Implementation of a Multimodal Heart Failure Management Protocol in a Skilled Nursing Facility

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dc.contributor.authorRockwell, Michelle S.en
dc.contributor.authorCox, Emilyen
dc.contributor.authorLocklear, Tonjaen
dc.contributor.authorHodges, Brandyen
dc.contributor.authorMulkey, Staceyen
dc.contributor.authorEvans, Brandonen
dc.contributor.authorEpling, John W.en
dc.contributor.authorStavola, Anthony R.en
dc.date.accessioned2023-02-22T13:53:34Zen
dc.date.available2023-02-22T13:53:34Zen
dc.date.issued2023-02en
dc.date.updated2023-02-22T00:59:04Zen
dc.description.abstractHospitals and skilled nursing facilities (SNFs) are incentivized to reduce hospital readmissions among patients with heart failure (HF). We used the RE-AIM framework and mixed quantitative and qualitative data to evaluate the implementation of a multimodal HF management protocol (HFMP) administered in a SNF in 2021. Over 90% of eligible patients were enrolled in the HFMP (REACH). Of the 42 enrolled patients (61.9% female, aged 81.9 ± 8.9 years, 9.5% Medicaid), 2 (4.8%) were readmitted within 30 days of hospital discharge and 4 (9.5%) were readmitted within 30 days of SNF discharge compared with historical (2020) rates of 16.7% and 22.2%, respectively (a potential savings of $132,418–$176,573 in hospital costs) (EFFECTIVENESS). Although stakeholder feedback about ADOPTION and IMPLEMENTATION was largely positive, challenges associated with clinical data collection, documentation, and staff turnover were described. Findings will inform refinement of the HFMP to facilitate further testing and sustainability (MAINTENANCE).en
dc.description.versionPublished versionen
dc.format.mimetypeapplication/pdfen
dc.identifier.doihttps://doi.org/10.1177/23337214221149274en
dc.identifier.eissn2333-7214en
dc.identifier.issn2333-7214en
dc.identifier.orcidEpling, John [0000-0001-9445-8669]en
dc.identifier.orcidRockwell, Michelle [0000-0001-7910-6083]en
dc.identifier.other10.1177_23337214221149274 (PII)en
dc.identifier.pmid36755744en
dc.identifier.urihttp://hdl.handle.net/10919/113898en
dc.identifier.volume9en
dc.language.isoenen
dc.publisherSAGEen
dc.relation.urihttps://www.ncbi.nlm.nih.gov/pubmed/36755744en
dc.rightsCreative Commons Attribution-NonCommercial 4.0 Internationalen
dc.rights.urihttp://creativecommons.org/licenses/by-nc/4.0/en
dc.subject30-day readmissionen
dc.subjecthospitalen
dc.subjectquality improvementen
dc.subjectremote dielectric sensingen
dc.subjectHeart Diseaseen
dc.subjectCardiovascularen
dc.subjectHealth Servicesen
dc.subjectClinical Researchen
dc.titleImplementation of a Multimodal Heart Failure Management Protocol in a Skilled Nursing Facilityen
dc.title.serialGerontology and Geriatric Medicineen
dc.typeArticle - Refereeden
dc.type.dcmitypeTexten
dc.type.otherJournal Articleen
dcterms.dateAccepted2022-12-16en
pubs.organisational-group/Virginia Techen
pubs.organisational-group/Virginia Tech/Agriculture & Life Sciencesen
pubs.organisational-group/Virginia Tech/Agriculture & Life Sciences/Human Nutrition, Foods, & Exerciseen
pubs.organisational-group/Virginia Tech/Faculty of Health Sciencesen
pubs.organisational-group/Virginia Tech/VT Carilion School of Medicineen
pubs.organisational-group/Virginia Tech/VT Carilion School of Medicine/Family and Community Medicineen
pubs.organisational-group/Virginia Tech/VT Carilion School of Medicine/Family and Community Medicine/Family and Community Medicineen
pubs.organisational-group/Virginia Tech/VT Carilion School of Medicine/TEACH Membersen

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