Michelotti, Kathryn. Using mobile integrated healthcare to decrease readmission rates in patients with CHF: a cost benefit analysis. Retrieved from https://doi.org/doi:10.7282/t3-qjh4-f682
DescriptionThis project focused on decreasing 30-day readmission rates of Heart Failure patients in 451 bed, community hospital in northern New Jersey. The retrospective quantitative chart review was performed during the 2016 calendar year. The quality improvement project compared the 30-day readmission rates of heart failure patients that received usual care with those who were visited by Mobile Integrative Healthcare. Patients who received usual care received discharge instructions from a staff nurse before leaving the hospital. Discharge teaching includes education on follow- up appointments, activity, diet, and home medications. Mobile Integrative Healthcare is the provision of medical services to patients in their home by paramedics, nurses, and emergency medical technicians (National Association of Emergency Medical Technicians, 2017). The intervention group received a follow-up visit by the Mobile Integrative Healthcare team within two business days of discharge. A chi-square test was performed to determine the relationship between Mobile Integrative Healthcare visits and 30 day hospital readmission rates in heart failure patients. Heart Failure patients that were visited by the Mobile Integrative Healthcare (MIH) team were less likely to be readmitted to the hospital within 30 days of discharge, (ꭓ2 (1, N = 132) = 29.21, p = .00, phi = -.49).