Table 3.
Article | Domain | Intervention | Population; n | Process Measure | Process measures/Improved clinical outcomes? |
---|---|---|---|---|---|
Volk 201341 | Patient self-management | Educational booklet | Cirrhosis; 150;70% Child A cirrhosis |
Cirrhosis knowledge survey at baseline and at 3 months | Median knowledge increased/ not evaluated |
Larrey 201140 | Nursing led education | Scheduled nurse clinic visits | CHC; 244; 29.4% F3–4 fibrosis | Adherence, SVR | 48-week adherence improved/ Higher SVR in treatment group |
Asavakarn 201657 | Pharmacy led, multidisciplinary team educational approach | Education during hospitalization for LT and initial follow-up visit | LT recipients; 50; 64% ≤3 months post LT | Immunosuppressant knowledge questionnaire | Improved knowledge/ not evaluated |
Promraj 201658 | Pharmacy led, multidisciplinary team educational approach | Education during hospitalization for LT and initial follow-up visit | LT recipients; 50;64% ≤ 3 months post LT | Immunosuppressive Therapy Adherence Scale | Higher medication knowledge scores correlated with higher ITAS/not evaluated |
Russo 201659 | Multidisciplinary protocol to reduce readmissions | Outpatient service expansion, Pharmacist teaching |
LT recipients; 167; mean MELD at LT 21 | 30-day readmission Length of stay for index admission for liver transplant |
30-day readmission rate/30-day readmission rate decreased |
Wigg 201342 | Chronic disease management program | Delivery system redesign Self-management support Protocol driven decision support Clinical information systems |
Cirrhosis with ascites; 40; mean MELD 11 | Days hospitalized for liver related reasons Attendance to outpatient clinic visits Quality of care measures |
Improved clinic attendance, Hepatocellular carcinoma screening rates, referral for LT, and Hepatitis A/B vaccination Did not reduce days hospitalized for liver related reasons or all cause admission rate |
Ganapathy 2017 45 |
Smart phone App to reduce readmissions | Smart phone app to track medications, sodium intake, daily weight, signs of HE Patient and caregiver education Enhanced communication with health care team |
Decompensated cirrhosis; 40; mean MELD 19.5 | 30-day readmission Medication adherence Contact with study team |
No 30-day readmissions for HE App was tolerable for patients and caregivers |
CHC: Chronic Hepatitis C
HE: Hepatic Encephalopathy
ITAS: Immunosuppressive Therapy Adherence Scale
LT: Liver Transplant
MELD: Model for End-Stage Liver Disease
SVR: Sustained Virologic Response