PATIENT GOALS + Reduce the impact of symptoms on quality of life + Reduce anxiety and the stress of adapting to lifestyle changes to manage CHF + Feel better about themselves and their ability to resume activities of daily living + Keep out-of-pocket health costs to a minimum + Decrease ED visits and hospitalizations Program Goals and Objectives
PRACTICE GOALS: QUADRUPLE AIM PLUS + Improve patient compliance with self-care in a remote setting + Reduce cost of care, including avoidable ED visits and hospital readmissions + Increase adherence to care plan and medication compliance + Decrease tobacco use + Decrease missed or canceled appointments for office or telehealth visits + Increase patient satisfaction with lifestyle modifications + Increase patient satisfaction with practice + Increase efficiencies in practice operations (e.g. decreased patient phone calls) + Increase utilization and time spent by nurse triage on high-impact situations + Scale population served with existing clinical and service team + Increase practice visibility in community + Increase referrals + Increase joy in practice for The Heart House staff
SECTION 4 | THE HEART HOUSE CARDIAC CONCIERGE CARE PROGRAM
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