Heart failure is a major public health problem resulting in substantial morbidity, mortality, and costs. While recent advances have been made, many patients do not receive optimal care according to clinical guidelines. The Get With The Guidelines program from the American Heart Association aims to improve heart failure care in hospitals by implementing systems and protocols to ensure patients receive evidence-based treatments and education prior to discharge in order to reduce readmissions and mortality. The program collects data at hospitals to monitor quality measures and outcomes.
Mission: Lifeline® STEMI and Cardiac Resuscitation Systems of Care Launch (we...David Hiltz
CREATING STEMI AND CARDIAC RESUSCITATION SYSTEMS OF CARE AND IMPROVING EXISTING ONES.
Each year, more than half a million Americans experience ST-elevation myocardial infarction (STEMI), out-of-hospital cardiac arrest or both. The majority of these patients fail to receive appropriate treatment for their life-threatening conditions within recommended timeframes.
Mission: Lifeline® was created by the American Heart Association as a response to missed opportunities for prompt, appropriate STEMI treatment. Recently, Mission: Lifeline expanded to help existing STEMI systems of care incorporate out-of-hospital cardiac resuscitation into their systems.
Cardiac resuscitation can make a lifesaving difference.
Seventy percent of out-of-hospital cardiac arrest patients have identified coronary vascular disease, and 50 percent have STEMI.
Without prompt cardiac resuscitation, many of the STEMI patients who could potentially benefit from a coordinated STEMI system of care might not survive long enough to enter the system.
That makes cardiac resuscitation a vital component in STEMI systems of care, as well as a key intervention across the full spectrum of out-of-hospital cardiac arrest. For that reason, Mission: Lifeline® now offers established STEMI systems of care the opportunity to incorporate cardiac resuscitation.
This document discusses the history and current status of percutaneous coronary intervention (PCI) services in New Jersey. It outlines how PCI services have grown over time in response to increasing demand, driven initially by the adoption of primary PCI as the standard of care and later by the expansion of elective PCI. The document reviews New Jersey's certificate of need regulations governing new medical facilities and services, as well as specific licensing standards for cardiac catheterization and PCI programs. It provides data on the volume of diagnostic cardiac catheterization and PCI procedures performed annually by facilities and physicians in New Jersey.
The investigation (summarized in the attached slides) analyzed how at-risk obese/overweight patients interact with beneficial interventions (2013 AHA/ACC risk, cholesterol, obesity and lifestyle prevention guidelines). The study estimated the savings potential if overweight/obese patients in the ACC/AHA four statin benefit groups stepped-down one risk level.
Title: Cost Of Obesity-Based Heart Risk In The Context Of Preventive And Managed Care Decision-Making: An NHANES Cross-Sectional Concurrent Study
By: John Frias Morales
The document discusses Continua Health Alliance, an organization working to advance remote patient monitoring through open interoperability standards. It aims to address the growing costs of chronic diseases by enabling up to 60% of medications to be taken correctly through remote monitoring solutions. Continua brings the healthcare and technology industries together to develop guidelines and certify products, helping create an ecosystem to support the expanding connected health market, estimated to grow to $7.7 billion by 2012.
Is clinician gestalt undervalued in chest pain assessment in EDkellyam18
This presentation discusses the role of clinician gestalt in assessment of emergency department chest pain patients. Is it accurate? How does it compare with risk scores? What are its weaknesses? Can we teach it?
This study examined antidepressant use among 3,226 elderly patients receiving home healthcare. Over one-third of patients were taking antidepressants, including 29.15% without a documented depression diagnosis. Blacks used antidepressants less than whites even after controlling for other factors. Increased antidepressant use was associated with younger age, more disabilities, use of other psychotropics like benzodiazepines, and higher overall medication counts. The high rates of antidepressant use without depression raise questions about appropriate prescribing in this vulnerable population.
Andrew Grulich, (Kirby Institute) presents the science underlying the revolution in biomedial prevention, likening it to the 'protease moment' of 1996, and discusses actions likely to be required to maximise population-level effectiveness and the need for a strategic research response. This presentation was given at the AFAO/NAPWA Gay Men's HIV Health Promotion Conference in May 2012.
Glenn Steele: Geisinger Quality - Striving for perfectionNuffield Trust
Geisinger Health System is an integrated health services organization in Pennsylvania that has implemented several initiatives to improve quality of care and reduce costs. They have invested over $100 million in an electronic health record system used by physicians and facilities. Their ProvenCare program develops evidence-based best practices for chronic and acute conditions to improve outcomes. Their ProvenHealth Navigator program embeds nurses in primary care practices to better coordinate care. Preliminary results show these programs have decreased costs and readmissions while improving quality metrics like diabetes and heart disease treatment guidelines.
Mission: Lifeline® STEMI and Cardiac Resuscitation Systems of Care Launch (we...David Hiltz
CREATING STEMI AND CARDIAC RESUSCITATION SYSTEMS OF CARE AND IMPROVING EXISTING ONES.
Each year, more than half a million Americans experience ST-elevation myocardial infarction (STEMI), out-of-hospital cardiac arrest or both. The majority of these patients fail to receive appropriate treatment for their life-threatening conditions within recommended timeframes.
Mission: Lifeline® was created by the American Heart Association as a response to missed opportunities for prompt, appropriate STEMI treatment. Recently, Mission: Lifeline expanded to help existing STEMI systems of care incorporate out-of-hospital cardiac resuscitation into their systems.
Cardiac resuscitation can make a lifesaving difference.
Seventy percent of out-of-hospital cardiac arrest patients have identified coronary vascular disease, and 50 percent have STEMI.
Without prompt cardiac resuscitation, many of the STEMI patients who could potentially benefit from a coordinated STEMI system of care might not survive long enough to enter the system.
That makes cardiac resuscitation a vital component in STEMI systems of care, as well as a key intervention across the full spectrum of out-of-hospital cardiac arrest. For that reason, Mission: Lifeline® now offers established STEMI systems of care the opportunity to incorporate cardiac resuscitation.
This document discusses the history and current status of percutaneous coronary intervention (PCI) services in New Jersey. It outlines how PCI services have grown over time in response to increasing demand, driven initially by the adoption of primary PCI as the standard of care and later by the expansion of elective PCI. The document reviews New Jersey's certificate of need regulations governing new medical facilities and services, as well as specific licensing standards for cardiac catheterization and PCI programs. It provides data on the volume of diagnostic cardiac catheterization and PCI procedures performed annually by facilities and physicians in New Jersey.
