Even on a Large Scale, Weight May Not Matter
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With the advent of the Hospital Readmissions Reduction Program in 2009,1 and the financial penalties bestowed on institutions for not meeting expected metrics by the Centers for Medicare and Medicaid Services in 2012,2 much attention has been dedicated toward readmission reduction. This is particularly true in the heart failure population, which accounts for >1 million hospital visits and $31 billion per year in healthcare expenditures, mostly driven by hospital costs.3 Recurrent congestion is the major driving force returning the patient with heart failure through the hospital revolving doors, and a quarter of hospitalized patients with heart failure will be readmitted within 30 days.4 Thus, countless strategies have been devoted to improving transitions of care and monitoring of this patient population after they leave the hospital. However, such personalized care can be inconvenient for patients and resource and time intensive for healthcare providers. Therefore, there has recently been a flurry of technologically driven telemonitoring attempts, most of which have disappointingly failed to improve outcomes.5,6
See Article by Al-Chekakie et al
In this issue of Circulation: Cardiovascular Quality and Outcomes, Al-Chekakie et al7 describe the use of supplemented remote patient monitoring (RPM+; n=4106) compared with standard RPM (n=14 183) via …