High rates of readmission and mortality on newly diagnosed heart failure patients

Description

Problem: High rates of readmission and mortality on newly diagnosed heart failure patients

Intervention: Adding automated patient communication like Patientbond where clinicians can get in touch with patients easier via text, email, or messaging applications to prevent . Implementing home healthcare programs to reinforce self-care instructions and provide continued care. Current: Patient education at discharge, medication reconciliation, scheduling post-discharge appointments Outcome: Decreased rates of readmission and mortality. The idea is to improve patient access to care after discharge. Programs like Patientbond allow clinicians and patients to communicate any concerns each may have without having to go to the doctor’s office or hospital. Not all newly diagnosed heart failure patients are eligible for home health and the first 30 days after diagnosis of heart failure is the most critical time for these patients. Home health providers can reinforce patient education so that patients understand what to look out for.