Effect of a Quality Improvement Initiative to Address Social Determinants of Health on Rehospitalization Rates in Patients With Heart Failure

A Novel Strategy for Addressing Social Barriers to a Successful, Sustained Discharge From the Hospital for Acute Heart Failure

The objective of this program is to improve post-acute care coordination for necessary social services for patients leaving the hospital after recovering from an episode of decompensated heart failure.

Inclusion Criteria:

• Aged 18-99 years
• Resident of Missouri or Kansas
• Current inpatient admission for acute heart failure

Exclusion Criteria:

• Under 18 years or over 99 years of age