Community Paramedicine Heart Failure Transition of Care Model Evaluation

2021 ◽  
Author(s):  
Gina Petrone Mumolie
Keyword(s):  
Heart Failure ◽  
Model Evaluation ◽  
Transition Of Care ◽  
Care Model ◽  
Community Paramedicine

scholarly journals Pharmacist-Led Transition of Care Interventions Identify and Reduce Medication Errors in Heart Failure Patients Post-Discharge

2016 ◽  
Vol 22 (8) ◽  
pp. S134-S135
Author(s):  
Michelle Fine ◽  
R. Kannan Mutharasan ◽  
Preeti Kansal ◽  
Hannah Alphs Jackson ◽  
Corrine Benacka ◽  
...  
Keyword(s):  
Heart Failure ◽  
Medication Errors ◽  
Transition Of Care ◽  
Post Discharge ◽  
Heart Failure Patients

Explaining the mixed findings of a randomised trial of telehealth with centralised remote support for heart failure: qualitative evaluation

2020 ◽  
Author(s):  
Chrysanthi Papoutsi ◽  
Christine A'Court ◽  
Joseph Wherton ◽  
Sara Shaw ◽  
Trisha Greenhalgh
Keyword(s):  
Heart Failure ◽  
Randomised Trial ◽  
Qualitative Evaluation ◽  
Support Service ◽  
Full Potential ◽  
Variable Degree ◽  
Care Model ◽  
Illness Experiences ◽  
Technological Intervention ◽  
Technical Capacity

Abstract BackgroundCentralised specialist remote support, in which a clinician responds promptly to biomarker changes, could potentially improve outcomes in heart failure. The SUPPORT-HF2 trial compared telehealth technology alone with the same technology combined with centralised remote support. The intervention was implemented differently in different sites; no significant impact was found overall. We sought to explain these findings in a qualitative evaluation. Methods51 people (25 patients, 3 carers, 18 clinicians and 4 additional research staff) were interviewed and observed in 7 SUPPORT-HF sites across UK between 2016 and 2018. We also collected 110 pages of documents. Analysis was informed by sociotechnical theory. ResultsPatients’ experiences of the technology were largely positive; staff engaged with the intervention to a variable degree. Existing services, staffing levels, technical capacity and previous experience with telehealth all influenced how the complex intervention of ‘telehealth technology plus centralised specialist remote support’ was interpreted and the extent to which it was adopted and used to its full potential. In some settings, the intervention was quickly mobilised to fill significant gaps in service provision. In others, it was seen as usefully extending the existing care model for selected patients. However, in some settings, the new care model was actively resisted and the technology little used. In one setting, centralised provision of specialist advice aligned awkwardly with an existing community-based heart failure support service. ConclusionsThe introduction of a telehealth programme rests not only on the technological intervention but also on the individuals involved and numerous subtle aspects of local service design. An iterative approach that attends to patients’ illness experiences, clinicians’ professional values, work practices and care pathways could lead to more effective telehealth support for patients with heart failure.

scholarly journals A Review of the Role of the Pharmacist in Heart Failure Transition of Care

2018 ◽  
Vol 35 (3) ◽  
pp. 311-323 ◽  
Author(s):  
Sarah L. Anderson ◽  
Joel C. Marrs
Keyword(s):  
Heart Failure ◽  
Transition Of Care

scholarly journals Impact of Chronic Care Model on type II diabetes and heart failure in Tuscany region, 2010–2014

2015 ◽  
Vol 25 (suppl_3) ◽  
Author(s):  
E Sinisgalli ◽  
D Matarrese ◽  
L Aramini ◽  
F Profili ◽  
P Francesoni
Keyword(s):  
Heart Failure ◽  
Chronic Care Model ◽  
Type Ii Diabetes ◽  
Chronic Care ◽  
Type Ii ◽  
Care Model

Applying the Transitional Care Model to Elderly Patients with Heart Failure

2000 ◽  
Vol 14 (3) ◽  
pp. 53-63 ◽  
Author(s):  
M. Brian Bixby ◽  
Joanne Konick-McMahon ◽  
Catherine G. McKenna
Keyword(s):  
Heart Failure ◽  
Elderly Patients ◽  
Transitional Care ◽  
Care Model ◽  
Patients With Heart Failure
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