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Program keeps close watch on high-risk home health patients

By Vanderbilt University Medical Center  
   June 16, 2023

The CDM program complements in-person medical visits and traditional home health services with regular telehealth calls from a registered nurse. Qualifying conditions include heart failure, chronic obstructive pulmonary disease, diabetes, and pneumonia, as well as post-coronary artery bypass surgery and post-heart attack. “The increased communication with patients helps provide education on how to monitor chronic conditions, ensures patients have the appropriate medications and supplies to successfully manage their chronic conditions at home, provides updates to the medical team when necessary, and ultimately aims to reduce hospitalizations,” said Kristina Niehoff, PharmD, who oversees the CDM program.

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