The objective of this study is to assess the impact of health information technologies on clinical and financial outcomes for patients with symptomatic (NYHA Class II IV) heart failure. The information technologies include remote monitoring (telemonitoring) of vital signs and symptoms, an electronic health record system and clinical decision support systems. This study will test a scalable, reproducible model for technology-supported heart failure management; and its results should assist purchasers, payers, and policy makers in selecting health information technologies to improve clinical and financial outcomes.
"An estimated 4.8 million Americans have heart failure, with an estimated 400,000 new cases arising each year," explains Dr. Goldberg. "The costs of treating these patients are skyrocketing and are only expected to grow as the population ages. In order to curb healthcare costs, we hope to develop protocols by which we can provide patients with the latest proven technologies to help them manage their homecare more effectively in order to reduce emergency rooms visits and improve outcomes."
The study will evaluate two different configurations of health information technologies. One is Technology Supported Case Management, a combination of telemonitoring and telephone nurse case management. The other is Technology Supported Self Management, which combines telemonitoring with an expert clinical-decision support system that assesses
Contact: Ed Federico
University of Pennsylvania School of Medicine