Heart Failure Readmissions and Dedicated Inpatient Coordinator–Led Transitional Care
4 affiliations
- 1Internal Medicine Residency Program, HCA Florida Brandon Hospital, Brandon, Florida, USA
- 2Internal Medicine Program, Baylor Scott and White Medical Center, Temple, Texas, USA
- 3Cardiovascular Disease Program, HCA Florida Brandon Hospital, Brandon, Florida, USA
- 4Bay Area Cardiology, Brandon, Florida, USA
Abstract
Background: Congestive heart failure (CHF) is a leading cause of adult hospitalization, with 30-day readmission rates remaining disproportionately high at approximately 25% despite medical advances.
Project Rationale: Transitional-care interventions are critical for bridging the gap between inpatient and outpatient settings. Real-world data are necessary to validate the efficacy of dedicated CHF coordinators and guide resource allocation.
Project Summary: A retrospective cohort study evaluated 11,269 adults admitted with acute decompensated CHF from January 2020 through October 2025. Comparing patients receiving a coordinator consultation to a control group, the intervention reduced the odds of 30-day all-cause readmissions by 92% and CHF-specific readmissions by 91%. At 90 days, the reductions were 88% and 85%, respectively.
Take-Home Messages: Inpatient consultation by a dedicated CHF coordinator significantly reduces 30-day and 90-day readmissions. Integrating this role into standard workflows improves long-term outcomes.
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BibTeX
@article{harwood2026heart,
title = {{Heart Failure Readmissions and Dedicated Inpatient Coordinator–Led Transitional Care}},
author = {Zachary Harwood and Ali Hassan and Shravya Kichena and James Plumb and Trushil R. Patel},
journal = {JACC Case Reports},
year = {2026},
month = sep,
doi = {10.1016/j.jaccas.2026.109731},
url = {https://doi.org/10.1016/j.jaccas.2026.109731},
note = {CC BY-NC-ND 4.0},
}
RIS
TY - JOUR
TI - Heart Failure Readmissions and Dedicated Inpatient Coordinator–Led Transitional Care
AU - Zachary Harwood
AU - Ali Hassan
AU - Shravya Kichena
AU - James Plumb
AU - Trushil R. Patel
PY - 2026
DA - 2026/09/16
JO - JACC Case Reports
DO - 10.1016/j.jaccas.2026.109731
UR - https://doi.org/10.1016/j.jaccas.2026.109731
AB - Background: Congestive heart failure (CHF) is a leading cause of adult hospitalization, with 30-day readmission rates remaining disproportionately high at approximately 25% despite medical advances. Project Rationale: Transitional-care interventions are critical for bridging the gap between inpatient and outpatient settings. Real-world data are necessary to validate the efficacy of dedicated CHF coordinators and guide resource allocation. Project Summary: A retrospective cohort study evaluated 11,269 adults admitted with acute decompensated CHF from January 2020 through October 2025. Comparing patients receiving a coordinator consultation to a control group, the intervention reduced the odds of 30-day all-cause readmissions by 92% and CHF-specific readmissions by 91%. At 90 days, the reductions were 88% and 85%, respectively. Take-Home Messages: Inpatient consultation by a dedicated CHF coordinator significantly reduces 30-day and 90-day readmissions. Integrating this role into standard workflows improves long-term outcomes.
SN - 2666-0849
ER -