ACCF/AHA/AMA-PCPI 2011 Performance Measures for Adults With Heart Failure

Bonow, Robert O.; Ganiats, Théodore G.; Beam, Craig; Blake, Kathleen; Casey, Donald E.; Goodlin, Sarah J.; Grady, Kathleen L.; Hundley, Randal F.; Jessup, Mariell; Lynn, Thomas E.; Masoudi, Frederick A.; Nilasena, David S.; Piña, Ileana L.; Rockswold, Paul D.; Sadwin, Lawrence B.; Sikkema, Joanna D.; Sincak, Carrie A.; Spertus, John A.; Torcson, Patrick J.; Torres, Elizabeth Aparecida Ferraz da Silva; Williams, Mark; Wong, John B.

doi:10.1016/j.jacc.2012.03.013

Cited by 63 publications

(18 citation statements)

References 26 publications

(10 reference statements)

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“…18,41 In many programs, the first call was to be made within 48 to 72 hours, 17,20,28,34,42 as per national organization guidelines, 1 or based on performance metric recommendations. 43,44 A common feature was to make regular follow-up calls for up to 30 days after discharge. In 1 program, APNs were available for telephone calls if patients had problems or questions.…”

Section: Telephone Follow-upmentioning

confidence: 99%

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Transitions of Care in Heart Failure

Albert¹,

Barnason²,

Deswal³

et al. 2015

Circ: Heart Failure

215

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In patients with heart failure (HF), use of 30-day rehospitalization as a healthcare metric and increased pressure to provide value-based care compel healthcare providers to improve efficiency and to use an integrated care approach. Transition programs are being used to achieve goals. Transition of care in the context of HF management refers to individual interventions and programs with multiple activities that are designed to improve shifts or transitions from one setting to the next, most often from hospital to home. As transitional care programs become the new normal for patients with chronic HF, it is important to understand the current state of the science of transitional care, as discussed in the available research literature. Of transitional care reports, there was much heterogeneity in research designs, methods, study aims, and program targets, or they were not well described. Often, programs used bundled interventions, making it difficult to discuss the efficiency and effectiveness of specific interventions. Thus, further HF transition care research is needed to ensure best practices related to economically and clinically effective and feasible transition interventions that can be broadly applicable. This statement provides an overview of the complexity of HF management and includes patient, hospital, and healthcare provider barriers to understanding end points that best reflect clinical benefits and to achieving optimal clinical outcomes. The statement describes transitional care interventions and outcomes and discusses implications and recommendations for research and clinical practice to enhance patient-centered outcomes.

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Section: Telephone Follow-upmentioning

confidence: 99%

“…Other barriers to translating interventions were a high proportion of observational or quasi-experimental designs and varying end-point selection. 43 …”

Section: Transition Of Care Programs: Impact On Health Outcomesmentioning

confidence: 99%

Transitions of Care in Heart Failure

Albert¹,

Barnason²,

Deswal³

et al. 2015

Circ: Heart Failure

215

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“…6 In 2012, ICD counseling was established as a metric of HF quality of care by the American College of Cardiology and the American Heart Association. 7 Previous studies documented low rates of ICD use among those eligible, particularly among women and minorities. In a previous analysis of Get With The Guidelines (GWTG)-HF, only 1 in 3 potentially eligible patients actually received an ICD or was discharged with plans to receive one.…”

mentioning

confidence: 99%

“…9 In 2012, a task force endorsed by a consortium of professional societies established ICD counseling as an important indicator of HF quality of care. 7 Receiving an ICD is a multistep process. First, clinicians need to recognize those who are eligible for an ICD.…”

mentioning

confidence: 99%

Sex and Race/Ethnicity Differences in Implantable Cardioverter-Defibrillator Counseling and Use Among Patients Hospitalized With Heart Failure

et al. 2016

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Original research article BACKGROUND: Previous studies have found that women and black patients eligible for a primary prevention implantable cardioverterdefibrillator (ICD) are less likely than men or white patients to receive one. METHODS:We performed an observational analysis of the Get With The Guidelines-Heart Failure Program from January 1, 2011, to March 21, 2014. Patients admitted with heart failure and an ejection fraction ≤35% without an ICD were included. Rates of ICD counseling among eligible patients and ICD receipt among counseled patients were examined by sex and race/ethnicity. RESULTS:Among 21 059 patients from 236 sites, 4755 (22.6%) received predischarge ICD counseling. Women were counseled less frequently than men (19.3% versus 24.6%, P<0.001, adjusted odds ratio [OR], 0.84; 95% confidence interval [CI], 0.78-0.91). Racial and ethnic minorities were less likely to receive counseling than white patients (black 22.6%, Hispanic 18.6%, other race/ethnic group 14.4% versus white 24.3%, P<0.001 for each): adjusted OR versus white, 0.69; 95% CI, 0.63 to 0.76 for black patients; adjusted OR, 0.62; 95% CI, 0.55 to 0.70 for Hispanic patients; adjusted OR, 0.53; 95% CI, 0.43 to 0.65 for other patients. Among the 4755 counseled patients, 2977 (62.6%) received an ICD or had one planned for placement after hospital stay. Among those counseled, women and men were similarly likely to receive an ICD (adjusted OR, 1.13; 95% CI, 0.99-1.29). However, black (adjusted OR, 0.70; 95% CI, 0.56-0.88) and Hispanic patients (adjusted OR, 0.68; 95% CI, 0.46-1.01) were less likely to receive an ICD. CONCLUSIONS:Up to 4 of 5 hospitalized patients with heart failure eligible for ICD counseling did not receive it, particularly women and minority patients. Among counseled patients, ICD use differences by race and ethnicity persisted. 518 s udden cardiac death is a major public health hazard, accounting for >200 000 deaths annually and 40% to 50% of years of potential life lost from heart disease. 1 The implantable cardioverter-defibrillator (ICD) can abort sudden cardiac death by terminating malignant arrhythmias and thereby confers a survival benefit to at-risk patients. [2][3][4][5] Heart failure (HF) with reduced left ventricular ejection fraction is one of the major risk factors for sudden cardiac death in current clinical practice. As a consequence, professional societies recommend that certain patients with reduced left ventricular ejection fraction receive an ICD. 6 In 2012, ICD counseling was established as a metric of HF quality of care by the American College of Cardiology and the American Heart Association. 7Previous studies documented low rates of ICD use among those eligible, particularly among women and minorities. In a previous analysis of Get With The Guidelines (GWTG)-HF, only 1 in 3 potentially eligible patients actually received an ICD or was discharged with plans to receive one. 8 After accounting for other demographic and hospital factors, women and black patients were approximately one-third less likely...

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“…13 The writing committee chose to develop a measure that addresses counseling instead of the actual implantation in recognition that the decision to implant an ICD is complex and there are a multitude of reasons why an individual decision might be made to not implant an ICD. Such initiatives need to be accompanied by appropriate balanced education of physicians, patients, and the public regarding the benefits and risks of ICD placement so that effective counseling can be provided.…”

Section: Circulationmentioning

confidence: 99%