2012-08-21: Lean Startup improves heart failure care

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Baltimore Lean Startup

By Dr. Kapil Parakh

Health & Medicine

Lean Improves Heart Failure Care

Kapil Parakh MD MPH PhD
Director of Heart Failure

What is Heart Failure?

•  6 million Americans, $35 Billion
•  Chronic condition - Heart fails
to meet body’s needs
•  The body compensates by
retaining salt and water
•  Many causes – heart attacks,
high BP, alcohol, drugs etc
•  Complex management –
medical therapy and self care
•  Leading cause of readmissions 2

Education Follow-up Communication

Heart Failure NP Clinic Heart Failure NP
Electronic education communicates to PCP
Transportation
New Patient Patient /caregiver
Diuresis clinic outreach
Education Material
Motivational
Education in diuresis clinic TAP Primary Care interviewing training
Heart
Failure
Provider Education ED Triage and
risk stratification
New order sets for Admission
medicine floors
Improved protocols Johns Hopkins Heart
Failure Community Hospital fills
Education of Advocate Program prescriptions
homecare nurses
Identify high-risk for Pharmacist
Ultrafiltration readmission medication review

Treatment High-risk Patient Medicines

Heart Failure All Cause
Readmission Rates
$ 800,000

savings!!

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