Implementation of a Patient Navigator Program to Reduce 30-day Heart Failure Readmission Rate

With increasing awareness to provide personalized care our institution applied the American College of Cardiology (ACC) Patient Navigator Program to identify hospitalized heart failure (HF) patients and improve transitions and outcomes. Utilizing a Navigator Team (NT) composed of a nurse and clinical pharmacist, we delivered evidenced-based interventions and hypothesized this approach would improve identification of HF inpatients and reduce the 30-day all-cause readmission rate. Patients were followed from admission to discharge and received at least one intervention, tailored to the patient ’s health literacy and social needs.
Source: Progress in Cardiovascular Diseases - Category: Cardiology Authors: Source Type: research