Hearing the veteran's voice in congestive heart failure readmissions

Professional Case Management

Volumn 20, Issue 4, 2015, Pages 177-185

  Stevenson, Carl W ^a   Pori, Daria ^c   Payne, Kattie ^c   Black, Mary ^c   Taylor, Victoria E ^b  

^a Boise VA Medical Center   (United States)

^b Home Tele Health   (United States)

^c NONE

Author keywords

CHF; Readmissions; Veterans' perspective

Indexed keywords

GOVERNMENT; HEART FAILURE; HOSPITAL READMISSION; HUMAN; PATHOPHYSIOLOGY; PATIENT EDUCATION; UNITED STATES; VETERAN;

HEART FAILURE; HUMANS; PATIENT EDUCATION AS TOPIC; PATIENT READMISSION; UNITED STATES; UNITED STATES DEPARTMENT OF VETERANS AFFAIRS; VETERANS;

EID: 84942883034     PISSN: 19328087     EISSN: 19328095     Source Type: Journal    
DOI: 10.1097/NCM.0000000000000080     Document Type: Article

References (28)

1. Annema, C., Luttik, M.-L., & Jaarsma, T. (2009). Reasons for readmission in heart failure: Perspectives of patients, caregivers, cardiologist, and heart failure nurses. Heart & Lung, 38(5), 427-434.
2. Auricchio, A., Brugada, J., Ellenbogen, K., Gold, M., & Francisco Leyva, F. (2010). Assessment of a novel device-based diagnostic algorithm to monitor patient status in moderate to-severe heart failure: Rationale and design of the CLEPSYDRA study. European Journal of Heart Failure, 12, 1363-1371.
3. Birmingham, J. (2009) Patient choice in the discharge planning process. Professional Case Management, 14(6), 296-309.
4. Calvin, J. E., Shanbhag, S., Avery, E., Kane, J., Richardson, D., & Powell, L. (2012). Adherence to evidence-based guidelines for heart failure in physicians and their patients: Lessons from the heart failure adherence retention trial (HART). Congestive Heart Failure, 18, 73-78.
5. Crocker, J. B., Crocker, J. T., & Greenwald, J. L. (2012). Telephone follow-up as a primary care intervention for post discharge outcomes improvement: A systematic review. American Journal of Medicine, 125, 915-921.
6. Gerdes, P., & Lorenz, R. (2013). The effect of an outpatient interdisciplinary heart failure education program. The Journal for Nurse Practitioners, 9(7), 422-427.
7. Go, A. S., Mozaffarian, D., Roger, V. L., Benjamin, E. J., Berry, J. D., Borden, W. B., ⋯ Turner, M. B. (2013). Heart disease and stroke statistics-2013 update: A report from the American Heart Association. Circulation, 127, e6-e245.
8. Goldberg, R., Goldberg, J., Pruell, S., Yarzebski, J., Lessard, D., Spencer, F., & Gore, J. (2008). Delays in seeking medical care in hospitalized patients with decompensated heart failure. American Journal of Medicine, 121(3), 212-218.
9. Granger, B., Sandelowski, M., Tahshjain, H., Swedberg, K., & Ekman, I. (2009). A qualitative descriptive study of the work of adherence to a chronic heart failure regimen, patient and physician perspectives. Journal of Cardiovascular Nursing, 24(4), 208-315.
10. Gwadry-Sridhar, F. H., Flintoft, V., Lee, D. S., Lee, H., & Guyatt, G. H. (2004). A systematic review and metaanalysis of studies comparing readmission rates and mortality rates in patients with heart failure. Archives of Internal Medicine, 164, 2315-2320.
11. Hospital to Home (2013). Quality improvement for institutions. Retrieved December 1, 2013, from http://cvquality.acc.org/en/Initiatives/H2H/About-H2H.aspx
12. Hunter, T., Nelson, J., & Birmingham, J. (2013). Preventing readmissions through comprehensive discharge planning. Professional Case Management, 18(2), 56-63.
13. Imes, C., Dougherty, C., Pyper, G., & Sullivan, M. (2011). A descriptive study of the partner's experiences of living with severe heart failure. Heart & Lung, 40(3), 208-216.
14. Kim, S. M., & Han, H.-R. (2013). Evidence-based strategies to reduce readmission in patients with heart failure. The Journal for Nurse Practitioners, 9(4), 224-232.
