Improving care transitions and outcomes for heart failure patients receiving home health care
Official title: I-TRANSFER-HF: Improving TRansitions ANd OutcomeS for Heart FailurE Patients in Home Health CaRe: A Type 1 Hybrid Effectiveness Implementation Trial
Funded at Weill Medical Coll of Cornell Univ · NIH-10923969 · Data updated 2026-11-12
This study is looking at how a special home health care program with regular nurse visits and quick follow-up appointments can help heart failure patients stay healthy after leaving the hospital and avoid going back.
Quick facts
| Grant type | R01 grant |
|---|---|
| Study type | NIH-funded research |
| Funding institution | Weill Medical Coll of Cornell Univ NIH-funded |
| Lab location | 1 site (New York, United States) |
| Project start | September 10, 2023 |
| Project end | June 30, 2028 |
| Funding year | 2024 |
| Award (this year) | $734,094 |
| NIH project number | 5R01HL169312-02 |
| Project ID | NIH-10923969 on NIH RePORTER |
Who could benefit from this research
✓Could help
Ideal candidates for this research are heart failure patients who have recently been discharged from the hospital and are eligible for home health care services.
✕Less likely to help
Patients who are not diagnosed with heart failure or those who do not qualify for home health care services may not benefit from this research.
What this research studies
This research focuses on enhancing the care of heart failure patients by implementing a structured home health care program. It aims to provide timely nurse visits and follow-up medical appointments shortly after hospital discharge to reduce the risk of readmission. The study will evaluate the effectiveness of these interventions in improving patient outcomes and reducing healthcare costs. By utilizing a hybrid effectiveness implementation trial, the research seeks to bridge the gap between evidence-based practices and their application in real-world settings.
Why it matters
Potential benefit: If successful, this research could significantly reduce hospital readmissions and improve the overall health outcomes for heart failure patients.
How similar studies have gone: Previous studies have shown that early and intensive home health care interventions can significantly reduce readmission rates for heart failure patients, indicating a promising approach.
Where this research is happening
-
Weill Medical Coll of Cornell Univ
New York, United States Active
Researchers
- Principal investigator: Sterling, Madeline R — Weill Medical Coll of Cornell Univ
- Study coordinator: Sterling, Madeline R
Related research
Other NIH-funded projects on the same topics.
-
AI-supported heart failure diagnosis and management in Rwanda
Aiming to help people with suspected heart failure in Rwanda get faster, more accurate diagnoses and better care using AI-guided ultrasound and care protocols.
-
AI-assisted heart failure diagnosis in Rwanda using focused ultrasound
An NIH-funded project will test whether AI-enhanced, easy-to-use heart ultrasound can help non-experts diagnose and manage heart failure in Rwanda.
-
HF endotypes in heart failure using ethical multi-modal AI and molecular data
A patient-friendly project that uses advanced AI and multiple kinds of health data to identify distinct heart failure subtypes that could guide personalized care.
-
Triple gene therapy approach to heal the heart after a heart attack
A new therapy combines three genetic approaches delivered by a virus to help the heart heal after a heart attack.
-
Digital-first heart failure care delivery in Uganda
A targeted program in Uganda tests a digital care plan to help people with heart failure manage their symptoms at home.
-
Digital-first heart failure care delivery in Uganda
A study to test digital self-care tools to help people with heart failure in Uganda manage symptoms and stay healthier.
About this research
- This is an active NIH-funded research project — typically early-stage science, not a clinical trial accepting patient enrollment.
- Some NIH-funded labs run parallel clinical studies or seek volunteers for related work. To check, contact the principal investigator or institution listed above.
- For full project details, budget, and progress reports, visit the official NIH RePORTER page.