@aol.com

Outcomes Management
|January 27, 2004
PubMed
Summary

Hospital discharge can disrupt care for heart failure patients. A new communication tool improves care continuity from hospital to ambulatory settings, enhancing patient management through dedicated services.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same journal

Academic nurse-managed centers: approaches to evaluation.

Outcomes management·2004
Same journal

Hospitalized elders: changes in functional and mental status.

Outcomes management·2004
Same journal

Postdischarge outcome rates influenced by comorbidity and interdisciplinary collaboration.

Outcomes management·2004
Same journal

National databases and clinical practice specialist: decreasing postoperative atrial fibrillation following cardiac surgery.

Outcomes management·2004
Same journal

Reinforcing organizationwide pressure ulcer reduction on high-risk geriatric inpatient units.

Outcomes management·2004
Same journal

Clinical and fiscal outcomes of utilization review.

Outcomes management·2004

Area of Science:

  • Cardiology
  • Healthcare Management
  • Quality Improvement

Background:

  • Heart failure (HF) patients face fragmented care post-hospitalization due to poor communication between acute and ambulatory settings.
  • This disconnect often leads to a lack of continuity in the patient's care plan.
  • Navigating the healthcare system after discharge presents significant challenges for HF patients.

Purpose of the Study:

  • To describe a quality improvement project focused on enhancing care transitions for heart failure patients.
  • To introduce a communication tool designed to bridge the gap between acute and ambulatory care.
  • To ensure the seamless continuation of the patient's care plan after hospital discharge.

Main Methods:

  • Implementation of a specific communication tool to facilitate information transfer.

Related Experiment Videos

  • Integration of care management services to support patients in the ambulatory setting.
  • Focus on maintaining the established plan of care from hospitalization.

    • Main Results:

    • The communication tool effectively linked acute care with ambulatory services.
    • Care management services ensured the extension of the hospitalization care plan.
    • Improved continuity of care for heart failure patients transitioning from hospital.

    Conclusions:

    • Effective communication tools are crucial for managing heart failure patients post-discharge.
    • Care management services play a vital role in sustaining the care plan in ambulatory settings.
    • This project demonstrates a successful strategy for reducing care fragmentation in heart failure management.