Related Experiment Video
Updated: Feb 7, 2026
04:05
Author Spotlight: Unveiling Prognostic Indicators in Heart Failure - The Role of Phase Angle and Bioelectrical Impedance Analysis
Published on: June 30, 2023
2.9K
Improving Heart Failure Readmission Costs and Outcomes With a Hospital-to-Home Readmission Intervention Program
Kenneth Bilchick1, Travis Moss1, Timothy Welch1
11 University of Virginia Health System, Charlottesville, Virginia.
Summary
The Hospital-to-Home (H2H) program significantly reduces 30-day mortality and readmissions for heart failure patients. This cost-effective heart failure management strategy improves survival and lowers healthcare costs.
Area of Science:
- Cardiology
- Health Services Research
Background:
- Heart failure (HF) admissions pose significant mortality and readmission risks.
- Effective post-discharge follow-up is crucial for managing HF patients.
Purpose of the Study:
- To evaluate the impact of the Hospital-to-Home (H2H) program on 30-day outcomes after heart failure hospitalization.
- To assess the cost-effectiveness of the H2H program.
Main Methods:
- Retrospective cohort study of 6761 hospitalizations among 4685 patients.
- Comparison of outcomes between patients with and without H2H follow-up.
- Multivariable logistic regression analysis to adjust for confounding factors.
Main Results:
- H2H program associated with significantly lower 30-day mortality (1.84% vs 3.13%; P = .049).
- Adjusted analysis confirmed reduced mortality (OR = 0.56; P = .046).
- 24% reduction in 30-day readmission days (P < .0001) and cost savings exceeding program costs.
Conclusions:
- The H2H program is a cost-effective intervention for heart failure management.
- H2H significantly improves survival and reduces readmissions within 30 days.
- This rapid clinic follow-up model demonstrates value in HF care.
Related Concept Videos
01:30Heart Failure VII: Nursing Interventions
526
The first step in nursing management of a patient with heart failure involves thoroughly assessing the patient's medical history.Subjective Data: Obtain the patient's medical history of coronary artery disease, hypertension, myocardial infarction, and symptoms like dyspnea, orthopnea, and paroxysmal nocturnal dyspnea.Objective Data: Conduct a physical examination to identify findings such as jugular vein distention, pulmonary crackles, tachycardia, murmurs, peripheral edema, and vital signs,...
526
01:29Heart Failure II: Pathophysiology
975
Systolic Heart Failure and Compensatory MechanismsSystolic heart failure (also termed HFrEF, Heart Failure with Reduced Ejection Fraction) is the most prevalent type of heart filure. It results in a decreased volume of blood being pumped from the ventricle. The aortic arch and carotid sinuses have baroreceptors that detect reduced blood pressure, triggering the sympathetic nervous system (SNS) to release epinephrine and norepinephrine. Initially, this response aims to boost heart rate and...
975
01:17Pathophysiology of Heart Failure
3.8K
Heart failure (HF) is a progressive syndrome involving ventricles that leads to inadequate cardiac output. It can be classified based on location and output or ejection fraction. Ejection fraction (EF) is an essential measurement in the diagnosis and surveillance of HF. Reduced EF corresponds to systolic heart failure (HFrEF). However, HF with preserved ejection fraction (HFpEF) is becoming increasingly prevalent. Also known as diastolic HF, this form of HF is related to aging. The...
3.8K
01:27Heart Failure I: Introduction
924
Heart failure refers to a clinical syndrome caused by structural or functional cardiac disorders that prevent the heart from pumping an adequate amount of blood to meet the body's metabolic needs. This condition often arises from myocardial infarction or ischemia, leading to decreased cardiac output, reduced tissue perfusion, impaired gas exchange, fluid volume imbalance, and decreased functional ability.Heart failure can result from disruptions in the mechanisms that regulate cardiac output...
924
00:59Hospitals-II
1.2K
Hospitals provide inpatient and outpatient services. Inpatient services provide care to patients that stay in the hospital for an extended period, ranging from days to months. Examples of inpatient services include intensive care units, hospital wards, or surgeries. Outpatient services provide care to patients who come to a hospital for a diagnostic or treatment but do not stay overnight —for example, diagnostic tests, surgical procedures, or health education.
Nurses that work in...
Nurses that work in...
1.2K
01:22Heart Failure VI: Adjunct Therapies
368
Additional therapies for treating patients with heart failure (HF) may include procedural interventions, supplemental oxygen, the management of sleep disorders, and nutritional therapy.Procedural InterventionsImplantable Cardioverter-Defibrillator: For patients at risk of life-threatening arrhythmias due to severe left ventricular dysfunction, an Implantable Cardioverter-Defibrillator (ICD) can detect and terminate these arrhythmias, preventing sudden cardiac death and improving survival rates.
368