Do transitional care services (nurse home visits, DMCs, NCM) reduce mortality, readmissions, and costs in patients discharged from the hospital with heart failure?
Transitional care services, including nurse home visits and disease management clinics, effectively reduce mortality, readmissions, and healthcare costs for heart failure patients post-discharge.
Nurse home visits and DMCs decrease all-cause mortality after hospitalization for HF. Along with NCM, they also reduce all-cause readmissions, with no significant difference in comparative effectiveness. These services reduce healthcare system costs to varying degrees.
Spall et al. (Fri,) studied this question.