An Inpatient Multidisciplinary Educational Approach to Reduce 30-day Heart Failure Readmissions

Persistent Link:
http://hdl.handle.net/10150/614003
Title:
An Inpatient Multidisciplinary Educational Approach to Reduce 30-day Heart Failure Readmissions
Author:
Malhotra, Kyle; Salek, Ferena
Affiliation:
College of Pharmacy, The University of Arizona
Issue Date:
2016
Rights:
Copyright © is held by the author.
Collection Information:
This item is part of the Pharmacy Student Research Projects collection, made available by the College of Pharmacy and the University Libraries at the University of Arizona. For more information about items in this collection, please contact Jennifer Martin, Associate Librarian and Clinical Instructor, Pharmacy Practice and Science, jenmartin@email.arizona.edu.
Publisher:
The University of Arizona.
Abstract:
Objectives: An estimated 5.7 million Americans had heart failure (HF) in 2012 with an economic cost of $30.7 billion. By 2030 the prevalence of the disease is expected to increase by 46%. Centers for Medicare and Medicaid Services penalizes hospitals for 30-day readmissions. This study evaluated the effect of our multidisciplinary HF intervention on readmissions. Methods: This is a retrospective cohort study. Patients were identified from electronic inpatient admission records from January 1 to December 31, 2014. Patients who received any component of intervention were compared to patients who did not receive any intervention. Intervention included student pharmacist medication counselling, HF education, and post-discharge phone calls with Modified Morisky questionnaire. Age, sex, admission/discharge dates, readmission diagnosis, smoking status, ejection fraction, medications, and Charlson Comorbidity Index (CCI) conditions were collected. Results: A total of 221 patients with 249 discrete admissions were identified. No difference in age (p=0.42), sex (p=0.48), smoking status (p=0.10) existed between the groups. No difference in readmissions was found between patients receiving complete intervention and control (p=0.41) or patients receiving 1 or 2 intervention components and control (p=0.41). Patients with CCI score≥ 8 had greater risk of readmission compared to CCI scores 0-2 (OR 7.7, 95% CI 1.6-36.3, p=0.01). Conclusions: This analysis did not identify an intervention impact on 30-day readmissions in patients with HF; high CCI scores were associated with increased readmission risk. The intervention may be best targeted towards patients with high CCI scores as they have the highest readmission rate.
Description:
Class of 2016 Abstract and Report
Keywords:
Inpatient; 30-day Heart Failure; Multidisciplinary Educational; Readmissions
Advisor:
Salek, Ferena

Full metadata record

DC FieldValue Language
dc.contributor.advisorSalek, Ferenaen
dc.contributor.authorMalhotra, Kyleen
dc.contributor.authorSalek, Ferenaen
dc.date.accessioned2016-06-21T21:37:06Z-
dc.date.available2016-06-21T21:37:06Z-
dc.date.issued2016-
dc.identifier.urihttp://hdl.handle.net/10150/614003-
dc.descriptionClass of 2016 Abstract and Reporten
dc.description.abstractObjectives: An estimated 5.7 million Americans had heart failure (HF) in 2012 with an economic cost of $30.7 billion. By 2030 the prevalence of the disease is expected to increase by 46%. Centers for Medicare and Medicaid Services penalizes hospitals for 30-day readmissions. This study evaluated the effect of our multidisciplinary HF intervention on readmissions. Methods: This is a retrospective cohort study. Patients were identified from electronic inpatient admission records from January 1 to December 31, 2014. Patients who received any component of intervention were compared to patients who did not receive any intervention. Intervention included student pharmacist medication counselling, HF education, and post-discharge phone calls with Modified Morisky questionnaire. Age, sex, admission/discharge dates, readmission diagnosis, smoking status, ejection fraction, medications, and Charlson Comorbidity Index (CCI) conditions were collected. Results: A total of 221 patients with 249 discrete admissions were identified. No difference in age (p=0.42), sex (p=0.48), smoking status (p=0.10) existed between the groups. No difference in readmissions was found between patients receiving complete intervention and control (p=0.41) or patients receiving 1 or 2 intervention components and control (p=0.41). Patients with CCI score≥ 8 had greater risk of readmission compared to CCI scores 0-2 (OR 7.7, 95% CI 1.6-36.3, p=0.01). Conclusions: This analysis did not identify an intervention impact on 30-day readmissions in patients with HF; high CCI scores were associated with increased readmission risk. The intervention may be best targeted towards patients with high CCI scores as they have the highest readmission rate.en
dc.language.isoen_USen
dc.publisherThe University of Arizona.en
dc.rightsCopyright © is held by the author.en
dc.subjectInpatienten
dc.subject30-day Heart Failureen
dc.subjectMultidisciplinary Educationalen
dc.subjectReadmissionsen
dc.titleAn Inpatient Multidisciplinary Educational Approach to Reduce 30-day Heart Failure Readmissionsen_US
dc.typetexten
dc.typeElectronic Reporten
dc.contributor.departmentCollege of Pharmacy, The University of Arizonaen
dc.description.collectioninformationThis item is part of the Pharmacy Student Research Projects collection, made available by the College of Pharmacy and the University Libraries at the University of Arizona. For more information about items in this collection, please contact Jennifer Martin, Associate Librarian and Clinical Instructor, Pharmacy Practice and Science, jenmartin@email.arizona.edu.en
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