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       #Post#: 140--------------------------------------------------
       Impact on quality of care by home administration of heart
       pateints
   DIR By: admini5
       Date: May 13, 2015, 5:14 am
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       What is the impact on quality of care or population health by
       Home administration of intravenous diuretics to heart failure
       patient’s initiative?
       Improved quality of care resulting in better patient or
       population outcomes.
       Better self-management and patient/carer knowledge. The time to
       deliver the service including education of patients has been
       included within the cost of delivering the service. Due to the
       time it would take to deliver the service an additional outcome
       includes patient education.
       Staff across the pilots indicated that being in the patient’s
       home while administering the IV diuretics gives them more time
       to discuss the treatment and wider condition management with the
       patient and carer.
       An example of this from 1 site is when treatment of a patient in
       their home led to a package of social care being arranged, along
       with installation of a pendant alarm service, referral to day
       hospice and adaptations within the home. This may not have been
       identified as part of a hospital admission.
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