The investigation (summarized in the attached slides) analyzed how at-risk obese/overweight patients interact with beneficial interventions (2013 AHA/ACC risk, cholesterol, obesity and lifestyle prevention guidelines). The study estimated the savings potential if overweight/obese patients in the ACC/AHA four statin benefit groups stepped-down one risk level.
Title: Cost Of Obesity-Based Heart Risk In The Context Of Preventive And Managed Care Decision-Making: An NHANES Cross-Sectional Concurrent Study
By: John Frias Morales
The document discusses Continua Health Alliance, an organization working to advance remote patient monitoring through open interoperability standards. It aims to address the growing costs of chronic diseases by enabling up to 60% of medications to be taken correctly through remote monitoring solutions. Continua brings the healthcare and technology industries together to develop guidelines and certify products, helping create an ecosystem to support the expanding connected health market, estimated to grow to $7.7 billion by 2012.
Is clinician gestalt undervalued in chest pain assessment in EDkellyam18
This presentation discusses the role of clinician gestalt in assessment of emergency department chest pain patients. Is it accurate? How does it compare with risk scores? What are its weaknesses? Can we teach it?
This study examined antidepressant use among 3,226 elderly patients receiving home healthcare. Over one-third of patients were taking antidepressants, including 29.15% without a documented depression diagnosis. Blacks used antidepressants less than whites even after controlling for other factors. Increased antidepressant use was associated with younger age, more disabilities, use of other psychotropics like benzodiazepines, and higher overall medication counts. The high rates of antidepressant use without depression raise questions about appropriate prescribing in this vulnerable population.
Andrew Grulich, (Kirby Institute) presents the science underlying the revolution in biomedial prevention, likening it to the 'protease moment' of 1996, and discusses actions likely to be required to maximise population-level effectiveness and the need for a strategic research response. This presentation was given at the AFAO/NAPWA Gay Men's HIV Health Promotion Conference in May 2012.
Glenn Steele: Geisinger Quality - Striving for perfectionNuffield Trust
Geisinger Health System is an integrated health services organization in Pennsylvania that has implemented several initiatives to improve quality of care and reduce costs. They have invested over $100 million in an electronic health record system used by physicians and facilities. Their ProvenCare program develops evidence-based best practices for chronic and acute conditions to improve outcomes. Their ProvenHealth Navigator program embeds nurses in primary care practices to better coordinate care. Preliminary results show these programs have decreased costs and readmissions while improving quality metrics like diabetes and heart disease treatment guidelines.
This study examines whether higher quality primary care, as measured by achievement on quality indicators for serious mental illness (SMI) in the UK's Quality and Outcomes Framework (QOF), is associated with lower rates of emergency hospital admissions for people with SMI or bipolar disorder. The study uses hospital admission data from 2006-2010 and QOF achievement data from 2006-2010 to model the relationship between primary care quality and admission rates while controlling for practice characteristics, patient population characteristics, and local area characteristics. The study hypothesizes that higher primary care quality may be associated with lower emergency admission rates and higher elective admission rates for physical conditions.
The document discusses Bristol Bay Area Health Corporation's (BBAHC) performance on Government Performance and Results Act (GPRA) measures for fiscal year 2011. BBAHC met or exceeded the goals for 21 of the 21 GPRA measures, including measures related to diabetes care, cancer screenings, immunizations, tobacco cessation, and prenatal care. The document also provides BBAHC's monthly progress report on GPRA measures for fiscal year 2012, showing performance relative to goals.
Selecting higher risk cohorts for screening results in a more effective and cost-effective test. Screening focuses on intermediate risk individuals and requires selective screening using tests that are optimally clinically effective and have added value in accurately detecting high risk individuals while excluding treatment for low risk individuals. Such screening uses low cost tests that can be widely utilized.
Overview presentation of Millennium HealthCare Inc., a company providing physician practices and healthcare facilities of all sizes with practice development & management services utilizing our expertise to identify medical practice opportunities.
Principles for more cautious and selective opioid prescribing for chronic non...Group Health Cooperative
Presentation was originally done at Group Health Cooperative’s National Summit on Opioid Safety: http://www.ghinnovates.org/?p=3502
Presentation by: Jane C. Ballantyne, MD FRCA, with the Department of Anesthesiology and Pain Medicine at UW Medicine.
A randomized controlled trial evaluated a novel coronary heart disease (CHD) risk evaluation and communication program compared to usual care among patients at moderate cardiovascular risk. The intervention program calculated 10-year CHD risk using the Framingham risk model and advised patients accordingly. At 6 months, the intervention was associated with a greater reduction in predicted 10-year CHD risk, higher rates of blood pressure and cholesterol goal attainment, and increased smoking cessation compared to usual care. The risk evaluation and communication strategy showed potential to improve cardiovascular disease prevention when combined with more intensive treatment of multiple risk factors.
Suzanne Mason: Optimising triage, waiting times and service delivery in busy ...Nuffield Trust
This document discusses strategies for optimizing patient flow and reducing overcrowding in emergency departments. It outlines several key drivers of changes in emergency department use, including policy reforms aimed at reducing wait times, as well as changes in user behavior and expectations. The document then evaluates strategies for reducing attendances, improving patient flow through the emergency department, avoiding admissions when possible, and improving patient discharge. These strategies include redirecting appropriate patients to other care settings, using clinical decision units and fast tracks for certain conditions, and focusing on improving discharge planning and availability of community services. Monitoring data is also presented showing percentages of patients discharged or admitted over time spent in the emergency department.
This document provides information on diagnosing Huntington's disease (HD). It discusses the clinical features of HD including motor dysfunction such as chorea, cognitive impairment, and psychiatric features. The diagnostic evaluation for patients with a family history of HD or symptoms is described, including use of the Unified Huntington's Disease Rating Scale. Differential diagnoses for chorea are also reviewed, including other genetic, metabolic, autoimmune, and drug-induced causes. Workup of patients with chorea may include blood tests, imaging, and genetic testing.
Medicare Part D Cost Sharing and Antipsychotic Drug Use in Two Medicare Advan...HMO Research Network
This study examined the impact of Medicare Part D cost-sharing on antipsychotic drug spending, out-of-pocket costs, and adherence among Medicare Advantage beneficiaries with schizophrenia. The results showed that entering the coverage gap was associated with increased out-of-pocket costs and decreased adherence for non-low income subsidy beneficiaries, while low income subsidy beneficiaries were protected from these impacts. The decrease in adherence varied between integrated and non-integrated Medicare Advantage plans. This study provides initial evidence on the effect of Medicare drug benefits on access to and quality of care for antipsychotic medications.
