Author + information
- Muhammad Rizwan Afzal,
- Ryan J. Maybrook,
- Audra Rankin,
- Christy Russell,
- Buddhadeb Dawn and
- James L. Vacek
We hypothesized that creation of a dedicated heart failure team at the University of Kansas Medical Center (KUMC) and use of American Heart Association's program “Get with the Guidelines-HF (GWTG)” would improve our compliance with standards of care. The GWTG is the largest hospital-based heart failure registry in the United States.
We developed a heart failure management team that included 2 outpatient heart failure nurse practitioners and an inpatient heart failure program coordinator for implementation of GWTG. The inpatient coordinator's role is to do disease specific education and perform data extraction from the heart failure admission records. A comprehensive collaboration between the heart failure coordinator, rounding nurses and outpatient heart failure nurse practitioners ensured a follow-up appointment within 72 hours of discharge. A committee, involving case management and home health agencies facilitated care after transition from hospital to home. Weight scales were provided to the patients upon discharge. Lastly, numerous educational programs were developed to increase the awareness of optimal heart failure management among the hospital staff at all levels.
Analysis demonstrated superior performance of multiple quality measures at our hospital (table) for one year compared to several reference groups.
Implementation of a comprehensive heart failure program that includes GWTG measures enhances compliance with the standard of care.
|HF Quality Measures||KUMC||All Hospitals||All Kansas Hospitals||Hospitals with 500–750 beds||Academic hospitals|
|Beta Blocker at Discharge||98.8||96.4||98.3||97.2||97.3|
|ACEI/ARB at Discharge||97.7||95.6||95.7||96.6||96.2|
|Measure LV Function||100||98.6||99.6||98.9||98.4|
|Aldosterone Antagonist at Discharge||45||17.9||41.2||22.6||22.8|
|Anticoagulation for Atrial Fibrillation||94.9||78.8||77.5||79.4||77.9|
|Hydralazine Nitrate at Discharge||40.5||11.3||32.6||15.6||14.9|
|CRT-D or CRT-P Placed or Prescribed at Discharge||61.8||44.7||60.3||42.9||44.5|
|ICD counseling or ICD placed or prescribed at discharge||81.8||20.4||65.3||26.6||28.9|
|HF Descriptive Measures|
Poster Sessions, Expo North
Monday, March 11, 2013, 9:45 a.m.-10:30 a.m.
Session Title: Heart Failure: Therapeutic Insights
Abstract Category: 17. Heart Failure: Therapy
Presentation Number: 1306-265
- 2013 American College of Cardiology Foundation