Abstract
Quality is a comparative construct that, through the lens of presumed best practice, seeks to identify “optimal” heart failure care and minimize variance from it. While an understanding of the causal relationship between quality and outcomes is evolving, benchmarking of care to defined performance measures is commonplace. Consequently, knowledge of relevant metrics in heart failure and respective guidelines in which they are outlined is critical for both providers and administrators. Dissemination of such information and achievement of a culture of quality can be facilitated by accreditation—an unbiased approach to assessment of institutional performance which serves to recognize those centers which conform to a predefined (higher) standard of care. Ultimately, the goal of this and other quality initiatives is a systematic improvement in the way heart failure care is delivered across the stakeholder spectrum.
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References
Donabedian A. The quality of care. How can it be assessed? JAMA. 1988;260(12):1743–8.
Spertus JA, Bonow RO, Chan P, et al. ACCF/AHA new insights into the methodology of performance measurement. J Am Coll Cardiol. 2010;56(21):1767–82.
Ko DT, Alter DA, Austin PC, et al. Life expectancy after an index hospitalization for patients with heart failure: a population-based study. Am Heart J. 2008;155(2):324–31.
Setoguchi S, Stevenson LW, Schneeweiss S. Repeated hospitalizations predict mortality in the community population with heart failure. Am Heart J. 2007;154(2):260–6.
Gheorghiade M, Pang PS. Acute heart failure syndromes. J Am Coll Cardiol. 2009;53(7): 557–73.
Krumholz HM, Baker DW, Ashton CM, et al. Evaluating quality of care for patients with heart failure. Circulation. 2000;101(12):E122–140.
Gwadry-Sridhar FH, Flintoft V, Lee DS, et al. A systematic review and meta-analysis of studies comparing readmission rates and mortality rates in patients with heart failure. Arch Intern Med. 2004;164(21):2315–20.
Levy P, Nocerini R, Grazier K. Paying for disease management. Dis Manag. 2007;10(4): 235–44.
Ashton CM. Care of patients with failing hearts: evidence for failures in clinical practice and health services research. J Gen Intern Med. 1999;14(2):138–40.
Philbin EF. Comprehensive multidisciplinary programs for the management of patients with congestive heart failure. J Gen Intern Med. 1999;14(2):130–5.
Chaudhry SI, Mattera JA, Curtis JP, et al. Telemonitoring in patients with heart failure. N Engl J Med. 2010;363(24):2301–9.
Steimle AE, Stevenson LW, Fonarow GC, et al. Prediction of improvement in recent onset cardiomyopathy after referral for heart transplantation. J Am Coll Cardiol. 1994;23(3): 553–9.
Hunt SA, Abraham WT, Chin MH, et al. 2009 Focused update incorporated into the ACC/AHA 2005 Guidelines for the Diagnosis and Management of Heart Failure in Adults A Report of the American College of Cardiology Foundation/American Heart Association Task Force on Practice Guidelines Developed in Collaboration With the International Society for Heart and Lung Transplantation. J Am Coll Cardiol. 2009;53(15):e1–e90.
Rickenbacher PR, Trindade PT, Haywood GA, et al. Transplant candidates with severe left ventricular dysfunction managed with medical treatment: characteristics and survival. J Am Coll Cardiol. 1996;27(5):1192–7.
Peacock WF, Braunwald E, Abraham W, et al. National Heart, Lung, and Blood Institute working group on emergency department management of acute heart failure: research challenges and opportunities. J Am Coll Cardiol. 2010;56(5):343–51.
Weintraub NL, Collins SP, Pang PS, et al. Acute heart failure syndromes: emergency department presentation, treatment, and disposition: current approaches and future aims: a scientific statement from the American heart association. Circulation. 2010;122(19):1975–96.
Hernandez AF, Greiner MA, Fonarow GC, et al. Relationship between early physician follow-up and 30-day readmission among Medicare beneficiaries hospitalized for heart failure. JAMA. 2010;303(17):1716–22.
Lee DS, Stukel TA, Austin PC, et al. Improved outcomes with early collaborative care of ambulatory heart failure patients discharged from the emergency department. Circulation. 2010;122(18):1806–14.
Peterson PN, Rumsfeld JS, Liang L, et al. Treatment and risk in heart failure: gaps in evidence or quality? Circ Cardiovasc Qual Outcomes. 2010;3(3):309–15.
American Heart Association (2010) Get with the guidelines—heart failure overview. http://www.heart.org/HEARTORG/HealthcareResearch/GetWithTheGuidelinesHFStroke/GetWithTheGuidelinesHeartFailureHomePage/Get-With-The-Guidelines-Heart-Failure-Overview_UCM_307806_Article.jsp. Accessed 20 Oct 2010.
Yancy CW, Abraham WT, Albert NM, et al. Quality of care of and outcomes for African Americans hospitalized with heart failure: findings from the OPTIMIZE-HF (Organized Program to Initiate Lifesaving Treatment in Hospitalized Patients With Heart Failure) registry. J Am Coll Cardiol. 2008;51(17):1675–84.
Collins SP, Storrow AB. Acute heart failure risk stratification: can we define low risk? Heart Fail Clin. 2009;5(1):75–83.
