Heart Failure Medication Adherence

Heart Failure Medication Adherence Study

The objective of this investigation is to pilot test a medication in-hand intervention (Meds to Beds) compared to standard care for patients with heart failure (ICD-50[all numbers]). The study will evaluate if the intervention improves adherence and physical health, and reduces hospital re-admissions. The study will provide evidence for the feasibility and acceptability of the medication-in-hand intervention.

Inclusion Criteria:

• Admission diagnosis of heart failure ICD-50, including I50.1, I50.2, I50.20, I50.21, I50.22, I50.23, I50.3, I50.30, I50.31, I50.32, I50.33, I50.4, I50.40, I50.41, I50.42, I50.43, I50.8, I50.81, I50.810, I50.811, I50.812, I50.813, I50.814, I50.82, I50.83, I50.84, I50.89, I50.9, or any combination thereof
• Age 18 or older
• New York Heart Association Heart Failure Class II or Class III, with ejection fraction below 45%
• Cognitively intact, without significant psychological impairment affecting medication adherence such as dementia noted in patient record.

Exclusion Criteria:

• Medical conditions, such as active cancer or pregnancy, expected to alter heart failure medication management
• Discharged to nursing homes or hospice care, where patient may not responsible for their own adherence
• High risk of loss to follow-up, e.g., leaving the hospital against medical advice, prisoners, living in a homeless shelter, or unable to provide a phone number
• No plan to fill medications at the Jackson Memorial Hospital pharmacy