The document discusses the value of healthcare information technology (HIT) and electronic health records (EHRs). It notes that HIT can help address issues like medical errors, patient safety, and healthcare costs. Studies show HIT systems can save thousands of dollars per provider annually and billions nationally through reduced errors and unnecessary care. Widespread use of EHRs and health information exchange could save hundreds of billions over 10 years by improving care coordination and reducing redundant tests. Successful HIT programs like Partners HealthCare demonstrate these benefits through improved quality, efficiency and clinical outcomes.
This document summarizes Bruce Taffel's presentation on using health information technology to improve healthcare delivery. It discusses:
1) The current fragmented healthcare system with incomplete patient information between multiple providers leads to medical errors, unnecessary care, and high costs.
2) There is a need and mounting political pressure to create a national health information infrastructure to give providers immediate access to complete patient data at the point of care in order to improve quality, safety and efficiency.
3) Initiatives like SharedHealth in Tennessee are working to build regional health information exchanges by merging administrative claims data with clinical data from across the healthcare system to create comprehensive community health records.
Fam medicine making the case andrew bazemoreMolly Brenner
This document discusses the importance of primary care and family medicine in building an effective healthcare system. It provides historical definitions and reports supporting primary care as the foundation of healthcare. However, the US ranks lower than most other developed nations on health outcomes despite higher expenditures. There is a need to strengthen primary care through policies that increase the primary care workforce and distribution, support primary care training programs, and reduce compensation gaps between primary care and specialties. Primary care is essential for improving health outcomes, reducing costs, and achieving broad access to care.
This presentation was given on April 7, 2014 as part of FMCC 2014. Andrew Bazemore, MD, MPH serves as the Director of the Robert Graham Center for Policy and p[provided an update on studies in family medicine and primary care.
Why improving the patient experience with advanced care options mattersdrucsamal
This document summarizes a presentation about improving patient experience with advanced cardiac care options and how patient satisfaction scores relate to quality of care. It discusses how patient satisfaction is assessed using surveys like HCAHPS and tied to hospitals' Medicare reimbursement. While patient satisfaction often correlates with better communication, it is a complex issue and may not fully capture the quality of medical care. When discussing advanced care options, truly informed consent requires addressing patients' values, prognosis, fears and ensuring they understand their medical condition and choices.
Sepsis & Hospice Eligibility: Natural History, Prognosis & Role of HospiceVITAS Healthcare
Sepsis can lead to organ dysfunction and death in the hospital setting. Approximately 25-50% of hospital deaths are sepsis-related. Some sepsis patients who do not die in the hospital still have a poor prognosis and increased mortality risk. Up to 40% of sepsis patients meet hospice eligibility guidelines at the time of hospital admission based on their underlying illness and sepsis complications. After hospitalization, sepsis survivors are at risk for post-sepsis syndrome which can include new physical and cognitive limitations that affect quality of life and functional status.
This document summarizes a research study on motivation and certification rates among allied health professionals. The study aims to increase certification rates among allied health professionals at a hospital by 2 years post-implementation of a motivation program, and describe the perceived value of certification before and after the program. Baseline data found that 55% of respondents were certified, with most from respiratory therapy. Survey results showed non-certified professionals perceived certification as slightly more valuable than certified professionals. The researchers will implement interventions like recognition programs and evaluate certification rates in 2 years.
Using technology can improve healthcare quality by addressing rising costs and moving to a value-based system. Key assumptions include unsustainable cost growth, payers prioritizing value over volume, and electronic health records (EHRs) and quality becoming standard. One health system improved diabetes care through EHR-enabled care management, standardized workflows, and enhanced patient engagement, achieving significant quality gains. EHRs alone are not sufficient and health systems must address fragmentation through coordinated, team-based care leveraging analytics across the healthcare ecosystem.
Making Healthcare Waste Reduction and Patient Safety Actionable - HAS Session 6Health Catalyst
Multiple studies have estimated that at least 30% of US healthcare expenditures are wasteful. But how do you identify and reduce that waste? In this session, we will share with you a three-part framework for understanding, measuring and addressing waste reduction. In particular, we will highlight the importance patient safety and injury prevention, framing the importance of shifting from a system of incident reporting (which creates a culture of blame and guilt) to a system in which patient injury is regarded as a process failure rather than a person failure. To make that transition, health systems will need to 1) define process flows and metrics for each major type of patient injury; and 2) create a learning environment in which team members are engaged in process redesign to prevent process failure and injury. A leading health system in patient safety and quality will also share their best practices in how they have created a culture of patient safety and quality.
Undiagnosed hypertension, also known as "HIPS", is a significant problem. This document discusses strategies for health centers to address undiagnosed hypertension through quality improvement projects. It recommends benchmarking hypertension prevalence, establishing criteria to identify potentially undiagnosed patients, using EHR data to find these patients, and implementing plans like standardized protocols and expanded care teams to diagnose and treat them. It describes NACHC's Million Hearts project which successfully tested algorithms for identifying undiagnosed hypertensive patients across several health centers.
This study examines whether higher quality primary care, as measured by achievement on quality indicators for serious mental illness (SMI) in the UK's Quality and Outcomes Framework (QOF), is associated with lower rates of emergency hospital admissions for people with SMI or bipolar disorder. The study uses hospital admission data from 2006-2010 and QOF achievement data from 2006-2010 to model the relationship between primary care quality and admission rates while controlling for practice characteristics, patient population characteristics, and local area characteristics. The study hypothesizes that higher primary care quality may be associated with lower emergency admission rates and higher elective admission rates for physical conditions.
The document discusses Bristol Bay Area Health Corporation's (BBAHC) performance on Government Performance and Results Act (GPRA) measures for fiscal year 2011. BBAHC met or exceeded the goals for 21 of the 21 GPRA measures, including measures related to diabetes care, cancer screenings, immunizations, tobacco cessation, and prenatal care. The document also provides BBAHC's monthly progress report on GPRA measures for fiscal year 2012, showing performance relative to goals.
Selecting higher risk cohorts for screening results in a more effective and cost-effective test. Screening focuses on intermediate risk individuals and requires selective screening using tests that are optimally clinically effective and have added value in accurately detecting high risk individuals while excluding treatment for low risk individuals. Such screening uses low cost tests that can be widely utilized.
Overview presentation of Millennium HealthCare Inc., a company providing physician practices and healthcare facilities of all sizes with practice development & management services utilizing our expertise to identify medical practice opportunities.
Principles for more cautious and selective opioid prescribing for chronic non...Group Health Cooperative
Presentation was originally done at Group Health Cooperative’s National Summit on Opioid Safety: http://www.ghinnovates.org/?p=3502
Presentation by: Jane C. Ballantyne, MD FRCA, with the Department of Anesthesiology and Pain Medicine at UW Medicine.
