1. Austin, Linda S. MD
  2. Landis, Catherine O. MN, RN
  3. Hanger, Kenneth H. Jr MD


Objective: The goal of this study was to determine if an interactive voice response system (IVRS) with daily self-management and clinical monitoring messages would be well accepted by patients and reduce 30-day congestive heart failure (CHF) readmissions.


BACKGROUND: Patient adherence to a treatment regimen contributes to successful management following discharge for CHF. Cost-effective, scalable technology solutions can be useful tools in reducing readmissions.


METHODS: Sixty inpatients with a primary diagnosis of CHF were provided voice messages delivered via an Mp3 player. Following discharge, patients received daily IVRS messages with self-management tips based on self-reporting of symptoms.


RESULTS: Greater than a 50% reduction in the 30-day readmission rate was realized for intervention patients.


CONCLUSIONS: An IVRS self-management support system can be an effective technology to reduce CHF readmissions.