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Quality Outcomes

Heart Failure

Results are from patients who had overnight hospital stays from April 1, 2012 through March 31, 2013.

Heart Failure Quality Measures1 St. Clair results National results
Percent of heart failure patients given discharge instructions 
Higher percentages are better

97%

94%

Percent of heart failure patients given an evaluation of left ventricular systolic function
Higher percentages are better

100%

99%

Percent of heart failure patients given ACE inhibitor or ARB for left ventricular systolic dysfunction
Higher percentages are better

98%

97%

1Source:  U.S. Department of Health and Human Services

 

Discharge Instructions

What are we measuring?

How frequently patients discharged with heart failure receive education about appropriate activity levels, a healthful diet, medications, when they should schedule a follow-up physician appointment, daily weight monitoring, and what to do if symptoms worsen.

Why is this important?

Lack of understanding about heart failure often leads to problems managing medications, diet and exercise.  It’s important that patients with heart failure are educated about how to best manage their condition.

How are we doing?

We have been successful in our efforts to capture the documentation of all the education our team of physicians, nurses and pharmacists are providing for our patients with heart failure. This has improved our results; placing us above the national average.

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Left Ventricular Systolic Function Evaluation

What are we measuring?

How frequently heart failure patients’ left ventricular systolic (LVS) function was evaluated either before arrival, during hospitalization, or is planned for after discharge.

Why is this important?

National guidelines advocate the evaluation of left ventricular systolic function as the single most important diagnostic test in the management of all patients with heart failure.  This test assesses the strength of the heart’s pumping action by measuring how much blood is moved with each heartbeat.

How are we doing?

Results are on par with the national average, with 99 percent of patients with heart failure receiving evaluatin of their left ventricular systolic function.

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ACE Inhibitor or ARB

What are we measuring?

How frequently patients with left ventricular systolic dysfunction are prescribed a medication called an angiotensin converting enzyme inhibitor or an angiotensin receptor blocker early in the hospitalization.

Why is this important?

ACE (angiotensin converting enzyme) inhibitors and ARBs (angiotensin receptor blockers) are medicines used to treat patients with heart failure and are particularly beneficial in those patients with decreased function of the left side of the heart. Early treatment with ACE inhibitors and ARBs can also reduce the risk of death from future heart attacks. Since the ways in which these two kinds of drugs work are different, your doctor will decide which drug is most appropriate for you.

How are we doing?

Our performance is similar to the national results.   

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