A randomized controlled trial evaluated a novel coronary heart disease (CHD) risk evaluation and communication program compared to usual care among patients at moderate cardiovascular risk. The intervention program calculated 10-year CHD risk using the Framingham risk model and advised patients accordingly. At 6 months, the intervention was associated with a greater reduction in predicted 10-year CHD risk, higher rates of blood pressure and cholesterol goal attainment, and increased smoking cessation compared to usual care. The risk evaluation and communication strategy showed potential to improve cardiovascular disease prevention when combined with more intensive treatment of multiple risk factors.
Suzanne Mason: Optimising triage, waiting times and service delivery in busy ...Nuffield Trust
This document discusses strategies for optimizing patient flow and reducing overcrowding in emergency departments. It outlines several key drivers of changes in emergency department use, including policy reforms aimed at reducing wait times, as well as changes in user behavior and expectations. The document then evaluates strategies for reducing attendances, improving patient flow through the emergency department, avoiding admissions when possible, and improving patient discharge. These strategies include redirecting appropriate patients to other care settings, using clinical decision units and fast tracks for certain conditions, and focusing on improving discharge planning and availability of community services. Monitoring data is also presented showing percentages of patients discharged or admitted over time spent in the emergency department.
This document provides information on diagnosing Huntington's disease (HD). It discusses the clinical features of HD including motor dysfunction such as chorea, cognitive impairment, and psychiatric features. The diagnostic evaluation for patients with a family history of HD or symptoms is described, including use of the Unified Huntington's Disease Rating Scale. Differential diagnoses for chorea are also reviewed, including other genetic, metabolic, autoimmune, and drug-induced causes. Workup of patients with chorea may include blood tests, imaging, and genetic testing.
Medicare Part D Cost Sharing and Antipsychotic Drug Use in Two Medicare Advan...HMO Research Network
This study examined the impact of Medicare Part D cost-sharing on antipsychotic drug spending, out-of-pocket costs, and adherence among Medicare Advantage beneficiaries with schizophrenia. The results showed that entering the coverage gap was associated with increased out-of-pocket costs and decreased adherence for non-low income subsidy beneficiaries, while low income subsidy beneficiaries were protected from these impacts. The decrease in adherence varied between integrated and non-integrated Medicare Advantage plans. This study provides initial evidence on the effect of Medicare drug benefits on access to and quality of care for antipsychotic medications.
The document discusses the value of healthcare information technology (HIT) and electronic health records (EHRs). It notes that HIT can help address issues like medical errors, patient safety, and healthcare costs. Studies show HIT systems can save thousands of dollars per provider annually and billions nationally through reduced errors and unnecessary care. Widespread use of EHRs and health information exchange could save hundreds of billions over 10 years by improving care coordination and reducing redundant tests. Successful HIT programs like Partners HealthCare demonstrate these benefits through improved quality, efficiency and clinical outcomes.
This document summarizes Bruce Taffel's presentation on using health information technology to improve healthcare delivery. It discusses:
1) The current fragmented healthcare system with incomplete patient information between multiple providers leads to medical errors, unnecessary care, and high costs.
2) There is a need and mounting political pressure to create a national health information infrastructure to give providers immediate access to complete patient data at the point of care in order to improve quality, safety and efficiency.
3) Initiatives like SharedHealth in Tennessee are working to build regional health information exchanges by merging administrative claims data with clinical data from across the healthcare system to create comprehensive community health records.
Fam medicine making the case andrew bazemoreMolly Brenner
This document discusses the importance of primary care and family medicine in building an effective healthcare system. It provides historical definitions and reports supporting primary care as the foundation of healthcare. However, the US ranks lower than most other developed nations on health outcomes despite higher expenditures. There is a need to strengthen primary care through policies that increase the primary care workforce and distribution, support primary care training programs, and reduce compensation gaps between primary care and specialties. Primary care is essential for improving health outcomes, reducing costs, and achieving broad access to care.
This presentation was given on April 7, 2014 as part of FMCC 2014. Andrew Bazemore, MD, MPH serves as the Director of the Robert Graham Center for Policy and p[provided an update on studies in family medicine and primary care.
Why improving the patient experience with advanced care options mattersdrucsamal
This document summarizes a presentation about improving patient experience with advanced cardiac care options and how patient satisfaction scores relate to quality of care. It discusses how patient satisfaction is assessed using surveys like HCAHPS and tied to hospitals' Medicare reimbursement. While patient satisfaction often correlates with better communication, it is a complex issue and may not fully capture the quality of medical care. When discussing advanced care options, truly informed consent requires addressing patients' values, prognosis, fears and ensuring they understand their medical condition and choices.
Sepsis & Hospice Eligibility: Natural History, Prognosis & Role of HospiceVITAS Healthcare
Sepsis can lead to organ dysfunction and death in the hospital setting. Approximately 25-50% of hospital deaths are sepsis-related. Some sepsis patients who do not die in the hospital still have a poor prognosis and increased mortality risk. Up to 40% of sepsis patients meet hospice eligibility guidelines at the time of hospital admission based on their underlying illness and sepsis complications. After hospitalization, sepsis survivors are at risk for post-sepsis syndrome which can include new physical and cognitive limitations that affect quality of life and functional status.
This document summarizes a research study on motivation and certification rates among allied health professionals. The study aims to increase certification rates among allied health professionals at a hospital by 2 years post-implementation of a motivation program, and describe the perceived value of certification before and after the program. Baseline data found that 55% of respondents were certified, with most from respiratory therapy. Survey results showed non-certified professionals perceived certification as slightly more valuable than certified professionals. The researchers will implement interventions like recognition programs and evaluate certification rates in 2 years.
Using technology can improve healthcare quality by addressing rising costs and moving to a value-based system. Key assumptions include unsustainable cost growth, payers prioritizing value over volume, and electronic health records (EHRs) and quality becoming standard. One health system improved diabetes care through EHR-enabled care management, standardized workflows, and enhanced patient engagement, achieving significant quality gains. EHRs alone are not sufficient and health systems must address fragmentation through coordinated, team-based care leveraging analytics across the healthcare ecosystem.
Making Healthcare Waste Reduction and Patient Safety Actionable - HAS Session 6Health Catalyst
Multiple studies have estimated that at least 30% of US healthcare expenditures are wasteful. But how do you identify and reduce that waste? In this session, we will share with you a three-part framework for understanding, measuring and addressing waste reduction. In particular, we will highlight the importance patient safety and injury prevention, framing the importance of shifting from a system of incident reporting (which creates a culture of blame and guilt) to a system in which patient injury is regarded as a process failure rather than a person failure. To make that transition, health systems will need to 1) define process flows and metrics for each major type of patient injury; and 2) create a learning environment in which team members are engaged in process redesign to prevent process failure and injury. A leading health system in patient safety and quality will also share their best practices in how they have created a culture of patient safety and quality.
