Collaboration of Care through Home Telehealth for HF

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Presentation transcript:

Collaboration of Care through Home Telehealth for HF Evidence Based Outcomes Veteran self-management skills supported Veteran satisfaction exceeds goals Collaboration supports HF management Hospital readmission rates decrease Collaboration between PACT, Home Telehealth, and Specialty Providers (Cardiology / HF clinics) supports management Veteran Engagement - Assessment + “S.M.A.R.T.” Goal Setting RN Monitoring Problem Identification Interdisciplinary collaboration Early Intervention Communication – Partnership : Veteran, Telehealth RN + Care Team Veteran Improved self management + outcomes Disease Management Protocol (DMP) Topics What is heart failure? Symptom recognition / knowing when + who to call Preventing problems Managing HF symptoms Proper use of medications Monitoring fluid intake Working with your health care team Daily weights Managing Blood Pressure Diet Tobacco and alcohol use Benefits of physical activity Safety with exercise Health promotion and vaccines Preparing for emergencies Living a healthy lifestyle Advance directives Poster Presenter: Debora Deverel, MSN, RN Home Telehealth VA Palo Alto Health Care System VISN 21 Debora.Deverel@va.gov June, 2016

References: Antonicelli, R., Mazzanti, I., Abbatecola, A., Parati, G., (2010). Impact of Home Patient Telemonitoring on Use of beta blockers in Congestive Heart Failure. Drugs Aging , 801-805, 2010. Baker, L., Macaulay, D., Sorg, R., Diener, M., Johnson, S., & Birnbaum, H. (2013). Effects of Care Management and Telehealth: A Longitudinal Analysis Using Medicare Data. Journal of American Geriatrics Society, 61, 1560-1567. doi:10.1111/jgs.12407 Darkins, A., Kendall, S., Edmonson, E., Young, M., & Stressel, P. (2015). Reduced Cost and Mortality Using Home Telehealth to promote Self-Management of Complex Chronic Conditions: A retrospective Matched cohort Study of 4,999 Veteran Patients. Telemedicine and E-Health, (January). doi:10.1089/tmj.2014.0067 Noel, H., Vogel, D., Cornwall, D., & Levin, F. (n.d.). Home telehealth reduces healthcare costs. Telemedicine, 10(2), 170-173. Smith, A. C. (2013). Effect of Telemonitoring on Re-Admission in Patients with Congestive Heart Failure. Medsurg Nursing, 22(1), January/February, 39-44.