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Nursing Medicine Ancillary ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Heart Failure Clinical Effectiveness Team
[object Object],[object Object],[object Object],[object Object],American Heart Association. 2010 Heart and Stroke Statistical Update. Dallas, Tex. * Per year Number of Americans with HF New Cases diagnosed Americans dying of HF Hospital Discharges Cost  (Direct + Indirect) 5,800,000 * 670,000 * 282,754 * 1,106,000 * $39.2 billion *
[object Object],[object Object],[object Object],[object Object],http://en.wikipedia.org/wiki/Quality, Sept 2006
[object Object],[object Object],[object Object],[object Object],[object Object]
 
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],2 nd  Hospital  In the Nation!
30-day Readmit rate n=359  n=369  n=326  n=258  n=262  n=232  n=88 St. Anthony Central Snapshot (SAC Decision Support) Nat ’ l Avg: 24%
Composite Score (SAC )  (CMS/GWTG)   Comprehensive HF Instructions   LV Function Documented ACE/ARB @ DC for LVF <40%  Smoking Cessation Advice BB @ DC for LVF <40%
HF Coordinator  Hired Med-Rec  tackled GWTG Data (5-measure composite)
[object Object],[object Object],[object Object],[object Object]
Composite Score (SAC )  (CMS/GWTG)   Comprehensive HF Instructions   LV Function Documented ACE/ARB @ DC for LVF <40%  Smoking Cessation Advice BB @ DC for LVF <40%
[object Object],[object Object],Zen and the Art of Motorcycle Maintenance  and  Lila: An Inquiry into Morals   by Robert Pirsig.
October by Tony Abeyta
Get With The Guidelines data (2006-2010) LOS

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Presentation on Parasympathetic Nervous SystemPresentation on Parasympathetic Nervous System
Presentation on Parasympathetic Nervous System
 

CHF Team Quality Report

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  • 8. 30-day Readmit rate n=359 n=369 n=326 n=258 n=262 n=232 n=88 St. Anthony Central Snapshot (SAC Decision Support) Nat ’ l Avg: 24%
  • 9. Composite Score (SAC ) (CMS/GWTG) Comprehensive HF Instructions LV Function Documented ACE/ARB @ DC for LVF <40% Smoking Cessation Advice BB @ DC for LVF <40%
  • 10. HF Coordinator Hired Med-Rec tackled GWTG Data (5-measure composite)
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  • 12. Composite Score (SAC ) (CMS/GWTG) Comprehensive HF Instructions LV Function Documented ACE/ARB @ DC for LVF <40% Smoking Cessation Advice BB @ DC for LVF <40%
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  • 14. October by Tony Abeyta
  • 15. Get With The Guidelines data (2006-2010) LOS

Notas del editor

  1. Our multidisciplinary team met monthly for a few years. Currently the leadership of the team (Cardiology, hospitalist and ED physicians, CV Director, and HF coordinator) meet monthly, with the entire team gathering quarterly. Essential to our success has been the active participation of physician champions and unit-based nursing champions
  2. Ross JS, Chen J, Lin ZQ, et al. Recent national trends in readmission rates after heart failure hospitalization. Circ Heart Fail 2009; available at: http://circheartfailure.ahajournals.org
  3. Composite score for CMS core measures from SAC, SAN and Summit
  4. Composite score for CMS core measures from SAC, SAN and Summit