Technology-Enhanced Practice for Patients With Chronic Cardiac Disease: Home Implementation and Evaluation

Patricia Flatley Brennan, University of Wisconsin - Madison
Gail Casper, University of Wisconsin - Madison
Laura Burke, Aurora Healthcare
Kathy Johnson, University of Wisconsin - Madison
Roger Brown, University of Wisconsin - Madison
Rupa Valdez, University of Wisconsin - Madison
Margaret Sebern, Marquette University
Oscar Perez, University of Wisconsin - Madison
Billie Sturgeon, University of Wisconsin - Madison

Heart & Lung, Vol. 39, No. 6, Supplement (November-December 2010): S34-S46. DOI.



This 3-year field experiment engaged 60 nurses and 282 patients in the design and evaluation of an innovative home-care nursing model, referred to as technology-enhanced practice (TEP).


Nurses using TEP augmented the usual care with a web-based resource (HeartCareII) that provided patients with self-management information, self-monitoring tools, and messaging services.


Patients exposed to TEP demonstrated better quality of life and self-management of chronic heart disease during the first 4 weeks, and were no more likely than patients in usual care to make unplanned visits to a clinician or hospital. Both groups demonstrated the same long-term symptom management and achievements in health status.


This project provides new evidence that the purposeful creation of patient-tailored web resources within a hospital portal is possible; that nurses have difficulty with modifying their practice routines, even with a highly-tailored web resource; and that the benefits of this intervention are more discernable in the early postdischarge stages of care.