Does development of nursing disease management education influence hospital

readmission rates in patients with congestive heart failure?

Best Practice
 Specific education program for nurses should be
implemented. Studies show a decrease for 30-day
readmissions from 25.4 % before the program to 9%
after program (Sterne et al, 2014)
 Other healthcare providers such as pharmacists and
physicians also help to decreases readmissions as well
(Moye et al, 2018)
 1:1 patient teaching and follow ups contribute to
decreased readmissions as well.
Implications
 Some studies had more men or more women, more of
one race than another, such as more of Caucasian or
African Americans than Hispanics, so more research
needs to be done on different populations.
 Patient have different circumstances such as financial
issues, under or non-insured, difficulty reading, patient
being non-compliant at home or not having a good
support system.

Conclusion:
Heart failure hospitalizations have the highest 30-day all causes readmission rate and the largest estimate total cost among
conditions in 2011 among Medicare beneficiaries (Murtaugh et al, 2017). With the numbers being so high, something needs to
change. Overall a number of factors could be changed, but starting with reevaluating the education programs for patients is a good
first step. More research will also have to be done on other populations to see how effective it really is.
 References

Moye, P. M., Chu, P. S., Pounds, T., & Thurston, M. M. (2018). Impact of a pharmacy team--led

Intervention program on the readmission rate of elderly patients with heart failure.

American Journall of Health-System Pharmacy, 75(4), 83–190, DOI: 10.2146/ajhp170256

Murtaugh, C. M., Deb, P., Zhu, C., Peng, T. R., Barrón, Y., Shah, S., … Siu, A. L. (2017).

Reducing Readmissions among Heart Failure Patients Discharged to Home Health Care:

Effectiveness of Early and Intensive Nursing Services and Early Physician Follow-Up. 

Health Services Research, 52(4), 1445–1472. DOI; 10.1111/1475-6773.12537

Sterne, P. P., Grossman, S., Migliardi, J. S., & Swallow, A. D. (2014). Nurses’ Knowledge of

Heart Failure: Implications for Decreasing 30-day re-admission rates. MEDSURG Nursing,
23(5), 321-329