Heart failure is the leading cause of death among seniors, contributing to more than 300,000 deaths per year. Patients diagnosed with Heart Failure require specialized home care that takes into account the many risk factors that complicate and exacerbate their condition and co-morbidities.
25% of Heart Failure Patients are re-admitted to the hospital within 30 days of discharge.
Thankfully, many of these hospitalizations are preventable with appropriate home health care. 55% of re-hospitalizations occur due to fluid overload. Angina, Heart Attack and Arrhythmia account for an additional 40%—compounding the need for close, on-going care and monitoring in the home after patients are discharged.
In response to a growing need among seniors, Millcreek uses a home care plan that anticipates risk factors and implements proactive care to prevent re-hospitalizations for heart failure patients.
Millcreek's heart failure program is designed for patient success.
Each patient receives custom-tailored care, but until the patient stabilizes, Millcreek implements the following protocol to ensure patient success from the moment they are discharged from the hospital.
- All hospital discharge paperwork is sent to the patient’s Primary Care Physician and/or Cardiologist upon discharge.
- A Millcreek Case Manager facilitates a visit to a cardiologist or primary care physician within 2 weeks of discharge.
- Nursing orders are front loaded & include PRN visits, so that patients are seen frequently until they stabilize in the home environment.
- Daily vitals & weights are taken and reported if they are outside of Physician ordered parameters. If the patient does not have an accessible scale, Millcreek provides one at no cost.
- Physical & Occupational Therapy evaluations are ordered for home safety, energy conservation and home exercise plans.
- Standing orders for Medical Social Work are written when the patient lives alone or with an elderly caregiver.
- Patients receive a phone call on off visit days to check on them.
- Ongoing patient teaching about symptoms, emergency protocol, diet and exercise.
Our goal:
Reduce re-hospitalizations by providing quality care,
that allows patients recover safely in their homes.
For more information on Millcreek's Heart Failure program, contact us through our website www.millcreekhomehealth.com .