Skip to main content
release_alert
Welcome to the new Scholars 3.0! Read about new features and let us know what you think.
cancel

Disease management interventions to improve outcomes in congestive heart failure.

Publication ,  Journal Article
Roglieri, JL; Futterman, R; McDonough, KL; Malya, G; Karwath, KR; Bowman, D; Skelly, J; Warburton, SW
Published in: Am J Manag Care
December 1997

This study is part of a planned 24-month, multicenter, longitudinal comparison of a comprehensive congestive heart failure (CHF) disease management program and was designed to determine effectiveness after 12 months of implementation. The impact of interventions such as telemonitoring of patients, post-hospitalization follow-up, and provider education on selected primary outcomes (hospital admission and readmission rates, length of stay, total hospital days, and emergency room utilization) in a managed care setting was evaluated. Subjects in the study included all participants in the managed care plan, as well as 149 selected program participants. The effects of the program were analyzed for pure CHF and CHF-related diagnoses, with outcomes for the third quarter of 1996 (postintervention follow-up) being compared with those for the third quarter of 1995 (preintervention baseline). Overall, the data demonstrated significantly reduced admission and readmission rates for patients with the pure CHF diagnosis. Among the entire CHF patient population, the third quarter admission rate declined 63% (P = 0.00002), and the 30-day and 90-day readmission rates declined 75% (P = 0.02) and 74% (P = 0.004), respectively. Among program participants with pure CHF diagnoses, the 30-day readmission rate was reduced to 0, and an 83% reduction occurred for both the third quarter admission (P = 0.008) and 90-day readmission (P = 0.06) rates. In addition, the average length of stay for patients with CHF-related diagnoses was significantly reduced among both plan participants (P = 0.03) and program participants (P = 0.001). Reductions were also seen in total hospital days and emergency room utilization. These data thus indicate that a comprehensive disease management program can reduce healthcare utilization not only among CHF patients in the program but also among the entire managed care plan population.

Duke Scholars

Published In

Am J Manag Care

ISSN

1088-0224

Publication Date

December 1997

Volume

3

Issue

12

Start / End Page

1831 / 1839

Location

United States

Related Subject Headings

  • Utilization Review
  • Treatment Outcome
  • Telephone
  • Patient Readmission
  • Outcome Assessment, Health Care
  • New York
  • Monitoring, Physiologic
  • Longitudinal Studies
  • Length of Stay
  • Humans
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Roglieri, J. L., Futterman, R., McDonough, K. L., Malya, G., Karwath, K. R., Bowman, D., … Warburton, S. W. (1997). Disease management interventions to improve outcomes in congestive heart failure. Am J Manag Care, 3(12), 1831–1839.
Roglieri, J. L., R. Futterman, K. L. McDonough, G. Malya, K. R. Karwath, D. Bowman, J. Skelly, and S. W. Warburton. “Disease management interventions to improve outcomes in congestive heart failure.Am J Manag Care 3, no. 12 (December 1997): 1831–39.
Roglieri JL, Futterman R, McDonough KL, Malya G, Karwath KR, Bowman D, et al. Disease management interventions to improve outcomes in congestive heart failure. Am J Manag Care. 1997 Dec;3(12):1831–9.
Roglieri, J. L., et al. “Disease management interventions to improve outcomes in congestive heart failure.Am J Manag Care, vol. 3, no. 12, Dec. 1997, pp. 1831–39.
Roglieri JL, Futterman R, McDonough KL, Malya G, Karwath KR, Bowman D, Skelly J, Warburton SW. Disease management interventions to improve outcomes in congestive heart failure. Am J Manag Care. 1997 Dec;3(12):1831–1839.

Published In

Am J Manag Care

ISSN

1088-0224

Publication Date

December 1997

Volume

3

Issue

12

Start / End Page

1831 / 1839

Location

United States

Related Subject Headings

  • Utilization Review
  • Treatment Outcome
  • Telephone
  • Patient Readmission
  • Outcome Assessment, Health Care
  • New York
  • Monitoring, Physiologic
  • Longitudinal Studies
  • Length of Stay
  • Humans