A prevalent, chronic condition among members of the mushrooming elderly population in the United States, heart failure (HF) is a logical focus for population-based disease management. Evidence supporting the premise that multidisciplinary interventions can significantly improve clinical outcomes while decreasing the cost of medical care for people with HF is steadily mounting. A growing number of controlled and observational studies focus on the effects of HF disease management on re-admission rates, length of stay, and improvement in appropriate diagnostic testing and prescribing. This paper describes a large-scale, comprehensive HF program and reports on clinical quality, utilization, and financial outcomes observed after 1 year. The preliminary findings strengthen the case for comprehensive HF disease management as an effective means for improving clinical outcomes and reducing total medical costs for large patient populations.
- Published in Disease Management (now Population Health Management) -
Author(s): Janice L. Clarke, RN, BBA and David B. Nash, MD, MBADecember 31, 2002