Undiagnosed hypertension, also known as "HIPS", is a significant problem. This document discusses strategies for health centers to address undiagnosed hypertension through quality improvement projects. It recommends benchmarking hypertension prevalence, establishing criteria to identify potentially undiagnosed patients, using EHR data to find these patients, and implementing plans like standardized protocols and expanded care teams to diagnose and treat them. It describes NACHC's Million Hearts project which successfully tested algorithms for identifying undiagnosed hypertensive patients across several health centers.
What We're Working On Now: Getting the "System" to be a Real System for Heart...3GDR
The document discusses the efforts of Partners HealthCare to create an integrated system for managing heart failure patients. It outlines several components of the heart failure program including enrollment numbers in remote monitoring programs over time, readmission outcomes, and an overview of the heart failure population within Partners. It also discusses challenges in patient identification, engagement, determining the most effective care delivery approach, managing patients efficiently across different care settings and providers, and integrating different systems and communications channels.
1) Comprehensive care centres that adhere to standards of care for inherited bleeding disorders like hemophilia have been shown to significantly improve health outcomes and reduce costs.
2) A 1970s study in Montreal found that home treatment of bleeding episodes supported by a comprehensive care centre reduced hospitalizations by 85% and costs by 85% for children with hemophilia.
3) Later studies also showed patients who received care at comprehensive care centres had lower risks of hospitalization and morbidity.
- Cardiovascular disease is the leading cause of death in Canada, and high blood pressure is the number one modifiable risk factor. However, many Canadians are unaware they have high blood pressure or it is not adequately controlled.
- The document outlines a strategy to improve hypertension management in Canada through initiatives targeted at primary healthcare providers and patients. It involves developing and testing education and management tools.
- An evaluation of the initial pilot phase found improvements in screening, diagnosis and control of high blood pressure among participating providers and patients compared to non-participants. Most providers also reported the strategy was effective and positively impacted their management of hypertensive patients.
This document discusses the importance of collaborative care and care coordination for healthcare delivery systems. It notes that solo practice is no longer a sustainable business model and that fee-for-service payments have limitations. The document provides evidence that care coordination can reduce costs through fewer hospital admissions and readmissions without worse health outcomes. It also shows that patients experience a lack of communication and information sharing between their different doctors. To improve care coordination, mobile access to patient data and collaborative workflows are seen as critical, as mobile devices are increasingly how physicians access information. The right devices and secure mobile computing are needed to enable these new care coordination models.
This document summarizes a final report analyzing heart disease using Medicare and Cerner Electronic Health Facts data. Key findings include: 1) About 1/3 of patients suffer from congestive heart failure, occurring most in females, Caucasians aged 65-80+, and patients with ischemic heart disease or diabetes; 2) Medicare pays $306 per claim and $985 per patient on average, with reimbursement increasing by $200-250 when heart failure is associated with other diseases; 3) In the Cerner data, chronic heart failure occurs most in the Northeast, Caucasians, those aged 85-90, and patients with circulation system symptoms or diseases. The datasets were compared and differences in some findings were presented. Recommendations
Population Health Management & Volume To Value Based CareIFAH
A session by Amish Purohit, CEO and CMO, US Health Systems on the topic of 'Population Health Management & Volume To Value Based Care' at IFAH USA 2019 held at Caesars Palace, 18-20 June, 2019.
Heart failure is the most common reason for hospitalization among those over 65 years old, and the most expensive diagnosis for Medicare. A hospital implemented several initiatives to improve care for heart failure patients based on evidence-based guidelines and quality measures. This resulted in improved processes of care, increased adherence to quality measures, stabilization of readmission rates, and recognition as a community leader in heart failure care.
Transforming the Office Management of Heart Failure Using the Chronic Disease...MedicineAndHealthUSA
This document describes a project to transform the management of heart failure patients using a chronic disease model in a family medicine residency program. It discusses shortcomings in current chronic disease management and introduces the chronic care model. The project aims to improve guideline adherence, patient education and self-management, care coordination, and use of an electronic registry to track patients and monitor outcomes. Initial lessons learned include challenges with governance approvals and achieving buy-in from part-time providers during a cultural change.
Parallel Session 2.8 SEPSIS and VTE Collaborative – Breakthrough Series Colla...NHSScotlandEvent
The document discusses the Sepsis/VTE Collaborative. It explains that the collaborative was formed to improve sepsis and venous thromboembolism (VTE) management. It describes initial tests of changing documentation and assessing patients for sepsis that were conducted. Baseline data was collected on 18 patients with high early warning scores, of which 9 had new septic episodes. The median time to first antibiotics for septic patients was reduced from 1 hour and 25 minutes pre-intervention to 37 minutes post-intervention with the introduction of a dual response system in one respiratory ward area. Balancing measures such as antibiotic usage were also tracked.
The document provides information about the WIC (Special Supplemental Nutrition Program for Women, Infants, & Children) program. WIC is a federally funded program that provides nutritious foods, nutrition education, breastfeeding promotion and support, and screening/referrals to improve the health of pregnant/breastfeeding women, infants, and children under 5 who are at nutritional risk and below 185% of the federal poverty level. The document outlines WIC's income eligibility guidelines and describes the types of nutritious foods, nutrition education, breastfeeding support, and referrals provided through the program.
This document provides information and instructions for responding to an opioid overdose emergency using naloxone. It begins with an overview of the REVIVE program and training objectives. It then discusses opioid overdoses, how to recognize one, and risk factors. Myths about reversing overdoses are dispelled. The document emphasizes that naloxone is the only effective response and provides step-by-step instructions: check responsiveness and give rescue breaths if needed, call 911, administer naloxone, continue rescue breathing, and give a second dose of naloxone if needed. Proper positioning and calling for emergency help are also described.
This document provides an overview of the Balanced Living with Diabetes (BLD) program, a community-based lifestyle intervention for improving blood glucose control among people with diabetes. BLD is based on social cognitive theory and community-based participatory research principles. It involves weekly 2-hour classes over 4 weeks that teach diabetes self-management skills like healthy eating, physical activity, and goal setting using interactive lessons and activities. Pilot programs of BLD found improvements in A1c, diet, and physical activity. A large randomized controlled trial of BLD found it effective at lowering A1c levels among African Americans with diabetes in medically underserved areas when delivered in faith-based community settings.
