A multidisciplinary transition of care approach to reduce 30-day readmissions in heart failure patients.

Background: While advancements in pharmacologic and device therapies have improved survival, one in five adults with heart failure (HF) patients is readmitted within 30 days of discharge. Thus, the epidemic of HF is largely one of increasing hospitalizations.

Objective: To determine if a comprehensive HF program reduces 30-day readmission rate.

Integration of point-of-care ultrasound in a nurse practitioner-led heart failure clinic.

Background: Despite improved survival, one in five patients with heart failure (HF) is readmitted within 30 days of discharge. Assessing fluid status is challenging, with an estimated 50% accuracy when relying on physical examination alone. Pulmonary congestion is a risk factor for readmission and can manifest weeks before symptoms occur.