Hospital Performance and Outcomes
- The quality in health care delivery has been shown to play a role in hospital performance.
- Study results suggest that hospitals with improved process of care have better rates for AMI and HF.
- Hospitals participating in The Get With The Guidelines Program may improve the process of care for patients suffering from an AMI and HF.
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Aldosterone Antagonist and HF
- Data supports the use of aldosterone antagonist use in heart failure patients.
- Aldosterone antagonists are underutilized of aldosterone antagonists in eligible patients.
- The GWTG Program has been shown to improve the appropriate use of aldosterone antagonist therapy in heart failure patients.
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Quality Improvement Overtime and the GWTG-CAD Program
- New treatment guidelines from AHA and ACC for patients with coronary artery disease (CAD)
- A treatment gap exists between clinical practice and use of guideline recommended therapies.
- GWTG-CAD quality improvement program improves guideline adherence for patients hospitalized with CAD.
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Risk Scores for In-Hospital Mortality
- Risk models may be useful in predicting in-hospital mortality.
- Patients hospitalized with heart failure (HF) provide a unique setting for the validation of such prognostic information collection.
- The Get With The Guidelines-HF (GWTG-HF) program’s validated risk score has the potential to influence the quality of care provided to patients hospitalized with HF by informing decision making through routinely collected clinical data.
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Quality Outcomes of Hospital Angioplasty Volume and STEMI Patients
- Previous data has demonstrated a relationship between low volume procedure hospitals and higher rates of death.
- Evidence suggests that there is no apparent relationship between in-hospital mortality and procedural volume for hospitals participating in the GWTG-CAD program.
- Data from study suggests that merely measuring and reporting volume of a procedure is not a surrogate measure of quality or outcome.
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Other Readings
Depta J, Cannon C, Fonarow G, Zhao X, Peacock F, Bhatt D. Patient characteristics associated with the choice of triple anti-thrombotic therapy in the setting of acute coronary syndromes. Am J Cardiol 2009;104:1171–1178
Piccini J, Hernandez A, Zhao X, Pate M, Lewis W, Peterson E, Fonarow G. Quality of Care for Atrial Fibrillation among Patients Hospitalized for Heart Failure. JACC. (online)
