Jeanne T. Black|Patrick S. Romano|Banafsheh Sadeghi|Andrew D. Auerbach|Théodore G. Ganiats|Sheldon Greenfield|Sherrie H. Kaplan|Michael Ong
A remote monitoring and telephone nurse coaching intervention to reduce readmissions among patients with heart failure: study protocol for the Better Effectiveness After Transition - Heart Failure (BEAT-HF) randomized controlled trial
Sinai Health System|University of California, Davis|University of California, Davis|University of California, San Francisco|University of California, San Diego|University of California, Irvine|University of California, Irvine|University of California, Los Angeles
heart failure prevalent health problem associated costly hospital readmissions transitional care programs shown reduce readmissions costly implement evidence regarding effectiveness telemonitoring managing care chronic condition mixed objective randomized controlled comparative effectiveness study evaluate effectiveness care transition intervention includes predischarge education heart failure postdischarge telephone nurse coaching combined home telemonitoring weight blood pressure heart rate symptoms reducing allcause 180day hospital readmissions older adults hospitalized heart failurea multicenter randomized controlled trial conducted six academic health systems california total 1500 patients aged 50 years older enrolled hospitalization treatment heart failure patients intervention group receive intensive patient education using teachback method receive instruction using telemonitoring equipment following hospital discharge receive series nine scheduled health coaching telephone calls 6 months nurses located centralized call center nurses also call patients patients physicians response alerts generated telemonitoring system based predetermined parameters primary outcome readmission cause within 180 days secondary outcomes include 30day readmission mortality hospital days emergency department ed visits hospital cost healthrelated quality lifebeathf one largest randomized controlled trials telemonitoring patients heart failure first explicitly adapt care transition approach combine remote telemonitoring study population also includes patients wide range demographic socioeconomic characteristics completed study rich resource information best use remote technology care management patients chronic heart failureclinicaltrialsgov nct01360203