The effects of a novel model of care on acute and long-term readmission rates in heart failure patients

No Thumbnail Available
Authors
Sundelius, Gabriele R.
Advisor
Harbert, Matthew
Issue Date
2024-05
Keyword
Degree
M. S.
Department
Other Identifiers
CardCat URL
Abstract

Purpose: Heart Failure (HF) is a chronic condition impacting millions of Americans. The burden of HF has intensified and negatively impacts the economy and society’s overall health and well-being. The purpose of this project is to examine the effectiveness of this novel cardiac rehabilitation program as a core for HF management in reducing acute and long-term readmission rates and improving patient care. Methods: Indiana University Ball Memorial Hospital has implemented a guideline-directed interdisciplinary HF model of care with cardiac rehabilitation as the central focus. The model’s components aim to improve care transitions, enhance self-management and selfefficacy of the patient, and improve patient outcomes through cardiac rehabilitation and the use of the HF mini-order set. Data collection occurred from January 2023 through December 2023 through electronic medical records (EMR) and Cerner to determine readmission rates. Results: All-cause 30-day readmission monthly rates of patients who participated in the model of care averaged 16.92 ± 9.12% in 2023. Long-term readmission rates since the establishment of the model of care in 2016 averaged <1% and were <1% for each month during 2023. Total Blue Dollar Savings using the Heart and Lung Center (HLC) and the Mobile Integrated Health (MIH) Community Paramedic team was ~$2,931,200 from March 2023 through December 2023. The breakdown of the total savings is the following: HLC saved ~$1,689,600, and the MIH Community Paramedic team saved ~$1,241,600 in 2023. Conclusion: Blue Dollar Savings and improved readmission rates in 2023 reflected the utilization of progressive care components, guideline medical-directed therapies, and cardiac rehabilitation as a central core component could be a cost-effective and care-effective solution. The multidisciplinary progressive HF model of care provides valuable insight for healthcare providers, policymakers, and researchers seeking to implement effective models of care to improve patient outcomes.

Collections