The Difference in Outcomes for The Use of Telemonitoring on Elderly Home Care Patients with a Primary or Secondary Diagnosis of Heart Failure

2.50
Hdl Handle:
http://hdl.handle.net/10755/159759
Type:
Presentation
Title:
The Difference in Outcomes for The Use of Telemonitoring on Elderly Home Care Patients with a Primary or Secondary Diagnosis of Heart Failure
Abstract:
The Difference in Outcomes for The Use of Telemonitoring on Elderly Home Care Patients with a Primary or Secondary Diagnosis of Heart Failure
Conference Sponsor:Midwest Nursing Research Society
Conference Year:2009
Author:Hoover, Carrie, PhD
P.I. Institution Name:College of St. Benedict/St. John's University
Title:Nursing
Contact Address:37 S. College Avenue, St. Joseph, MN, 56374-2099, USA
Contact Telephone:320-333-7550
Co-Authors:C. Hoover, The College of St.Benedict/St.John's University, St. Joseph, MN;
In order to reduce the impact of HF through maintenance or improvement of functional status, early detection of progressing HF symptoms through telemonitoring (TM) are gaining attention as a method to monitor health more frequently and assist with the provision of quality efficient home care services. The purpose of this study was to examine TM services for HF patients receiving home care using an adapted version of Donabedian's quality model. The impact of patient characteristics and process of care delivery through TM on clinical, health care utilization and cost outcomes were examined for patients with a primary or secondary diagnosis of HF who had received home care services. The Outcome and Assessment Information Set (OASIS) was used to gather study variables on 282 Medicare patients admitted to one central Midwestern home care agency during a five year time period. The TM group, n=174, had a reduction in ER visits (10.3%) when compared with the non-monitored group, n=108, (25%), p<.01. There were no significant differences between the two groups for clinical indicators, other health care utilization, or cost outcomes. The mean total number of home care visits was higher in the comparison group (26 versus 20). A secondary diagnosis of HF on admission to home care was associated with an increased number of home care visits (p < .05), length of stay (p<.05) and 30-day home care costs (p<.05), when compared to a primary diagnosis of HF. The reductions in health care utilization may have been influenced by a primary diagnosis of HF. Research with a focus on a secondary diagnosis of HF who may also benefit from TM services, but may respond differently than those with a primary diagnosis is needed. The results of this study concluded this population may be more at risk for readmissions and frequent ER visits.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Midwest Nursing Research Society

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleThe Difference in Outcomes for The Use of Telemonitoring on Elderly Home Care Patients with a Primary or Secondary Diagnosis of Heart Failureen_GB
dc.identifier.urihttp://hdl.handle.net/10755/159759-
dc.description.abstract<table><tr><td colspan="2" class="item-title">The Difference in Outcomes for The Use of Telemonitoring on Elderly Home Care Patients with a Primary or Secondary Diagnosis of Heart Failure</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Midwest Nursing Research Society</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2009</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Hoover, Carrie, PhD</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">College of St. Benedict/St. John's University</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Nursing</td></tr><tr class="item-address"><td class="label">Contact Address:</td><td class="value">37 S. College Avenue, St. Joseph, MN, 56374-2099, USA</td></tr><tr class="item-phone"><td class="label">Contact Telephone:</td><td class="value">320-333-7550</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">choover@csbsju.edu</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">C. Hoover, The College of St.Benedict/St.John's University, St. Joseph, MN;</td></tr><tr><td colspan="2" class="item-abstract">In order to reduce the impact of HF through maintenance or improvement of functional status, early detection of progressing HF symptoms through telemonitoring (TM) are gaining attention as a method to monitor health more frequently and assist with the provision of quality efficient home care services. The purpose of this study was to examine TM services for HF patients receiving home care using an adapted version of Donabedian's quality model. The impact of patient characteristics and process of care delivery through TM on clinical, health care utilization and cost outcomes were examined for patients with a primary or secondary diagnosis of HF who had received home care services. The Outcome and Assessment Information Set (OASIS) was used to gather study variables on 282 Medicare patients admitted to one central Midwestern home care agency during a five year time period. The TM group, n=174, had a reduction in ER visits (10.3%) when compared with the non-monitored group, n=108, (25%), p&lt;.01. There were no significant differences between the two groups for clinical indicators, other health care utilization, or cost outcomes. The mean total number of home care visits was higher in the comparison group (26 versus 20). A secondary diagnosis of HF on admission to home care was associated with an increased number of home care visits (p &lt; .05), length of stay (p&lt;.05) and 30-day home care costs (p&lt;.05), when compared to a primary diagnosis of HF. The reductions in health care utilization may have been influenced by a primary diagnosis of HF. Research with a focus on a secondary diagnosis of HF who may also benefit from TM services, but may respond differently than those with a primary diagnosis is needed. The results of this study concluded this population may be more at risk for readmissions and frequent ER visits.</td></tr></table>en_GB
dc.date.available2011-10-26T22:18:30Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T22:18:30Z-
dc.description.sponsorshipMidwest Nursing Research Societyen_GB
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