Lean Improves Heart Failure CareKapil Parakh MD MPH PhDDirector of Heart Failure
What is Heart Failure?•  6 million Americans, $35 Billion•  Chronic condition - Heart fails   to meet body’s needs•  The b...
Education                                    Follow-up                            Communication                           ...
Heart Failure All CauseReadmission Rates                          $ 800,000	                           savings!!
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2012-08-21: Lean Startup improves heart failure care

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By Dr. Kapil Parakh

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

  1. 1. Lean Improves Heart Failure CareKapil Parakh MD MPH PhDDirector of Heart Failure
  2. 2. 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
  3. 3. Education Follow-up Communication Heart Failure NP Clinic Heart Failure NPElectronic 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 reviewTreatment High-risk Patient Medicines
  4. 4. Heart Failure All CauseReadmission Rates $ 800,000 savings!!

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