Al- Salihi, Ban
(2024)
Addressing Congestive Heart Failure Burden in the USA: Mitigating Hospital Readmissions- UPMC Health Plan.
Master Essay, University of Pittsburgh.
Abstract
Congestive heart failure (CHF) is a prevalent condition in the United States that has great public health relevance. It impacts approximately 18 to 21 out of every 1,000 individuals, with 1.25 million hospital discharges diagnosed with heart failure in 2018. Projections suggest a significant increase in heart failure diagnoses, expected to rise by 46% from 2012 to 2030, reaching 8 million individuals in the United States, or nearly 3 out of every 100 U.S. adults, 20 years and older. Hospitalization rates for patients with CHF are approximately 18 per 100,000 individuals, resulting in approximately 700,000 inpatient admissions annually.
This results in a notable public health significance attributed to disease burden and high healthcare expenses, currently estimated at $30.7 billion annually, projected to rise to $69.8 billion by 2030 without intervention. Hospital admissions primarily drive these costs, prompting efforts
to reduce CHF-related readmissions. CHF significantly contributes to morbidity and mortality rates, emphasizing its ongoing public health impact. While some transitional care programs have reduced readmissions, varied outcomes stress the importance of evaluating program components
for future CHF management.
The post-acute care team assumes a central role in the continuum of care for patients with heart failure, specifically focusing on the crucial transition from hospital to home for patients with CHF. Its efforts are carefully detailed, encompassing various activities such as comprehensive discharge planning, meticulous medication management, patient education initiatives, and coordinating follow-up appointments with the patient's healthcare providers. This holistic approach ensures a seamless and robust transition, significantly reducing potential complications that might precipitate readmission.
This essay examines CHF's societal impact, focusing on optimizing care transitions to improve quality metrics and patient satisfaction. It evaluates healthcare team strategies and patient experiences, emphasizing optimal outcomes. From the payer's perspective, it discusses economic factors driving high-quality post-acute care for CHF insurance members, utilizing innovative technologies at UPMC Health Plan. The essay stresses ongoing monitoring and service reevaluation to meet patient needs and enhance care quality.
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Details
| Item Type: |
Other Thesis, Dissertation, or Long Paper
(Master Essay)
|
| Status: |
Unpublished |
| Creators/Authors: |
|
| Contributors: |
| Contribution | Contributors Name | Email | Pitt Username | ORCID  |
|---|
| Committee Chair | Perri, Angela L | angelalperri@pitt.edu | angelalperri | UNSPECIFIED | | Committee Member | Shah, Nilesh H | nhs3@pitt.edu | nhs3 | UNSPECIFIED | | Committee Member | Beckjord, Ellen | beckjorde@upmc.edu | UNSPECIFIED | UNSPECIFIED |
|
| Date: |
14 May 2024 |
| Date Type: |
Completion |
| Number of Pages: |
93 |
| Institution: |
University of Pittsburgh |
| Schools and Programs: |
School of Public Health > Health Policy & Management |
| Degree: |
MPH - Master of Public Health |
| Thesis Type: |
Master Essay |
| Refereed: |
Yes |
| Date Deposited: |
14 May 2024 19:39 |
| Last Modified: |
14 May 2024 19:39 |
| URI: |
http://d-scholarship.pitt.edu/id/eprint/46104 |
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