Journal of Cardiac Failure
Volume 16, Issue 11 , Pages 859-866 , November 2010

Cost of Medical Services in Older Patients With Heart Failure: Those Receiving Enhanced Monitoring Using a Computer-Based Telephonic Monitoring System Compared With Those in Usual Care: The Heart Failure Home Care Trial

  • Ozlem Z. Soran, MD, MPH, FACC, FESC

      Affiliations

    • Cardiovascular Institute, University of Pittsburgh Medical Center, Pittsburgh, PA
    • Corresponding Author InformationReprint requests: Ozlem Z. Soran, MD, MPH, FACC, FESC, Associate Professor of Medicine, Associate Professor of Epidemiology/ Research, University of Pittsburgh Cardiovascular Institute, 200 Lothrop Street, UPMC, Presbyterian Hospital, PUH, F-748, Pittsburgh, PA, 15213. Tel: (412) 647-4411; Fax: (412) 647-7005.
  • ,
  • Arthur M. Feldman, MD, PhD

      Affiliations

    • Department of Medicine, Jefferson Medical College, Philadelphia, PA
  • ,
  • Ileana L. Piña, MD

      Affiliations

    • Case Western Reserve University, Cleveland, OH
  • ,
  • Gervasio A. Lamas, MD, PhD

      Affiliations

    • Cardiovascular Division University of Miami Miller School of Medicine, Miami, FL
  • ,
  • Sheryl F. Kelsey, PhD

      Affiliations

    • Department of Epidemiology, Graduate School of Public Health, University of Pittsburgh, Pittsburgh, PA
  • ,
  • Faith Selzer, PhD

      Affiliations

    • Department of Epidemiology, Graduate School of Public Health, University of Pittsburgh, Pittsburgh, PA
  • ,
  • John Pilotte, MHS

      Affiliations

    • Centers for Medicare & Medicaid Services, Baltimore, MD
  • ,
  • Judith R. Lave, PhD

      Affiliations

    • Department of Health Policy & Management Graduate School of Public Health University of Pittsburgh, Pittsburgh, PA

Received 18 November 2009 ,Revised 18 May 2010 ,Accepted 28 May 2010.

