Document Type


Publication Date

December 2002


This article was published in Disease Management, December 2002, Vol. 5, No. 4: 215-223. ( Deposited by permission; copyright retained by Mary Ann Liebert, Inc.


A prevalent, chronic condition among members of the mushrooming elderly population in the United States, heart failure (HF) is a logical focus for population-based disease management. Evidence supporting the premise that multidisciplinary interventions can significantly improve clinical outcomes while decreasing the cost of medical care for people with HF is steadily mounting. A growing number of controlled and observational studies focus on the effects of HF disease management on re-admission rates, length of stay, and improvement in appropriate diagnostic testing and prescribing. This paper describes a large-scale, comprehensive HF program and reports on clinical quality, utilization, and financial outcomes observed after 1 year. The preliminary findings strengthen the case for comprehensive HF disease management as an effective means for improving clinical outcomes and reducing total medical costs for large patient populations.



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