Congestive Heart Failure--Experience in OPTIMISTIC facilities

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Medicine and Health Sciences


This project, OPTIMISTIC, is a retrospective study that focuses on Congestive Heart Failure(CHF) in Indiana Nursing homes. The purpose of the study was to find better ways in which to implement in house care to these CHF patients rather than transferring them to the hospital. There were a variety of data analytics tools, primarily IU REDCAP, uses to pull charts from the OPTIMISTIC nursing homes in Indiana. Five of the nursing homes were selected and used for this study. All five nursing homes were travelled to and the on-campus charts were reviewed as well as any online charts they used in their facilities. A data collection tool was used to collect specific data for each patient that was used in the study. The results indicated that while CHF is a very hard disease to manage the Nursing homes were doing an adequate job of treating them in house. 53.3 % of the patients returned to pre-certification condition and remained in the nursing home. Most nursing homes in the study followed the OPTIMISTIC program in which they were prescribing a diuretic as the first line agent. In conclusion, the OPTIMSITC program is decreasing hospital transfers within the Indiana nursing homes as well as saving health care dollars. In the future focusing a research project on the art of charting a patient in a medical database could be very helpful. The discrepancies between the nursing home charts brought forward a major problem in the medical industry as a whole.


Copyright 2019 all authors


Indiana University School of Medicine and Indiana Clinical and Translational Sciences Institute, Regenstrief Institute, Indiana University Center for Aging Research, Marian University College of Osteopathic Medicine

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