Heart failure is the leading cause of hospitalization in men and women age 64 and older. In addition, 27% of those who are hospitalized once are readmitted within 30 days (Jencks et al 2009).
In 2014, the Healthcare Cost and Utilization Project found that among Medicare patients, Congestive Heart Failure was the cause of 134,500 readmissions resulting in a cost of $1,747,000,000. This is an average cost of $13,000 per readmission (Hines et al 2014).
Many studies and meta-analyses have found that self care programs can reduce hospital admissions by 40% or more (Jovicic 2006).
Thus, assisting patients to manage their own care is an essential component of chronic HF management. This App is based on Evidence Based Guidelines to empower patients to follow a Self Care Program in order to reduce readmissions and hospitalizations.
Multidisciplinary strategies for the management of heart failure patients at high risk for admission: a systematic review of randomized trials.
Programs that focused on enhancing patient self-care activities reduced HF hospitalizations (RR 0.66, 95% CI 0.52 to 0.83) and all-cause hospitalizations (RR 0.73, 95% CI 0.57 to 0.93) but had no effect on mortality (RR 1.14, 95% CI 0.67 to 1.94). This app focuses on patient self care.
Effects of self-management intervention on health outcomes of patients with heart failure: a systematic review of randomized controlled trials.
A Statement for Healthcare Professionals From the American Heart Association and the American Association of Cardiovascular and Pulmonary Rehabilitation Writing Group on the core components of a cardiac rehabilitation program. The components are reflected in this App.
Telemonitoring or structured telephone support programmes for patients with chronic heart failure: systematic review and meta-analysis.
Clark RA, Inglis SC, McAlister FA, Cleland JG, Stewart S
Programmes for chronic heart failure that include remote monitoring have a positive effect on clinical outcomes in community dwelling patients with chronic heart failure. This App facilitates remote monitoring of heart failure patients and should reduce readmissions.
Interventions to improve medication adherence among HF patients have significant effects on reducing readmissions and decreasing mortality. Medication adherence should be addressed in regular follow‐up visits with HF patients, and interventions to improve adherence should be a key part of HF self‐care programs. This App is an intervention to increase medication adherence