Heart Failure Management Program Versus Usual Care

Evaluation of a Skilled Nursing Facility Heart Failure Disease Management Program Versus Usual Care

Heart Failure (HF) patients discharged to Skilled Nursing Facilities have higher rehospitalization rates and mortality than patients discharged to home.

HF disease management programs have been shown to reduce rehospitalizations in community settings, no national guidelines have been set forth for Skilled Nursing Facilities (SNF).

This study will investigate the the effect of a heart failure-disease management program on the outcome of all-cause hospital readmissions, emergency room admissions and mortality for 30 days post-SNF admission using 7 component heart failure disease management program.

Inclusion Criteria:

• Heart Failure is listed as the hospital discharge primary diagnosis
• Heart Failure is listed as the hospital discharge secondary diagnosis

Exclusion Criteria:

• Any life threatening condition which predicts mortality in 6 months or less