Key result
An advanced practice nurse-led transitional care program significantly reduced adjusted 30-day readmission rates by 48% compared to concurrent controls, but reduced hospital financial margins.
Why the study?
Does an advanced practice nurse-led transitional care program reduce 30-day readmission rates and costs in patients aged 65 or older with heart failure?
Cohort
Yes
Does an advanced practice nurse-led transitional care program reduce 30-day readmission rates and costs in patients aged 65 or older with heart failure?
Effect estimate: 48% reduction
A nurse-led transitional care program effectively reduces 30-day readmissions for older heart failure patients in a real-world setting, but may require payment reform to be financially sustainable for hospitals.
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May reduce 30-day HF readmissions in older adults; extends observational data but leaves financial sustainability and causality open.
Brett D. Stauffer (2011) conducted a cohort in heart failure. advanced practice nurse-led transitional care program vs. concurrent controls (other hospitals within the Baylor Health Care System) was evaluated on 30-day all-cause readmission rate, length of stay, and 60-day direct cost (48% reduction). An advanced practice nurse-led transitional care program significantly reduced adjusted 30-day readmission rates by 48% compared to concurrent controls, but reduced hospital financial margins.
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