Approach to Congestive Heart Failure Readmission Reduction in a Community-Based Setting: A Field Report

This article examines how a midsize community hospital designed a readmission reduction project with the goal of decreasing readmissions for patients with a primary diagnosis of congestive heart failure. Multicomponent interventions were implemented for patient enrollment in this quality improvement initiative with clear inclusion criteria. The study concluded that a structured transition of care plan with remote patient monitoring, together with well-defined criteria for the initiation of rescue medications, has the potential for decreasing avoidable hospital readmissions.