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Home Healthcare Visits Following Hospital Discharge

Does the Timing of Visits Affect 30-Day Hospital Readmission Rates for Heart Failure Patients?

Strano, April, MBA, BSN, RN; Briggs, Andrea, ADN, RN; Powell, Nicole, ADN, RN; Brockman, Jody, ADN, RN; Taylor, Jennifer, MSN, RN; Butler, Amy, BSN, RN; Soendker, Marcheta, ADN, RN; Upschulte, Shirley, BSN, RN; Long, Ellen, MSN, RN; Wills, Rebecca, BSN, RN; Ward-Smith, Peggy, PhD, RN

doi: 10.1097/NHH.0000000000000740
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The purpose of this study was to determine if the timing of home care visits post hospitalization for heart failure influenced hospital readmission rates. Using a randomized control study design, hospital readmission data were collected from 67 recently discharged patients with heart failure. The control group (n = 32) received the usual care, whereas the intervention group (n = 35) received an altered scheduling of home care visits. Seven study participants were readmitted during the study time frame (control group n = 3; intervention group n = 4). Emergency room visits occurred three times (control group n = 1; intervention group n = 2). The timing of the home healthcare visit did not affect hospital readmission. Adherence to weight monitoring, fluid restriction, and medication administration improved with the home care visits. Greater attention to these activities should be the focus of home healthcare visits as they may decrease hospital readmissions.

April Strano, MBA, BSN, RN, is a Staff Nurse, Home Health Care, North Kansas City Hospital, Kansas City, Missouri.

Andrea Briggs, ADN, RN, is a Staff Nurse, Home Health Care, North Kansas City Hospital, Kansas City, Missouri.

Nicole Powell, ADN, RN, is a Staff Nurse, Home Health Care, North Kansas City Hospital, Kansas City, Missouri.

Jody Brockman, ADN, RN, is a Staff Nurse, Home Health Care, North Kansas City Hospital, Kansas City, Missouri.

Jennifer Taylor, MSN, RN, is a Staff Nurse, Home Health Care, North Kansas City Hospital, Kansas City, Missouri.

Amy Butler, BSN, RN, is a Staff Nurse, Home Health Care, North Kansas City Hospital, Kansas City, Missouri.

Marcheta Soendker, ADN, RN, is a Staff Nurse, Home Health Care, North Kansas City Hospital, Kansas City, Missouri.

Shirley Upschulte, BSN, RN, is a Staff Nurse, Home Health Care, North Kansas City Hospital, Kansas City, Missouri.

Ellen Long, MSN, RN, is a Staff Nurse, Home Health Care, North Kansas City Hospital, Kansas City, Missouri.

Rebecca Wills, BSN, RN, is a Staff Nurse, Home Health Care, North Kansas City Hospital, Kansas City, Missouri.

Peggy Ward-Smith, PhD, RN, is an Associate Professor, School of Nursing and Health Studies, University of Missouri—Kansas City, Kansas City, Missouri.

The authors declare no conflicts of interest.

Address for correspondence: Peggy Ward-Smith, PhD, RN, 25606 E 99th Street, Lees Summit, MO 64086 (wardsmithp@umkc.edu).

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