Implementation of the Kansas City Cardiomyopathy Questionaire (KCCQ-12) in Home Based Program for Heart Failure Veterans
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Authors
Melyssa Majano
Issue Date
2025
Type
Thesis
Language
Keywords
Nursing
Alternative Title
Abstract
Purpose: To implement the Kansas City Cardiomyopathy Questionnaire-12 (KCCQ-12) within a home-based acute care program to standardize the assessment of heart failure (HF) symptoms, enhance symptom management, and improve health-related quality of life (HRQoL). Background and Significance: Heart failure is a leading cause of hospitalization among older adults, with 30-day readmission rates as high as 26.9% (Nair et al., 2020). Currently, the program lacks a validated tool for evaluating HF symptoms, potentially leading to inconsistent assessments and missed opportunities for timely intervention (Albarrati et al., 2023). Intervention and Implementation Plan: The KCCQ-12 was administered at admission by the project manager and at discharge by Registered Nurses (RNs). Staff received training to ensure consistency in administration, and scores were documented using existing Computerized Patient Record System (CPRS) note structures to support accurate and reliable data collection. Results and Implications: The results demonstrated a consistent improvement in KCCQ-12 scores from admission to discharge, indicating enhanced symptom management and healthrelated quality of life (HRQoL) among participants. Final outcomes supported the value of implementing the KCCQ-12 as a standardized tool in home-based geriatric care, reinforcing its potential to guide clinical decision-making and improve patient-centered outcomes. These findings may support broader adoption of structured assessment tools in similar care settings to optimize care delivery and reduce healthcare burden.
Description
Citation
Publisher
Hawaii Pacific University