This document discusses telehealth, health information technology (HIT), and mobile health (mHealth). It defines these terms and explores their use and potential benefits in rural healthcare settings for improving access to care, care coordination, patient-centered care, and physician mentorship. The document addresses challenges like patient migration, health literacy, and lack of providers in rural areas. It also discusses considerations for vendors and technologies like assessing return on investment and ensuring clinical and financial benefits. The need for pilot testing, feedback loops, and adapting implementation processes is emphasized. In summary, the document provides an overview of digital health innovations and how they can help address rural healthcare challenges if properly planned and evaluated.
This document provides an overview of attention deficit hyperactivity disorder (ADHD), including diagnostic criteria, incidence rates, treatment options, and recent Virginia Medicaid data on ADHD diagnoses and medication rates. It begins with the goals of reviewing the ADHD diagnosis, latest treatment algorithms, and Virginia Medicaid data compared to other states and nationally. Diagnostic criteria and symptoms from the DSM-V are outlined. Treatment options discussed include behavioral therapy and FDA-approved medications like stimulants. Virginia Medicaid data on ADHD diagnoses and medication rates among children and adults is presented compared to other state Medicaid plans.
The document discusses Virginia's health and human services programs and delivery system. It provides an overview map of the various state agencies and programs involved, including Medicaid, social services, behavioral health, public health, and more. It emphasizes moving from a program-focused model to a more coordinated, customer-centric model to better serve individuals and families. Key challenges discussed include demographic changes, technological shifts, workforce issues, balancing specialization and integration, and coordinating complex federal, state and private systems and requirements.
This document summarizes a presentation given by Gina Capra, Director of the Office of Rural Health at the Veterans Health Administration. The presentation provided an overview of the VA, including its mission to care for veterans and strategic goals. It also discussed the rural veteran population and challenges they face accessing care. Additionally, it described the VA's efforts to engage community providers through programs like the Community Based Outpatient Clinics and the Veterans Choice Program.
This document discusses the challenges facing rural healthcare in the United States. It notes that rural residents generally have worse health outcomes and less access to care compared to urban residents, due to issues like physician and specialist shortages. Many rural hospitals are financially vulnerable and at risk of closure. The document outlines advocacy efforts by the National Rural Health Association to raise awareness of the crisis of rural hospital closures and develop legislative solutions to stabilize rural healthcare.
Virginia hospitals face serious financial challenges that threaten their ability to continue serving their communities. Rising costs of caring for an aging population combined with inadequate Medicare and Medicaid reimbursement have led to annual funding shortfalls approaching $1 billion for Virginia hospitals. This has resulted in one-third of Virginia's acute care hospitals operating in the red. If these challenges are not addressed, further hospital closures and service reductions are possible. A public awareness campaign called "Virginia Hospitals: Our Lifeline" aims to educate lawmakers and the public about these issues facing local hospitals.
Melody Counts, M.D., M.H.M. presented information on resources for affordable prescription medications. The presentation identified multiple patient assistance programs (PAPs), 340B programs, private organizations, and pharmacy discount programs that provide low-cost or free prescription drugs. It provided details on eligibility requirements and application processes for several specific programs and resources patients and doctors can access. The goal was to help participants identify affordable prescription medication options to provide to patients and understand why this is an important service.
1) The document provides guidance on federal and state loan repayment programs for healthcare practitioners and practice sites.
2) It discusses Health Professional Shortage Areas (HPSAs), their structure and types, and how they are used to determine eligibility for programs like the National Health Service Corps Loan Repayment Program and Virginia State Loan Repayment Program.
3) The National Health Service Corps Loan Repayment Program and Virginia State Loan Repayment Program are described in detail, including eligibility requirements for participants and approved sites, available funding amounts, and application processes.
Joshua Kaywood discusses interstate telehealth regulation and licensure issues. He outlines the current status, including common issues around medical board jurisdiction over residents. Landmark decisions established that providers must be licensed in the state where the patient resides. Rules generally require knowing a patient's residency and obtaining licenses in multiple states. Virginia extends reciprocity to bordering states, while others may require full licensing or allow exemptions. The FSMB Compact and PSYPACT aim to enhance license portability across states through compacts, but telehealth regulation remains complex due to varying state laws.
This document provides an overview of telehealth and the Mid-Atlantic Telehealth Resource Center (MATRC). It discusses what telehealth is, including videoconferencing, store-and-forward, remote patient monitoring, and mobile health. Models that effectively use telehealth for rural healthcare are presented, such as telestroke, Parkinson's care, and high-risk obstetrics. The document outlines MATRC's goals of assisting rural sites in developing telehealth programs and describes the technical assistance they provide through their website, social media, in-person meetings, and email support.
This document discusses challenges facing rural healthcare providers. It notes that 62 million patients rely on rural providers who face unique population, geographic, cultural and healthcare delivery challenges. Rural providers and patients are disproportionately dependent on federal programs like Medicare and Medicaid. Recent federal policies have enacted Medicare cuts that negatively impact rural hospitals. The document examines characteristics of rural hospitals that have closed since 2010 and potential factors contributing to closures. It also reviews characteristics of rural hospitals that have merged with other providers and whether mergers improved financial performance. The document advocates policy solutions to stabilize rural hospitals and ensure their future viability.
This document summarizes resources for conducting research on rural populations in Virginia. It identifies several key public data sources for studying chronic disease in central Appalachia, including the Appalachian Regional Commission, Centers for Disease Control and Prevention, and various state-level sources. It also describes a case study using Virginia College of Osteopathic Medicine's study of chronic health conditions in central Appalachia as an example. This involved collecting both primary data through medical record reviews and secondary data from sources like the U.S. Energy Information Administration and Virginia Department of Health. It concludes by discussing future directions for continuing this research.
This document outlines a framework for population health management. It discusses fundamentals of population health including individual behavior, community health outcomes, and managing population health. It describes benefits of population health management like prevention and chronic disease management. Critical access hospitals can play a role as conveners by collaborating with local health departments and EMS providers. They can assist with developing population health plans and focus community engagement on key local health issues. The document provides templates for community engagement plans and implementation timelines.
This document provides an overview and summary of Virginia's public behavioral health system challenges and opportunities presented by James M. Martinez Jr., Director of the Office of Mental Health Services at DBHDS, to the Virginia Rural Health Association on December 11, 2014. The presentation discusses the current environment of behavioral health reform in Virginia, new laws affecting behavioral healthcare in the state, and DBHDS's vision, mission and transformation process. Key points include the drivers of recent reforms, current demand and utilization of services, new laws on emergency custody, temporary detention facilities, and the psychiatric bed registry.