References 

  1. American Heart Association. 2007 Heart and Stroke Statistical Update. Dallas, TX: American Heart Association; 2007;
  2. Rich MW. Epidemiology, pathophysiology, and etiology of congestive heart failure in older adults. J Am Geriatr Soc. 1997;45:968–974
  3. Riegel B, Carlson B, Kopp Z, LePetri B, Glaser D, Unger A. Effect of a standardized nurse case-management telephone intervention on resource use in patients with chronic heart failure. Arch Intern Med. 2002;162:705–712
  4. Rich MW, Beckham V, Wittenberg C, Leven CL, Freedland KE, Carney RM. A multidisciplinary intervention to prevent the readmission of elderly patients with congestive heart failure. N Engl J Med. 1995;333:1190–1195
  5. Naylor M, Brooten D, Jones R, Lavizzo-Mourey R, Mezey M, Pauly M. Comprehensive discharge planning for hospitalized elderly: a randomized clinical trial. Ann Intern Med. 1994;120:999–1006
  6. Naylor MD, Brooten D, Campbell R, Jacobsen BS, Mezey MD, Pauly MV, et al. Comprehensive discharge planning and home follow-up of hospitalized elders: a randomized clinical trial. JAMA. 1999;281:613–620
  7. Berg GD, Wadhwa S, Johnson AE. A matched-cohort study of health services utilization and financial outcomes for a heart failure disease-management program in elderly patients. J Am Geriatr Soc. 2004;52:1655–1661
  8. Goldberg LR, Piette JD, Walsh MN, Frank TA, Jaski BE, Smith AL, et al. (WHARF Investigators). Randomized trial of a daily electronic home monitoring system in patients with advanced heart failure: the Weight Monitoring in Heart Failure (WHARF) trial. Am Heart J. 2003;146:705–712
  9. Rich MW. Heart failure disease management programs: efficacy and limitations. Am J Med. 2001;110:410–412
  10. Soran O, Piña IL, Lamas GE, Kelsey SF, Selzer F, Pilotte J, et al. A randomized clinical trial of the clinical effects of enhanced heart failure monitoring using a computer based telephonic monitoring system in older minorities and women. J Card Fail. 2008;14:711–717
  11. Ware JE, Kosinski M, Keller SD. A 12-Item Short-Form Health Survey: construction of scales and preliminary tests of reliability and validity. Med Care. 1996;34:220–233
  12. Green CP, Bresnahan D, Porter C, Spertus JA. Development and evaluation of the Kansas City Heart Failure Questionnaire. J Am Coll Cardiol. 2000;35:1245–1255
  13. Lave JR, Pashos CL, Anderson GF, Bubolz T, Conrad D, Freund DA, et al. Costing medical care using medicare administrative data. Med Care. 1994;32:JS77–JS89
  14. Jerant AF, Azari R, Nesbitt TS. Reducing the costs of frequent hospital admissions for congestive heart failure: a randomized trial of a home telecare intervention. Med Care. 2001;39:1234–1245
  15. Heidenreich PA, Ruggerio CM, Massie BM. Effect of a home monitoring system on hospitalization and resource use for patients with heart failure. Am Heart J. 1999;138:633–640
  16. Johnson B, Wheeler L, Deuser J, Sousa KH. Outcomes of the Kaiser Permanente Tele-Home Health Research Project. Arch Fam Med. 2000;9:40–45
  17. Kesinger T, Gilani S, Jennison SH. Electronic home monitoring reduces hospital admission, length of stay and readmission frequency in a selected heart failure population. J Card Fail. 2002;8:S94
  18. Heart Failure Society of America . Executive summary: HFSA 2006 Comprehensive Heart Failure Practice Guideline. J Card Fail. 2006;12:10–38
  19. Stewart S, Marley JE, Horowitz JD. Effects of a multidisciplinary, home-based intervention on unplanned readmissions and survival among patients with chronic congestive heart failure: a randomised controlled study. Lancet. 1999;354(9184):1077–1083
  20. Fonarow GC, Stevenson LW, Walden JA, Livingston NA, Steimle AE, Hamilton MA, et al. Impact of a comprehensive heart failure management program on hospital readmission and functional status of patients with advanced heart failure. J Am Col Cardiol. 1997;30:725–732
  21. Kimmelstiel C, Levine D, Perry K, Patel AR, Sadaniantz A, Gorham N, et al. Randomized, controlled evaluation of short- and long-term benefits of heart failure disease management within a diverse provider network: the SPAN-CHF trial. Circulation. 2004;110:1450–1455
  22. Galbreath AD, Krasuski RA, Smith B, Stajduhar KC, Kwan MD, Ellis R, et al. Long-term health care and cost outcomes of disease management in a large, randomized, community-based population with heart failure. Circulation. 2004;110:3518–3526
  23. Rich MW, Nease RF. Cost-effectiveness analyses in clinical practice: the case of heart failure. Arch Intern Med. 1999;159:1690–1700
  24. GESICA Investigators. Randomized trial of telephone intervention in chronic heart failure: DIAL trial. BMJ. 2005;331:425
  25. Riegel B, Carlson B, Glaser D, Romero T. Randomized controlled trial of telephone case management in Hispanics of Mexican origin with heart failure. J Card Fail. 2006;12:211–219
  26. Bocchi EA, Cruz F, Guimarães G, Pinho Moreira LF, Issa VS, Ayub Ferreira SM, et al. Long-term Prospective, Randomized, Control Study Using Repetitive Education at 6 Month Intervals and Monitoring for adherence in Heart Failure Outpatients—The REMADHE Trial. Circ Heart Fail. 2008;1:115–124
  27. Jaarsma T, van der Wal MH, Lesman-Leegte I, Luttik ML, Hogenhuis J, Veeger NJ, et al. Coordinating Study Evaluating Outcomes of Advising and Counseling in Heart Failure (COACH) Investigators. Effect of moderate or intensive disease management program on outcome in patients with heart failure: Coordinating Study Evaluating Outcomes of Advising and Counseling in Heart Failure (COACH). Arch Intern Med. 2008;168:316–324
  28. The Dartmouth Atlas of Health Care. Available at: http://www.dartmouthatlas.org/data/map.aspx?ind=124&ch=35%2c19&tf=10&loct=3. Accessed May 6, 2010.

 Grant Support: Centers for Medicare & Medicaid Services Baltimore, MD.

 See page 865 for disclosure information.

PII: S1071-9164(10)00250-2

doi: 10.1016/j.cardfail.2010.05.028

Journal of Cardiac Failure
Volume 16, Issue 11 , Pages 859-866 , November 2010