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Heart failure readmission reduction — USMLE Step 3 MCQ

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ModerateInternal Medicine (chronic management)Heart failure readmission reductionUSMLE Step 3

A health system reviews admissions for heart failure and finds that many patients are discharged without a follow-up appointment, weight monitoring instructions, or medication reconciliation. Thirty-day readmissions are high. Which of the following is the most appropriate quality improvement measure?

Educational content. Not a substitute for clinical judgement or local policy.

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Correct answer: C — Implement a standardized discharge bundle with early follow-up and medication reconciliation

Standardized discharge processes, medication reconciliation, education, and early follow-up reduce preventable heart failure readmissions.

Reference: ACC/AHA/HFSA heart failure guideline; AHRQ care transitions resources