Category: Federal Forum Posters
Purpose: Heart failure is common in the United States and in patients served by our institution. Poorly managed heart failure results in emergency room visits, hospitalizations, and decreased quality of life. Clinical practice guidelines emphasize a multidisciplinary approach to care including structured patient education. At our institution, no formalized outpatient educational component currently exists. Thus, our study aims to implement a structured outpatient educational class for heart failure patients. We hypothesize that education on disease process, medications, diet, and lifestyle modifications will decrease subsequent heart failure exacerbations, emergency room visits and hospital readmissions as well as improve patient quality of life.
Methods: Veterans diagnosed with heart failure recently admitted for acute decompensation will be referred by inpatient or outpatient providers to participate in a two-hour educational class covering heart failure causes, symptoms, medications, and nutrition. Additionally, each patient will meet individually with a pharmacist to review medications, goals, and questions. Patients may also opt to enroll in a pharmacist-run outpatient heart failure clinic. Patients will receive a follow-up call from a pharmacist to review topics covered in the class and assess adherence. Patients will complete a Self-Care Heart Failure Index survey, a validated tool used to measure self-care practices in heart failure patients, before and after attending class.
The primary outcome will be a composite of hospital admission or emergency room visit for heart failure, and outpatient visits for heart failure symptoms. Outcome data will be analyzed using a self-matching strategy comparing patient outcomes before and after enrollment. The impact of the class on system-wide heart failure outcomes will also be assessed by comparing heart failure admission and readmission rates before and after implementation of this course. Bivariable statistics including student’s t-test, Wilcoxon Rank Sum, chi-square test, Fisher’s exact test, or paired versions of these tests will be utilized as appropriate.
Results: Not applicable
Conclusion: Not applicable
Sarah Rumbellow– PGY1 Resident, South Texas Veterans Healthcare System, San Antonio, TX