In detail, describe how the effectiveness of the interdisciplinary team would be evaluated for assisting the patient with adherence to medication therapy, dietary modifications and a physical activity program to prevent readmission to the acute care setting.

In October 2012, changes were made in Medicare payment rules. Hospitals are now penalized when a patient returns within 30 days for treatment of the same problem. One of the targeted medical diagnoses for this payment change is heart failure (HF). Therefore, it is essential that the interdisciplinary team be utilized to ensure a safe transition between the acute care setting and home for the patient with HF.