Performance Measures for Heart Failure: Using the Right Metrics to Improve Clinical Outcomes
|Lessons Learned Through Research: Do Hospitals and Ambulatory Centers Follow Guideline|
Nancy Albert, Ph.D., CCNS, CHFN, CCRN, NE-BC, FAHA, FCCM, Cleveland Clinic. Cleveland, Ohio
Presentation - "Oversight Systems..." | Presentation - "Lessions Learned"
|Heart Failure Performance Measures That Remained Unchanged or Were Retired: Rationale For Changes |
Connie White-Williams, PhD, RN, FAAN, University of Alabama at Birmingham Hospital, Birmingham, Al.
Presentation One slides | Presentation Two slides
|Recipient of QCOR Outstanding Achievement Award|
|Frederick L. Grover, M.D., Professor and Aragón/Gonzalez-Giusti Chair, Department of Surgery|
University of Colorado School of Medicine, Denver, Colo.
- Heart failure impacts about 5.7 million U.S. adults and is a leading cause of rehospitalization.
- The composite GWTG-HF quality-of-care measure for 2010 was 95.7%.
- According to Medicare data from July 2005 through June 2008, the median hospital risk- standardized mortality rate was 11.1% for heart failure with a median risk-standardized readmission rate of 24.4%.
- The median length of stay for heart failure patients in the GWTG-HF registry was 4 days, and 21.3% of patients were readmitted within 30 days, compared to a national average of 24.8%.
- Relative to white patients, Hispanic and black patients hospitalized with heart failure were significantly younger (median age 78, 63, and 64 years, respectively) but had lower ejection fractions (mean 41.1%, 38.8%, and 35.7%, respectively) with a higher prevalence of diabetes (40.2%, 55.7%, and 43.8%, respectively) and hypertension (70.6%, 78.4%, and 82.8%, respectively).
Learn more in Heart & Stroke 2012 Statistical Update