Improving Heart Failure Outcomes Rural
| Status: | Completed |
|---|---|
| Conditions: | Cardiology |
| Therapuetic Areas: | Cardiology / Vascular Diseases |
| Healthy: | No |
| Age Range: | 21 - Any |
| Updated: | 9/28/2017 |
| Start Date: | April 2014 |
| End Date: | June 2015 |
Improving Heart Failure Outcomes (IHO)
This study will test if standardized care helps patients feel better, if it can be
implemented in rural hospitals, and find out which healthcare processes and outcomes are most
important to heart failure patients.
implemented in rural hospitals, and find out which healthcare processes and outcomes are most
important to heart failure patients.
The aims of this research are to: 1) Conduct a quasi-experimental study of rural hospitals to
test if guideline-based care (standardized patient education, making a post discharge
appointment with the patient's provider and calling the patient at 48 hours to reinforce HF
education) improves patient outcomes (better self-care, and lower readmissions at 7 and 30
days post discharge); 2) Identify hospital (staffing, practice environment, costs) and
provider (evidence-based practices) characteristics associated with better implementation of
heart failure patient care processes; and 3) Determine which healthcare processes and
outcomes are most important to heart failure patients. A quasi-experimental study with mixed
methods will be used. The sample consists of HF patients (N=40, 20 each hospital) and nurses
who care for HF patients on study units (N=90, 45 each hospital) from 2 rural hospitals.
Survey data will be collected from patients (baseline, discharge, 48 hours and 7 days post
discharge) and nurses (baseline, during patient education, on patient discharge). Secondary
data will be collected quarterly on nurse staffing and once for patient readmission within 30
days of discharge. Structured patient interviews will be conducted with 10 HF patients in
person to determine which health care processes and outcomes are most important to them. Both
patients and nurses will be engaged to inform study procedures and outcomes consistent with
the tenants of patient-centered outcomes research.
test if guideline-based care (standardized patient education, making a post discharge
appointment with the patient's provider and calling the patient at 48 hours to reinforce HF
education) improves patient outcomes (better self-care, and lower readmissions at 7 and 30
days post discharge); 2) Identify hospital (staffing, practice environment, costs) and
provider (evidence-based practices) characteristics associated with better implementation of
heart failure patient care processes; and 3) Determine which healthcare processes and
outcomes are most important to heart failure patients. A quasi-experimental study with mixed
methods will be used. The sample consists of HF patients (N=40, 20 each hospital) and nurses
who care for HF patients on study units (N=90, 45 each hospital) from 2 rural hospitals.
Survey data will be collected from patients (baseline, discharge, 48 hours and 7 days post
discharge) and nurses (baseline, during patient education, on patient discharge). Secondary
data will be collected quarterly on nurse staffing and once for patient readmission within 30
days of discharge. Structured patient interviews will be conducted with 10 HF patients in
person to determine which health care processes and outcomes are most important to them. Both
patients and nurses will be engaged to inform study procedures and outcomes consistent with
the tenants of patient-centered outcomes research.
Inclusion Criteria:
- Admitted to hospital with a diagnosis of heart failure
- Age > 20
- Cognitively intact
- English speaking
- Plan for discharge to home, assisted living or intermediate care
Exclusion Criteria:
- Patients with planned discharge to sub-acute or nursing home facilities
- Patients enrolled in another research study to test interventions to improve heart
failure knowledge, self-management or reduce readmission to the hospital within 30
days post discharge
- Patients that are cognitively impaired
- Patients that are transferred to another unit in the hospital, and will be discharged
from that unit
- Patients who undergo or have a planned surgical intervention during their hospital
stay
We found this trial at
2
sites
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