This document summarizes differences between rural and urban health care and challenges facing rural areas. Key points include: infrastructure and resources are more limited in rural areas; poverty and health disparities are higher; and the aging population presents issues. Federal programs aim to address rural needs, but top-down solutions have had mixed results. Ensuring a rural voice in policymaking is important. Upcoming opportunities include the 2015 open enrollment period under the Affordable Care Act and workforce development programs.
The document discusses the evolving rural healthcare environment, including increased affiliations between rural and urban providers, changes to payment models under the Affordable Care Act, and a transition to value-based and managed care. It notes pressures on state budgets, the growth of high-deductible health plans, reduced readmissions, and declining inpatient volumes. The document also summarizes the expansion of Medicaid, Medicare payment reductions, quality reporting programs, accountable care organizations, and the financial challenges rural hospitals may face in this changing environment if they maintain a fee-for-service model.
The document summarizes the New River Valley Livability Initiative, a 3-year regional planning process that developed a vision and strategies for the future of the New River Valley region. It describes the funding and team involved, including working groups on topics like housing, economic development, and health. Public outreach included surveys and meetings. The final report identifies trends in areas like housing, transportation and demographics, and establishes goals and strategies to enhance living and working environments and preserve rural character in the region.
1. HF
Get With The Guidelines
Heart Failure Program
Tiffany D. McGhee RN, MS, MPH
Director of Quality Improvement
American Heart Association
2. HF
Background on Heart Failure
Population Hospital 1
Group Prevalence Incidence Mortality Discharges Cost
Total $34.8
5,300,000 660,000 284,965 1,084,000
population billion
• Heart failure (HF) is a major public health problem
resulting in substantial morbidity and mortality
• Despite recent advances a substantial number of
patients are not receiving optimal care
1American Heart Association. 2008 Heart and Stroke Statistical Update.
Dallas, TX: American Heart Association; 2008.
2Hunt SA et al. ACC/AHA guidelines for the evaluation and management of
chronic heart failure in the adult. 2001.
3. HF
10
Prevalence of HF Increases With Age
Males
8
Population (%)
Females
6
4
2
0
20–24 25–34 35–44 45–54 55–64 65–74 75+
Age (yr)
US, 1988–1994
AHA. Heart Disease and Stroke Statistics
2004 Update
4. HF
Heart Failure Hospitalizations
The number of heart failure hospitalizations is increasing in both men and women
CDC/NCHS: Hospital discharges include patients both living and dead.
AHA, 1998 Heart and Statistical Update
NCHS, National Center for Health Statistics
AHA Heart and Stroke Statistical Update 2004
5. HF
New Goal
By 2020 improve the cardiovascular health
of all Americans by 20% while reducing
deaths from cardiovascular disease and
stroke by 20%.
7. HF
Bridging the Gap Between Knowledge and Routine Clinical Practice
AHA/ACC Clinical
Guidelines Systems
Practice
I IIa IIb III
• Implement evidence-
based care
• Improve communications
• Clinical trial evidence
• Ensure compliance • Improve quality of care
• National guidelines
• Improve outcomes
Adapted from the American Heart Association. Get With The Guidelines; 2001.
8. HF
Definition of Quality
“Degree to which health care services
increase the likelihood of desired health
outcomes and are consistent with current
professional knowledge”
– Are you doing the right things?
– Are your patients better off for it?
9. HF
Building a Continuum of Care in the Inpatient Setting
Create
culture
and
Pilot resources
Improved
Assess new QI to
Patient
Quality programs ensure
Outcomes
& greater
initiatives guideline
adherence
10. HF
Heart Failure Quality Improvement Program
• Why have a QI program for HF?
– Mortality from HF is high.
– Major reason for readmission in the US.
– Large cost to US healthcare economy.
– Improved quality of life for HF patients and
caregivers.
– Hospital benefits by open bed space.
11. HF
Why a Hospital-Based System
• Patients for HF Management?
– Patient capture point
– Have patient’s/family’s attention:
―teachable moment‖
– Predictor of care in community
• Hospital structure
– Standardized processes/protocols/
orders/teams
– Accrediting bodies for standards of care
– Centers for Medicare and Medicaid
Services—peer review organizations
• JCAHO (in-hospital)
• HEDIS (post-discharge)
Fonarow GC et al. Am Heart J. 2004;148:43–51.
12. HF
Hospital-based System in Heart Failure Reduces Readmissions
P<.0001 and Mortality Pre-intervention (n=11,038)
95* Post-intervention (n=8045)
Treatment Rates (%)
HR 0.80
65 P<.0001
46 HR 0.77
38* P<.0001
23
18*
ACEI Rx Readmissions 1-Year Mortality
Intermountain Health Care: 10 hospitals 1/1996–12/1998 (n=11,038) to 1/1999–3/2000 (n=8045)
Pearson RR et al. Circulation. 2001;104:II-838.
13. HF
Since 2001
Over 1500 Hospitals
Nationwide
Over 2 Million Patient
Records
Over 625 Hospitals
Receiving Recognition
Almost 55 Peer Reviewed
CONFIDENTIAL – American Heart Association 2009
Publications
15. HF
What is GWTG-HF?
• The American Heart Association’s in-
hospital quality improvement program
aimed at ensuring every heart failure
patient receives the best care possible.
16. HF
GWTG-HF Program Objectives
• Improve medical care and education of patients
hospitalized with heart failure
• Accelerate initiation of the HF evidence-based,
guideline-recommended therapies by starting these
therapies before hospital discharge in appropriate
patients
• Increase understanding of and overcome barriers to
uptake of evidence-based therapies in this patient
population
17. HF
Get With The Guidelines:
Elements of Success for Hospitals
• Attend a GWTG workshop
• Designate a champion from hospital
• Recruit care team for implementation
• Enter baseline data into the Patient Management Tool
• Institute care paths, standing orders and discharge protocols
that are consistent with the ASA/AHA guidelines
• Utilize the Patient Management Tool to record and improve
patient care.
• Achieve Performance Award levels
18. HF
GWTG Heart Failure Performance Measures
Evidence Based Recommendations
• Discharge instructions and HF patient education.
• Measurement of left ventricular (LV) function in all
eligible patients.
• ACE inhibitor or ARB provided at discharge in eligible
patients with LVEF of <40%, in the absence of
documented contraindications or intolerance.
• Beta-blocker provided to eligible patients at discharge
with LVEF <40% in the absence of documented
contrindications or intolerance.
• Smoking cessation counseling provided to all eligible
patients (current or recent smokers).
