Congestive Heart Failure Program

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Congestive Heart Failure Program

  1. 1. Congestive Heart Failure Quality Initiatives
  2. 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. 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. 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. 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. 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. 7. More Tools <ul><li>HF Order Set </li></ul><ul><li>HF Care Sequence </li></ul><ul><li>Nursing PI Team –(Patient & Staff Education) </li></ul><ul><li>ED Algorithms </li></ul><ul><li>Medical Staff Peer Review </li></ul>
  8. 8. To Continue to Improve <ul><li>Provide consistency by following Standard of Care </li></ul><ul><li>Patient & 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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