15. Lindenfeld, J., Albert, N. M., Boehmer, J. P., Collins, S. P., Ezekowitz, J. A., Givertz, M. M., ⋯ Walsh, M. N. (2010). Executive summary: HFSA 2010 comprehensive heart failure practice guideline. Journal of Cardiac Failure, 16, 475-539.
16. Lopert, R., Shoemaker, J. S., Davidoff, A., Shaffer, T., Abdulhalim, A. M., Lloyd, J., & Stuart, B. (2012). Medication adherence and Medicare expenditure among beneficiaries with heart failure. The American Journal of Managed Care, 18(9), 556-567.
17. National Clinical Guideline Centre. (2010). Chronic heart failure: The management of chronic heart failure in adults in primary and secondary care. London: National Clinical Guideline Centre. Retrieved from http://guidance.nice.org.uk/CG108/Guidance/pdf/English
18. Nielsen, G. A., Bartley, A., Coleman, E., Resar, R., Rutherford, P., Souw, D., & Taylor, J. (2008). Transforming care at the bedside how- to guide: Creating an ideal transition home for patients with heart failure. Cambridge, MA: Institute for Healthcare Improvement. Retrieved from http://www.ihi.org.
19. Pocock, S., McMurray, J., Dobson, J., Yusuf, S., Granger, C., Michelson, E., ⋯ Swedberg, K. (2008). Weight loss and mortality risk in patients with chronic heart failure in the candesartan in heart failure: Assessment of reduction in mortality and morbidity (CHARM) programme. European Heart Journal, 29, 2641-2650.
20. Powell, L. H., Calvin, J. E., Mendes de Leon, C. F., Richardson, D., Grady, K. L., Flynn, K. J., ⋯ Eaton, C. (2008). The heart failure adherence and retention trial (HART): Design and rationale. American Heart Journal, 156(3), 452-460.
21. Powell, L. H., Calvin, J. E., Richardson, D., Janssen, I., Mendes de Leon, C. F., Flynn, K. J., ⋯ Avery, E. (2010). Self-management counseling in patients with heart failure: The heart failure adherence and retention randomized behavioral trial. Journal of the American Medical Association, 304(12), 1331-1338.
22. Riegel, B., Moser, D. K., Anker, S. D., Appel, L. J., Dunbar, S. B., Grady, K. L., ⋯ Whellan, D. J. (2009). State of the science promoting self-care in persons with heart failure: A scientific statement from the American Heart Association. Circulation, 120, 1141-1163.
23. Rohrbaugh, M., Shoham, V., & Coyne, J. (2006). Effect of marital quality on eight-year survival of patients with heart failure. American Journal of Cardiology, 98, 1069-1072.
24. Shippee, N. D., Shah, N. D., May, C. R., Mair, F. S., & Montori, V. M. (2012). Cumulative complexity: A functional, patient-centered model of patient complexity can improve research and practice. Journal of Clinical Epidemiology, 65, 1041-1051.
25. Steele, G. D., Haynes, J. A., Davis, D. E., Tomcavage, J., Stewart, W. F., Graf, T. R., ⋯ Shikles, J. (2010). How Geisinger's advanced medical home model argues the case for rapid-cycle innovation. Health Affairs, 29, 2047-2053.
26. Tzanis, G., Stavros Dimopoulos, S., Agapitou, V., & Nanas, S. (2014). Exercise intolerance in chronic heart failure: The role of cortisol and the catabolic state. Current Heart Failure Reports, 11:70-79.
27. Van der Wel, M. C., Jansen, R. W. M. M., Bakx, J. C., Bor, H. H. J., OldeRikkert, M. G. M., & van Weel, C. (2007). Noncardiovascular co-morbidity in elderly patients with heart failure outnumbers cardiovascular co-morbidity. European Journal of Heart Failure, 9, 709-715.
28. VA Quality Enhancement Research Initiative (QUERI). (2010). Chronic heart failure (CHF) quality enhancement research initiative. The Journal for Nurse Practitioners, 9(7), 422-427. Retrieved December 1, 2010, from http://vaww.queri.research.va.gov/chf/products/hf-toolkit/default.cfmn program