Evaluation of a Nurse Case Management Model for Chronic Heart Failure (CHF ENCORE)
Heart Failure, Congestive
About this trial
This is an interventional treatment trial for Heart Failure, Congestive focused on measuring Nurse practitioners, Case management
Eligibility Criteria
Inclusion Criteria: Patient receives all cardiology care at a VISN 11 VAMC. Must have chronic heart failure (CHF) secondary to systolic or diastolic dysfunction, as defined by meeting (1) or (2) below: Systolic Dysfunction, defined by a history or documentation of LVEF = 40% (or fractional shortening = 20%-if LVEF not documented) AND at least ONE of the following: Current diagnosis or history of CHF and/or Physical findings and/or symptoms of CHF within two months of enrollment and/or Hospitalization for CHF within 12 months OR Diastolic Dysfunction, defined by a history of documentation of LVEF > 40% (or fractional shortening > 20% if LVEF not documented) AND Physical findings and/or symptoms of CHF within two months of enrollment. Exclusion Criteria: Based on medical record data, patient does not have any co-morbidity other than CHF which, in the opinion of the investigator, limits life expectancy to less than six months (e.g., metastatic CA, hospice care, renal failure with a creatinine above 5.0 mg/dL or on dialysis, HIV).
Sites / Locations
- VA Illiana Health Care System, Danville, IL
- Richard L. Roudebush VA Medical Center, Indianapolis, IN
- VA Ann Arbor Healthcare System, Ann Arbor, MI
- John D. Dingell VA Medical Center, Detroit, MI
Arms of the Study
Arm 1
Other
Arm 1