Main Findings : The results indicate that an intervention involving any human factor principles may nearly double an individual ’s probability of not being readmitted .
Principal Conclusions : Interventions with human factor principles reduce readmissions among HF patients .
Background : Human factors play an important role in health-care outcomes of heart failure ( HF ) patients .
A systematic review and meta- analysis of clinical trial studies on HF hospitalization may yield positive proofs of the beneficial effect of specific care management strategies .
Purpose : To investigate how the 8 guiding principles of choice , rest , environment , activity , trust , interpersonal relationships , outlook , and nutrition reduce HF readmissions .
An effectiveness and cost-benefit analysis of a hospital-based discharge transition program for elderly Medicare recipients.
OBJECTIVE To investigate the business case of  postdischarge care transition ( PDCT ) among Medicare beneficiaries by conducting a cost-benefit analysis . DESIGN R and omized controlled trial . SETTING A general hospital in upstate New York State . PARTICIPANTS Elderly Medicare beneficiaries being treated from October 2008 through December 2009 were r and omly selected to receive services as part of a comprehensive PDCT program ( intervention--173 patients ) or regular discharge process ( control--160 patients ) and followed for 12 months . INTERVENTION The intervention comprised five activities : development of a patient-centered health record , a structured discharge preparation checklist of critical activities , delivery of patient self-activation and management sessions , follow-up appointments , and coordination of data flow . MEASUREMENTS Cost-benefit ratio of the PDCT program ;  self-management skills and abilities . RESULTS The 1-year readmission analysis revealed that control participants were more likely to be readmitted than intervention participants ( 58.2 % vs 48.2 % ; P = .08 ) ; with most of that difference observed in the 91 to 365 days after discharge . Findings from the cost-benefit analysis revealed a cost-benefit ratio of 1.09 , which indicates that , for every $ 1 spent on the program , a saving of $ 1.09 was realized . In addition , participating in a care transition program significantly enhanced self-management skills and abilities . CONCLUSION Postdischarge care transition programs have a dual benefit of enhancing elderly adults ' self-management skills and abilities and producing cost savings . This study builds a case for the inclusion of PDCT programs as a reimbursable service in benefit packages
Main Findings : The results indicate that an intervention involving any human factor principles may nearly double an individual ’s probability of not being readmitted .
Principal Conclusions : Interventions with human factor principles reduce readmissions among HF patients .
Background : Human factors play an important role in health-care outcomes of heart failure ( HF ) patients .
A systematic review and meta- analysis of clinical trial studies on HF hospitalization may yield positive proofs of the beneficial effect of specific care management strategies .
Purpose : To investigate how the 8 guiding principles of choice , rest , environment , activity , trust , interpersonal relationships , outlook , and nutrition reduce HF readmissions .