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Congestive Heart Failure Program
Congestive Heart Failure Program
Congestive Heart Failure Program
Congestive Heart Failure Program
Congestive Heart Failure Program
Congestive Heart Failure Program
Congestive Heart Failure Program
Congestive Heart Failure Program
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Congestive Heart Failure Program

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  • 1. Congestive Heart Failure Quality Initiatives
  • 2. SRHS History of CHF Focus <ul><li>Team early 90’s, developed Care Map, adopted education materials and guidelines </li></ul><ul><li>Team mid 90’s, wrote Duke Endowment and SRHS Foundation grant applications….started CHF Clinic </li></ul><ul><li>2001-CHF Health Management Specialist added, expanded Tele-Services CHF Program </li></ul><ul><li>2003-SRHS Foundation continues to support the program, CHF Clinic continues, CHF Team restructured </li></ul><ul><li>2004-CHF Clinic becomes Heart Failure Center- adds Outpatient Natrecor </li></ul>
  • 3. CHF CORE Team <ul><li>Cardiologist </li></ul><ul><li>Executive Director Heart Center </li></ul><ul><li>VP Patient Care Services – Heart Center </li></ul><ul><li>Director Health Management </li></ul><ul><li>Nurse Practitioners- Heart Failure Center </li></ul><ul><li>Cardiology Clinical Outcomes Specialist </li></ul><ul><li>PharmD </li></ul><ul><li>CHF Case Manager </li></ul><ul><li>ED Physician </li></ul>
  • 4. Quality Indicators <ul><li>HF CORE / Seventh Scope of Work </li></ul><ul><li>LOS </li></ul><ul><li>Readmit Rate </li></ul><ul><li>Mortality Rate </li></ul><ul><li>Physician Practice Specific Data- Severity Adjusted </li></ul><ul><ul><li>LOS </li></ul></ul><ul><ul><li>Cost/Case </li></ul></ul><ul><ul><li>Readmit Rate </li></ul></ul><ul><ul><li>Mortality Rate </li></ul></ul>
  • 5. Improvement Tools Name ________ Date _______ Freshstart Smoking Cessation Class For more information and registration call toll free 1-877-455-7747 ___________________ … .. Your Healthcare Professional Smoking Cessation Prescription <ul><li>Smoking Cessation Advice/Counseling </li></ul><ul><li>Incorporated into Care Manager Documentation System </li></ul><ul><li>Incorporated into WITT Hemodynamic System (Cardiac Cath Lab) </li></ul><ul><li>Provide Patient/Family with Smoking Cessation Prescription (Nursing Units, Cardiac Cath Lab, HF Center, Cardiac Rehab </li></ul>
  • 6. Improvement Tools    <ul><li>DIET/ EXERCISE </li></ul><ul><ul><li>(CARDIAC REHAB) </li></ul></ul>   <ul><li>SMOKING CESSATION </li></ul>   <ul><li>STATIN’S OR OTHER LIPID LOWERING DRUGS </li></ul>   <ul><li>LIPID PROFILE CHECKED </li></ul>   <ul><li>ARB </li></ul>   <ul><li>ACE-I FOR LVEF LESS THAN 40 </li></ul>EJECTION FRACTION: _______________    <ul><li>BETA BLOCKER </li></ul>   <ul><li>ASA </li></ul>N / A CONTRA-INDICATED YES CHECKLIST FOR CARDIOVASCULAR DISEASE (ACS/ MI/ CHF/ CABG)
  • 7. More Tools <ul><li>HF Order Set </li></ul><ul><li>HF Care Sequence </li></ul><ul><li>Nursing PI Team –(Patient &amp; Staff Education) </li></ul><ul><li>ED Algorithms </li></ul><ul><li>Medical Staff Peer Review </li></ul>
  • 8. To Continue to Improve <ul><li>Provide consistency by following Standard of Care </li></ul><ul><li>Patient &amp; Family education during hospitalization </li></ul><ul><li>Referrals to CHF Case Manager </li></ul><ul><li>Referrals to Heart Failure Center </li></ul><ul><li>Referrals to Tele-Services </li></ul><ul><li>Referrals to Home Health/Hospice </li></ul>

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