ACC/AHA Clinical Performance measures for Adults
with Chronic Heart Failure, Bonow, RO, et al.
Circulation September 20, 2005
19. HF
GWTG-HF Data Collection
• Relevant medical history • Discharge Status
• Smoking within the last 12 • If patient expired, primary cause
months of death
• HF History • Symptoms (closest to
• Symptoms (closest to discharge)
admission) • Vital Signs (closest to
• Vital Signs discharge)
• Exam (closest to admission) • Exam (closest to discharge)
• Labs (closest to admission; • Labs (closest to discharge)
peak to troponin) • Discharge medications
• Admission medications (taken • Smoking cessation counseling
prior to admission) • Discharge instructions
• Parenteral therapies • Date of discharge
• Procedures during this hospital • Process of care improvement
stay
• Ejection Fraction
30. HF
AHA Get With The Guidelines is
Award Winning
• First hospital-based program to receive the
prestigious Innovation in Prevention Award from
U.S. Department of Health and Human Services.
• Recipient of Inaugural eHealth Initiative (eHI) Award
Honoring Leadership in Health Care Quality through
Health IT for Transforming Care Delivery
31. HF
GWTG-HF Recognition Program Performance Measures
1. HF Discharge instructions provided to all eligible patients
2. Measurement of LV function in all eligible patients
3. ACE inhibitor and/or ARB at discharge provided to eligible
patients with LVEF < 0.40, in absence of documented
contraindications or intolerance
4. Beta blocker at discharge provided to eligible patients with
LVEF < 0.40, in absence of documented
contraindications or intolerance
5. Smoking cessation counseling provided to all eligible
patients (current or recent smokers)
32. HF
Silver Performance Achievement
Award Criteria
Indicate compliance
of applicable
performance criteria
in at least 85% of
patients for 12
consecutive
months
33. HF
Silver Plus Performance
Achievement Award Criteria
Indicate compliance of
applicable performance
criteria in at least 85%
of patients for 12
consecutive months
and at least 12
consecutive months
of 75% or higher
compliance with 4 of 9
Get With The
Guidelines Heart
Failure Quality
measures
34. HF
Gold Performance Achievement
Award Criteria
Indicate compliance of
applicable
performance criteria in
at least 85% of
patients for two
consecutive 12
month intervals
35. HF
Gold Plus Performance
Achievement Award Criteria
Indicate compliance of
applicable performance
criteria in at least 85% of
patients for consecutive
12 month intervals and
at least 12 consecutive
months of 75% or
higher compliance
with 4 of 9 Get With
The Guidelines Heart
Failure Quality
measures
37. HF
Challenges to Implement a Heart Failure Performance
Improvement System
• This will not work in a community practice or hospital
• The cardiologists will not agree to this
• We can not get a consensus
• The managed care organization will not pay for it
• Patients do not want to be on a lot of medications
• There is not enough time
• It will cost too much
• It may not be safe to start BB medications in heart failure patients
• This will benefit the competition
• The administration will not pay for it
• What about the liability?
• It will take too much time
• All my patients are too complex for this
• The patients should all be followed by someone else
• It is too hard to get things through the practice committee
• The physicians at my office do not like cookbook medicine
• We do not have anyone to do this
38. HF
Tools for Smooth HF Transitions
• Should target both patient and providers
• Improving transitional care
– Better communication for transferring MD
• Discharge summaries, EMR exchanges, etc
– Closer follow-up care for those who need it
• Minimizing “Door to clinic times”
– Better patient education tools
• Informing patients, family about disease, treatment
– Tools to increase medication adherence
• Pill boxes, pharmacist programs, disease management
– Disease and risk management programs
• Patient empowering, self management, multidisciplinary HF
clinics, web based programs
39. HF
Continuity of HF Care
Reliable Care: Not Missing the Steps
Hospital CCU DC Early Post Outpatient
ED Telemetry DC
• Oral •On right meds?
•Diagnosis • IV Meds Meds • Right •On right dose?
• Admit •Oral Meds • Other meds? •Volume status
• CCU? •LV function Rx? •Titration •Re-assess EF
•Acute Rx • Echo and/or •Other •Pt •Device?
•Evaluation Cath? eval Education •Self Manage?
•Other •Pt Ed Disease •Other Issues?
Evaluation •F/U Manage
•Tx to Floor •Disease •Continuity
Manage Device?
Fonarow GC Rev Cardiovasc Med.
2006;7:S3-11
40. GWTG-HF True Value HF
Actual Cost Market Value
GWTG-HF Patient Management Tool $1,195.00/year $10,000-$30,000/year
Educational Programs $40 per person $10/hour/person
-GWTG Workshop CEU/CME
Teleconferences Free Free
Patient Education Material Free $5,000-$10,000/year
QI Consultative Services Free $250-$700/hour
JC Advanced HF Certification Site Review *$500-$800 $5,000-$15,000
Technical Support Free $20-$50 charge per call
Marketing Opportunities with AHA Free $20,000-$50,000/year
Total $1,735-$2035/year $64,000-$154,000/year
*Note: For HF Certification preparatory reviews we are including a stipend to cover costs for lodging, mileage and/or air fare, and meals for AHA staff.
41. HF
GWTG-HF Cycle of Quality Improvement
Find and Support a Champion
Assess HF Treatment
Rates
Measure current treatment rates
and process-of-care indicators
Implement Refined
Protocols Evaluate Assessment
Hospital team coordinates Hospital team reviews
implementation of refined summary reports and current
protocols protocols
Refine Protocols
Hospital team
identifies
areas for
improvement
43. HF
Taking The Failure Out of Heart Failure
Collection of content-rich resources for patients
and professionals
• Educational Tools
• Prevention Programs
• Treatment Guidelines
• Quality Initiatives and Outcome-based programs
44. HF
GWTG BEST PRACTICE TOOLKIT
The best practice project demonstrates the American Heart Association’s
continued commitment in providing the GWTG community the resources
necessary to achieve quality goals.
• Purpose of the project was to determine the best practices that could be
instrumental in assisting other organizations in meeting and sustaining their
quality goals.
• Interviews, on line discussion sessions and focus groups were conducted with
over 100 professionals representing GWTG silver and gold award winning
hospitals.
• A Best Practice multimedia on-line guidebook will be the result of this in depth
market research.
• The guidebook will initially contain 15 -17 best practices for HF and Stroke.
Each best practice process is described in detail including supporting
documents and educational programs.
• Organizations will be able to adapt these best practices and tools to assist in
meeting quality goals.
CONFIDENTIAL – American Heart Association 2009