Risk score–guided multidisciplinary team-based Care for Heart Failure Inpatients is associated with lower 30-day readmission and lower 30-day mortality

Publication date: January 2020Source: American Heart Journal, Volume 219Author(s): Benjamin D. Horne, Colleen A. Roberts, Kismet D. Rasmusson, Jason Buckway, Rami Alharethi, Jalisa Cruz, R. Scott Evans, James F. Lloyd, Tami L. Bair, Abdallah G. Kfoury, Donald L. LappéObjectiveUsing augmented intelligence clinical decision tools and a risk score-guided multidisciplinary team-based care process (MTCP), this study evaluated the MTCP for heart failure (HF) patients' 30-day readmission and 30-day mortality across 20 Intermountain Healthcare hospitals.BackgroundHF inpatient care and 30-day post-discharge management require quality improvement to impact patient health, optimize utilization, and avoid readmissions.MethodsHF inpatients (N = 6182) were studied from January 2013 to November 2016. In February 2014, patients began receiving care via the MTCP based on a phased implementation in which the 8 largest Intermountain hospitals (accounting for 89.8% of HF inpatients) were crossed over sequentially in a stepped manner from control to MTCP over 2.5 years. After implementation, patient risk scores were calculated within 24 hours of admission and delivered electronically to clinicians. High-risk patients received MTCP care (n = 1221), while lower-risk patients received standard HF care (n = 1220). Controls had their readmission and mortality scores calculated retrospectively (high risk: n = 1791; lower risk: n = 1950).ResultsHigh-risk MTCP recipients had 21...
Source: American Heart Journal - Category: Cardiology Source Type: research

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Source: ClinicalTrials.gov - Category: Research Source Type: clinical trials
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