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Extending the Continuum of Care in Congestive Heart Failure: An Interactive Technology Self-management Solution

Austin, Linda S. MD; Landis, Catherine O. MN, RN; Hanger, Kenneth H. Jr MD

Journal of Nursing Administration: September 2012 - Volume 42 - Issue 9 - p 442–446
doi: 10.1097/NNA.0b013e3182668342

Objective: The goal of this study was to determine if an interactive voice response system (IVRS) with daily self-management and clinical monitoring messages would be well accepted by patients and reduce 30-day congestive heart failure (CHF) readmissions.

BACKGROUND: Patient adherence to a treatment regimen contributes to successful management following discharge for CHF. Cost-effective, scalable technology solutions can be useful tools in reducing readmissions.

METHODS: Sixty inpatients with a primary diagnosis of CHF were provided voice messages delivered via an Mp3 player. Following discharge, patients received daily IVRS messages with self-management tips based on self-reporting of symptoms.

RESULTS: Greater than a 50% reduction in the 30-day readmission rate was realized for intervention patients.

CONCLUSIONS: An IVRS self-management support system can be an effective technology to reduce CHF readmissions.

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Author Affiliations: Chief Medical Officer (Dr Austin) AudiaHealth, LLC, Charleston; Chief Nursing Officer (Ms Landis), East Cooper Hospital, Mt Pleasant; Chief of Department of Cardiology (Dr Hanger), Roper St Francis Healthcare, Charleston, South Carolina.

Dr Austin is employed by AudiaHealth, LLC.

Ms Landis and Dr Hanger have no conflicts of interest to report.

Correspondence: Dr Austin, AudiaHealth, LLC, 26 Bee St, Suite A, Charleston, SC 29403 (

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© 2012 Lippincott Williams & Wilkins, Inc.