Improving care transitions and outcomes for heart failure patients receiving home health care

I-TRANSFER-HF: Improving TRansitions ANd OutcomeS for Heart FailurE Patients in Home Health CaRe: A Type 1 Hybrid Effectiveness Implementation Trial

NIH-funded research Weill Medical Coll of Cornell Univ · NIH-10923969

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 typeR01 grant
Study typeNIH-funded research
Funding institutionWeill Medical Coll of Cornell Univ NIH-funded
Lab location1 site (New York, United States)
Project IDNIH-10923969 on NIH RePORTER

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.

Who could benefit from this research

Good fit: 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.

Not a fit: 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.

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 performed: 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

New York, United States

Researchers

About this research

  1. This is an active NIH-funded research project — typically early-stage science, not a clinical trial accepting patient enrollment.
  2. Some NIH-funded labs run parallel clinical studies or seek volunteers for related work. To check, contact the principal investigator or institution listed above.
  3. For full project details, budget, and progress reports, visit the official NIH RePORTER page below.
Last reviewed 2026-06-13 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.