Implementing shared medical appointments for heart failure patients in a community cardiology practice: a pilot study.


Journal Article

OBJECTIVE: To examine patient and staff satisfaction, billing charges, and programmatic feasibility of shared medical appointments (SMA) in a nurse practitioner-managed heart failure (HF) clinic in a community cardiology practice. METHODS: Twenty patients were scheduled among four SMAs for this pilot study. All aspects of a usual clinic appointment were utilized during the SMA, but an additional 20-minute teaching session was presented. All patients completed a satisfaction questionnaire. The office staff completed satisfaction questionnaires about the SMA. Billing charges, cancellations and missed appointments without cancellation for SMAs were compared to usual clinic appointment days. RESULTS: Satisfaction was high among patients and office staff. Rates for no-shows were similar for SMAs versus usual appointments (15% versus 5.5%), but there were fewer cancellations among SMAs (0% versus 28%). This may be a reflection of the personalized appointment reminder calls that were made to the patients scheduled for SMAs. Billing charges were not significantly different for SMAs versus usual appointments. CONCLUSION: SMAs are a feasible option in a community cardiology practice.

Full Text

Cited Authors

  • Paul, S; Yehle, KS; Wood, K; Wingate, S; Steg, B

Published Date

  • November 2013

Published In

Volume / Issue

  • 42 / 6

Start / End Page

  • 456 - 461

PubMed ID

  • 24075619

Pubmed Central ID

  • 24075619

Electronic International Standard Serial Number (EISSN)

  • 1527-3288

International Standard Serial Number (ISSN)

  • 0147-9563

Digital Object Identifier (DOI)

  • 10.1016/j.hrtlng.2013.08.006


  • eng