How Does the Use of In-home Monitoring for CHF Impact Re-hospitalization Rates?
Impact on In-home Monitoring for CHF on Re-hospitalization Rates
Congestive heart failure (CHF) is one of the major cardiovascular diseases with high global incidence and prevalence in the United States. While numerous advances in evidence-based medical therapy continues to occur, congestive heart failure remains a major problem as it results in significant burden of mortality, morbidity, and costs. The United States has a prevalence of 5.8 million individuals with the condition and more than 960,000 cases annually. It is estimated that approximately one million hospitalizations linked to congestive heart failure occur annually. Most of these hospitalizations arise from worsened congestion among already diagnosed patients. The United States spends approximately $32.7 billion on congestive heart failure annually. Martirosyan et al. (2017) states that readmission rates for this condition remain high as nearly 20% of patients are readmitted within 30 days and nearly 50% within 6 months. This paper aims to present a quality improvement project toward lessening re-hospitalization rates of patients diagnosed with congestive heart failure.
Problem Discussion
Congestive heart failure (CHF) is a cardiovascular disorder characterized by periods of stability and instability (Martirosyan et al., 2017). Deterioration of CHF is linked to repeated and prolonged hospitalizations. These re-hospitalizations in turn exacerbate the condition’s prognosis while enhancing cardiovascular mortality among patients. Given the significant burden of mortality, morbidity and costs associated with this condition, healthcare providers have undertaken various measures to help in management and treatment. Current approaches are centered on early diagnosis and treatment. However, these approaches are not entirely effective in management of the condition as evident in the high rate of hospital admission and rehospitalization. Moreover, patients experience deterioration of their conditions due to various factors including poor compliance with medical therapy, natural course of the disease, and volume overload. Consequently, there is a pressing need to lessen rehospitalization of patients suffering from this condition in attempts to improve their outcomes and lessening the rising healthcare costs (Conn, Schwarz & Borkholder, 2019).
The problem is then how do we lessen rehospitalization rates of patients with congestive heart failure. Literature has shown that early diagnosis and...
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