Decreasing 30-Day Readmission Rates in Patients With Heart Failure

Author(s): Nancy Rizzuto, DNP, MSN, ANP, CCRN, Greg Charles, MHA, M. Tish Knobf, PhD, RN

Contact Hours 1.00

CERP A 1.00

Expires Aug 01, 2025

Topics: Cardiovascular

Population: Adult

Role: Staff

Member: Free
NonMember: $10.00

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Activity Summary

Required reading for all learners: Implicit Bias impacts patient outcomes

Despite advances in the treatment of heart failure, patient optimization remains a challenge for health care providers. The purpose of this project was to Reduce 30 - day hospital readmission rate for Heart Failure (HF) by implementing a comprehensive self-care program for patients and families. This Project was guided by the Transitional Care Model (Naylor 2017) and was implemented on a Telemetry unit in an acute care setting. The project design was a quality improvement project of all patients admitted to this unit with a diagnosis of HF. The implementation of an Evidence Based HF program demonstrated improvement in self- care when patients were provided adequate education and resources. The multidisciplinary team approach reduced gaps in care, provided better coordination and transition of care, thus leading to a decrease in readmission rates.


  • Define the four core measures for patients with heart failure prior to discharge from a hospital.
  • Describe how to create the infrastructure to support an evidence-based heart failure program.
  • Identify the necessary counseling and appropriate discharge instructions for patients.

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Successful Completion

Learners must attend/view/read the entire activity, read Implicit Bias impacts patient outcomes, and complete the associated evaluation to be awarded the contact hours or CERP. No partial credit will be awarded.


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