Key result
Case-managed CHF pathways reduce rehospitalization versus usual care via advanced practice nurses and visit management.
Why the study?
This study was motivated by the need to improve care outcomes in congestive heart failure patients through implementation of a case-managed clinical pathway.
Does a case-managed clinical pathway improve care outcomes compared to a usual plan of care in patients with congestive heart failure?
Does a case-managed clinical pathway improve care outcomes compared to a usual plan of care in patients with congestive heart failure?
A case-managed clinical pathway in home health for heart failure patients emphasizes the role of advanced practice nurses and targeted visit utilization to reduce rehospitalization.
May inform home HF pathways; leaves open prospective validation before practice change.
This study describes the results of one home health agency’s implementation of a case-managed clinical pathway to improve the care outcomes in a congestive heart failure patient population. Findings critical to success with clinical paths include determining visit utilization, using advanced practice nurses, and identifying the most significant contributors to the likelihood of rehospitalization.
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Hoskins et al. (2001) studied this question. A case-managed clinical pathway for congestive heart failure succeeds by determining visit utilization, using advanced practice nurses, and identifying key contributors to rehospitalization.
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