Key result
Nurse practitioner home visits linked to ~64% fewer hospital admissions over three months.
Why the study?
Do nurse practitioner home visits reduce hospitalizations and improve quality of life in homebound patients with Class III or IV heart failure?
Do nurse practitioner home visits reduce hospitalizations and improve quality of life in homebound patients with Class III or IV heart failure?
Nurse practitioner home visits for homebound patients with advanced heart failure substantially reduced healthcare utilization and improved patient-reported quality of life over a 3-month period.
NP home visits were associated with lower utilization in advanced HF; hypothesis-generating and requires RCTs before practice change.
By providing quality primary care in the home setting, nurse practitioners can treat homebound patients effectively and decrease the number of hospitalizations, 30-day readmissions, and emergency department visits. Forty patients with a diagnosis of Class III or IV heart failure who were homebound were chosen for this project. The project manager, an Adult-Gerontological nurse practitioner, made home visits to these patients on a monthly and as-needed basis throughout the 3-month project. The rate of hospital admissions, emergency department visits, and 30-day readmissions was reduced by 64%, 85%, and 95%, respectively. Patients were assessed using the Kansas City Cardiomyopathy Questionnaire (Green et al., 2000) at the initial visit and at 3 months. The scoring for physical functionality, symptom frequency, and quality of life were improved by 44%, 40%, and 54%, respectively.
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Echeverry et al. (2015) studied Class III or IV heart failure (n=40). Adult-Gerontological nurse practitioner home visits was evaluated on Hospital admissions, emergency department visits, and 30-day readmissions. Adult-Gerontological nurse practitioner home visits reduced hospital admissions by 64%, emergency department visits by 85%, and 30-day readmissions by 95% over 3 months.
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