caa a22 4500 605478880 CHVBK 20210128100407.0 cr unu---uuuuu 210128e20150501xx s 000 0 eng 10.1007/s10741-014-9459-2 doi (NATIONALLICENCE)springer-10.1007/s10741-014-9459-2 Hospital readmission in heart failure, a novel analysis of a longstanding problem [Elektronische Daten] [Brett Sperry, George Ruiz, Samer Najjar] Acute decompensated heart failure is a significant source of morbidity and mortality in the USA. It is the most common reason for admission in the Medicare population and the greatest cause of hospital readmission in both medical and surgical patients. As many of these readmissions are considered preventable, providers and hospital systems are seeking novel strategies to reduce rehospitalization. Several specific interventions have been shown to decrease readmission for heart failure. However, these are typically narrow in scope, focusing on one aspect of patient care and providing a one-size-fits-all approach. We review the data and propose integrating some of these interventions into a comprehensive patient-centered model that is organized into six categories: quality of medical management, early reassessment, health literacy, neuropsychological status, financial means and functional status. By screening for deficiencies in each of these categories, providers and hospital systems can use resources more efficiently to make targeted interventions to improve health outcomes and mitigate readmissions. Springer Science+Business Media New York, 2014 Heart failure nationallicence Patient readmission nationallicence Health literacy nationallicence Patient discharge nationallicence Telemedicine nationallicence Self care nationallicence Sperry Brett Cleveland Clinic Foundation, Cleveland, OH, USA aut Ruiz George MedStar Washington Hospital Center, Washington, DC, USA aut Najjar Samer MedStar Washington Hospital Center, Washington, DC, USA aut Heart Failure Reviews Springer US; http://www.springer-ny.com 20/3(2015-05-01), 251-258 1382-4147 20:3<251 2015 20 10741 https://doi.org/10.1007/s10741-014-9459-2 text/html Onlinezugriff via DOI BK010053 XK010053 XK010000 Metadata rights reserved Springer special CC-BY-NC licence nationallicence 1 research-article jats NATIONALLICENCE NATIONALLICENCE NL-springer NATIONALLICENCE 856 40 https://doi.org/10.1007/s10741-014-9459-2 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Sperry Brett Cleveland Clinic Foundation, Cleveland, OH, USA aut NATIONALLICENCE 700 1- Ruiz George MedStar Washington Hospital Center, Washington, DC, USA aut NATIONALLICENCE 700 1- Najjar Samer MedStar Washington Hospital Center, Washington, DC, USA aut NATIONALLICENCE 773 0- Heart Failure Reviews Springer US; http://www.springer-ny.com 20/3(2015-05-01), 251-258 1382-4147 20:3<251 2015 20 10741