Author + information
- Mouin S. Abdallah,
- Kathleen Kravitz,
- Tim Sobol,
- Corinne Bott-Silverman,
- Randall Starling and
- Umesh Khot
Background: Heart failure (HF) 30-day readmissions continue to have a clinical and economic burden on hospitals. We implemented an inpatient electronic medical record (EMR) based HF checklist designed at reducing deficiencies in transition of care with a goal of improving patient outcomes and reducing HF readmission rates to <20%.
Methods: An EPIC-based inpatient HF checklist, with a built-in hard-stop preventing discharge, was created utilizing a patient-centered approach that included patient education, medication reconciliation, dietary compliance, mandated follow up care, optimal medical management and addressing quality metrics. Patients were included if they were admitted to a cardiology service and had a HF diagnosis. The checklist was implemented in a stepwise approach on three cardiology floors between 04/01/2014 and 09/30/2014 followed by hospital wide rollout on 10/1/2014.
Results: Between 04/01/2014 and 08/31/2016, there were 4,961 HF admissions and 977 HF readmissions. Mean patient age was 68.4 years, 61.1% were males and average length of stay was 7.7 days. After the HF checklist implementation, readmission rates were reduced from 24.8% to 18.9% (Figure1).
Conclusions: An inpatient EMR-based HF checklist reduced readmission rates. The reduction in readmission rates was sustained over time. Our findings underscore the importance of a multidisciplinary team approach in improving quality of care, reducing HF readmissions, and utilizing the EMR for improving patient outcomes.
Poster Hall, Hall C
Friday, March 17, 2017, 3:45 p.m.-4:30 p.m.
Session Title: Acute Heart Failure: Evaluating Strategies to Prevent Readmissions
Abstract Category: 13. Heart Failure and Cardiomyopathies: Clinical
Presentation Number: 1163-282
- 2017 American College of Cardiology Foundation