What question did this study set out to answer?

This research aims to evaluate the effectiveness of a post-discharge telehealth model for heart failure management involving nurses and pharmacists.

March 23, 2026Heart Lung and Circulation1 citationsOpen Access

Evaluation of a Nurse-Pharmacist Post-Discharge Telehealth Model of Care for People With Heart Failure

JBJoshua D. BennettsHunter Medical Research Institute CRCameron RobsonJohn Hunter Hospital AWAisha Weismantel-SavageJohn Hunter Hospital

Key Result

A post-discharge nurse-pharmacist telehealth service with routine medication reconciliation is feasible, well-accepted, and may improve medication safety in heart failure management.

Key Points

This research aims to evaluate the effectiveness of a post-discharge telehealth model for heart failure management involving nurses and pharmacists.
Implemented a telehealth service focused on medication reconciliation (MedRec) after discharge.
Engaged nurses and pharmacists to collaborate on patient care remotely.
Assessed patient feedback on the telehealth service's feasibility and acceptance.
Patients reported satisfaction with the telehealth service.
Improved continuity of care was noted post-discharge.
Medication safety was enhanced due to the MedRec process.

Structured PICO

Does a post-discharge pharmacist medication reconciliation and education service improve feasibility, acceptability, and clinical outcomes in patients with heart failure?

Population

100 adults discharged with a primary diagnosis of heart failure (74% HFrEF, 26% HFpEF), mean age 68.47, 62% male, based in Australia.

Intervention

Post-discharge pharmacist medication reconciliation and education service (MedRec) added to an established nurse-led telehealth clinic.

Comparator

Usual care consisting of the established nurse-led telehealth clinic without the additional pharmacist MedRec service (patients who declined MedRec).

Outcome

Feasibility (measured by calculating recruitment and successful completion of a MedRec) and acceptability (measured by investigator-developed survey).patient reported

A post-discharge nurse-pharmacist telehealth model is feasible, highly acceptable to patients, and identifies numerous medication-related problems, though it did not significantly reduce 30-day cardiovascular readmissions in this small pilot.

Main Result

Absolute Event Rate: 0% vs 0%

Abstract

A post-discharge nurse-pharmacist telehealth service is a feasible and well-accepted MoC. The inclusion of a routine MedRec post-discharge may enhance continuity of care, improve medication safety, and support HF management.

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