Lee DS, Schull MJ, Alter DA, et al. Early deaths in patients with heart failure discharged from the emergency department: a population-based analysis. Circ Heart Fail. 2010;3(2):228–35.
Formiga F, Chivite D, Ortega C, et al. End-of-life preferences in elderly patients admitted for heart failure. Q J Med. 2004;97(12):803–8.
Goodlin SJ, Hauptman PJ, Arnold R, et al. Consensus statement: palliative and supportive care in advanced heart failure. J Card Fail. 2004;10(3):200–9.
Krumholz HM, Phillips RS, Hamel MB, et al. Resuscitation preferences among patients with severe congestive heart failure: results from the SUPPORT project. Study to Understand Prognoses and Preferences for Outcomes and Risks of Treatments. Circulation. 1998;98(7):648–55.
Fonarow GC, Abraham WT, Albert NM, et al. Association between performance measures and clinical outcomes for patients hospitalized with heart failure. JAMA. 2007;297(1):61–70.
Fermann GJ, Collins SP. Observation units in the management of acute heart failure syndromes. Curr Heart Fail Rep. 2010;7(3):125–33.
Jencks SF, Williams MV, Coleman EA. Rehospitalizations among patients in the Medicare fee-for-service program. N Engl J Med. 2009;360(14):1418–28.
Collins SP, Schauer DP, Gupta A, et al. Cost-effectiveness analysis of ED decision making in patients with non-high-risk heart failure. Am J Emerg Med. 2009;27(3):293–302.
Bueno H, Ross JS, Wang Y, et al. Trends in length of stay and short-term outcomes among Medicare patients hospitalized for heart failure, 1993–2006. JAMA. 2010;303(21):2141–7.
Ong MK, Mangione CM, Romano PS, et al. Looking forward, looking back: assessing variations in hospital resource use and outcomes for elderly patients with heart failure. Circ Cardiovasc Qual Outcomes. 2009;2(6):548–57.
White CS, Davis SD, Aquino SL, et al. American College of Radiology Appropriateness Criteria® congestive heart failure. http://www.guideline.gov/content.aspx?id=9604. Accessed 27 Dec 2010.
Gheorghiade M, Follath F, Ponikowski P, et al. Assessing and grading congestion in acute heart failure: a scientific statement from the acute heart failure committee of the heart failure association of the European Society of Cardiology and endorsed by the European Society of Intensive Care Medicine. Eur J Heart Fail. 2010;12(5):423–33.
Hogg KJ, McMurray JJ. Evaluating dyspnoea in acute heart failure: progress at last! Eur Heart J. 2010;31(7):771–2.
Mebazaa A, Pang PS, Tavares M, et al. The impact of early standard therapy on dyspnoea in patients with acute heart failure: the URGENT-dyspnoea study. Eur Heart J. 2010;31(7): 832–41.
Spertus JA. Evolving applications for patient-centered health status measures. Circulation. 2008;118(20):2103–10.
Lindenfeld J, Albert NM, Boehmer JP, et al. HFSA 2010 comprehensive heart failure practice guideline. J Card Fail. 2010;16(6):e1–194.
Dickstein K, Cohen-Solal A, Filippatos G, et al. ESC Guidelines for the diagnosis and treatment of acute and chronic heart failure 2008: the Task Force for the Diagnosis and Treatment of Acute and Chronic Heart Failure 2008 of the European Society of Cardiology. Developed in collaboration with the Heart Failure Association of the ESC (HFA) and endorsed by the European Society of Intensive Care Medicine (ESICM). Eur Heart J. 2008;29(19):2388–442.
Peacock WF, Fonarow GC, Ander DS, et al. Society of Chest Pain Centers recommendations for the evaluation and management of the observation stay acute heart failure patient-parts 1–6. Acute Card Care. 2009;11(1):3–42.
Collins SP, Lindsell CJ, Naftilan AJ, et al. Low-risk acute heart failure patients: external validation of the Society of Chest Pain Center’s recommendations. Crit Pathw Cardiol. 2009;8(3):99–103.
Maeda JL. Evidence-based heart failure performance measures and clinical outcomes: a systematic review. J Card Fail. 2010;16(5):411–8.
Heidenreich PA, Lewis WR, LaBresh KA, et al. Hospital performance recognition with the Get With The Guidelines Program and mortality for acute myocardial infarction and heart failure. Am Heart J. 2009;158(4):546–53.
Ghali JK, Massie BM, Mann DL, et al. Heart failure guidelines, performance measures, and the practice of medicine mind the gap. J Am Coll Cardiol. 2010;56(25):2077–80.
Chandra A, Glickman SW, Ou FS, et al. An analysis of the Association of Society of Chest Pain Centers Accreditation to American College of Cardiology/American Heart Association non-ST-segment elevation myocardial infarction guideline adherence. Ann Emerg Med. 2009;54(1):17–25.
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Levy, P.D., Wheatley, M.A. (2012). Quality and Operational Metrics in Heart Failure. In: Peacock, W. (eds) Short Stay Management of Acute Heart Failure. Contemporary Cardiology. Humana Press, Totowa, NJ. https://doi.org/10.1007/978-1-61779-627-2_4
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DOI: https://doi.org/10.1007/978-1-61779-627-2_4
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