Pilot Program to Improve Self-Management of Patients with Heart Failure by Redesigning Care Coordination

Table 3

Result of postdischarge phone call questions relative to study group.

Follow-up phone call outcomes	Intervention group; % yes (𝑛)	Standard care group; % yes (𝑛)	𝑃 value
Patient has a follow-up appointment scheduled	85.00 (17)	85.00 (17)	1.000
Patient has scale at home*	95.00 (19)	55.00 (11)	0.004
Patient weighs self every day*	95.00 (19)	30.00 (6)	<0.0001
Patient writes down weight*	90.00 (18)	35.00 (7)	<0.0001
Patient is watching BP since discharge	75.00 (15)	70.00 (14)	0.723
Patient has BP cuff at home	80.00 (16)	85.00 (17)	1.000
Patient checks BP every day	65.00 (13)	60.00 (12)	0.744
Patient told by VA to restrict diet	100.00 (20)	85.00 (17)	0.231
Patient told by VA to restrict fluids	80.00 (16)	65.00 (13)	0.288
Patient understands consequences of high sodium diet	78.95 (15)	65.00 (13)	0.480
Patient has all the medications	95.00 (19)	100.00 (19)	1.000
Does patient recall HF symptoms to watch out for	95.00 (19)	90.00 (18)	1.000
Patient has understanding of what to do when HF symptoms present	85.00 (17)	80.00 (16)	1.000
Patient knows who to call if HF symptoms present	100.00 (20)	85.00 (17)	0.231
Patient is practicing different/new health behaviors*	89.47 (17)	55.56 (10)	0.029

∗Postdischarge phone call questions that were significantly different (𝑃 value <0.05) between groups.