Megan M Streur, Raelynn Cameron, Mrinal Yadava, Kate Smith, Jaimie Pechan, Jonathan Auld
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The Community Heart Failure Program: A Trauma-Informed Heart Failure Management Strategy.
Background: Individuals with heart failure (HF) and adverse social determinants of health (SDOH) experience significant health care disparities.
Local problem: We noted high rates of acute care utilization by patients with adverse SDOH and unmet social needs.
Methods: This pilot quality improvement project used a pre-post design.
Intervention: A nurse-led, trauma-informed, community-based HF program (CHFP) was developed, providing care at each patient's chosen location (eg, shelter, tent). Guideline-directed medical therapy was adjusted to achieve patient goals.
Results: Sixteen patients participated in the CHFP. Reductions were seen in the number of emergency department visits, mean number of hospitalizations, and days hospitalized. The number of patients with ≥1 hospitalization significantly decreased from 12 to 5 ( P = .07). Cardiology outpatient encounters significantly increased from 11.19 to 19.38 ( P = .02).
Conclusions: CHFP reduced acute care utilization and has the potential to improve patient outcomes.
期刊介绍：
Journal of Nursing Care Quality (JNCQ) is a peer-reviewed journal that provides practicing nurses as well as nurses who have leadership roles in nursing care quality programs with useful information regarding the application of quality principles and concepts in the practice setting. The journal offers a forum for the scholarly discussion of “real world” implementation of quality activities.
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