What works in chronic care management: The case of heart failure

Julie Sochalski, Tiny Jaarsma, Harlan M. Krumholz, Ann Laramee, John J.V. McMurray, Mary D. Naylor, Michael W. Rich, Barbara Riegel, Simon Stewart

Research output: Contribution to journalArticlepeer-review

186 Citations (Scopus)


The evidence base of what works in chronic care management programs is underdeveloped. To fill the gap, we pooled and reanalyzed data from ten randomized clinical trials of heart failure care management programs to discern how program delivery methods contribute to patient outcomes. We found that patients enrolled in programs using multidisciplinary teams and in programs using in-person communication had significantly fewer hospital readmissions and readmission days than routine care patients had. Our study offers policymakers and health plan administrators important guideposts for developing an evidence base on which to build effective policy and programmatic initiatives for chronic care management.

Original languageEnglish
Pages (from-to)179-189
Number of pages11
JournalHealth Affairs
Issue number1
Publication statusPublished - 1 Jan 2009
Externally publishedYes


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