Hosp Case Manag. 1998 Feb;6(2):26-8, 33.
Evanston (IL) Hospital's continuum-focused clinical pathway for congestive heart failure (CHF) has racked up some impressive numbers since its implementation in 1995: Length of stay has dropped from 6.2 days to four days--three less than the national average--while direct treatment costs have dropped by 60%. At the same time, the 30-day readmission rate has fallen from 19% to only 2.6%. Case managers at Evanston attribute much of the pathway's success to its ability to quickly mobilize team members and allow them efficient access to necessary resources. The drop in 30-day readmissions has resulted from Evanston's automated tele-management program, which allows CHF patients to phone in their daily weights and answer questions related to their current health status.
自1995年实施以来，伊利诺伊州埃文斯顿医院针对充血性心力衰竭（CHF）制定的以连续护理为重点的临床路径取得了一些令人瞩目的数据：住院时间从6.2天降至4天——比全国平均水平少3天——而直接治疗成本下降了60%。与此同时，30天再入院率从19%降至仅2.6%。埃文斯顿医院的病例管理人员将该路径的成功很大程度上归功于其能够迅速动员团队成员并让他们高效获取所需资源。30天再入院率的下降得益于埃文斯顿医院的自动远程管理项目，该项目允许CHF患者通过电话告知每日体重并回答与他们当前健康状况相关的问题。
