Evaluation of a Skilled Nursing Facility Heart Failure Disease Management Program Versus Usual Care
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Cardiac Failure
- Sponsor
- University of Colorado, Denver
- Enrollment
- 713
- Locations
- 1
- Primary Endpoint
- Change in 60 day post SNF admission outcomes
- Status
- Completed
- Last Updated
- 6 years ago
Overview
Brief Summary
Heart Failure (HF) patients discharged to Skilled Nursing Facilities have higher rehospitalization rates and mortality than patients discharged to home.
HF disease management programs have been shown to reduce rehospitalizations in community settings, no national guidelines have been set forth for Skilled Nursing Facilities (SNF).
This study will investigate the the effect of a heart failure-disease management program on the outcome of all-cause hospital readmissions, emergency room admissions and mortality for 30 days post-SNF admission using 7 component heart failure disease management program.
Investigators
Eligibility Criteria
Inclusion Criteria
- •Heart Failure is listed as the hospital discharge primary diagnosis
- •Heart Failure is listed as the hospital discharge secondary diagnosis
Exclusion Criteria
- •Any life threatening condition which predicts mortality in 6 months or less
Outcomes
Primary Outcomes
Change in 60 day post SNF admission outcomes
Time Frame: Up to 60 days post SNF admission
To determine the difference in the composite endpoint of 60-day all-cause hospitalization, all-cause emergency department visits and all-cause mortality between HF patients in Skilled Nursing Facilities cared for by a heart failure-disease management program vs usual care.
Secondary Outcomes
- Difference in health status and self-care 60 days post SNF admission(60 days post SNF admission)
- Change in Patients living at home 60 days post-SNF admission with Heart Failure (HF)(60 days post SNF admission)
- Difference in Cost-effectiveness(Up to 60 days post SNF admission)