HF management programme, Insuffisance Cardiaque en Lorraine
The Insuffisance CArdiaque en LORraine (ICALOR, Heart Failure in Lorraine) was a heart failure (HF) management programme created to reduce HF morbidity, mortality and rehospitalisation, and improve quality of life for people living with HF in Lorraine, France.
The programme promoted coordinated and standardised care, ongoing education and support, and monitoring at home. Data were stored in electronic health records and shared across the care team, including the GP.
The programme was cost-effective, reducing mortality and hospital readmission. However, it was shut down due to inefficient policies and lack of funding.
Links, references, and key reading
Laborde-Casterot H, Agrinier N, Zannad F, et al. 2016. Effectiveness of a multidisciplinary heart failure disease management programme on 1-year mortality: Prospective cohort study. Medicine (Baltimore) 95(37): e4399
Agrinier N, Altieri C, Alla F, et al. 2013. Effectiveness of a multidimensional home nurse led heart failure disease management program–a French nationwide time-series comparison. Int J Cardiol 168(4): 3652-8