A Cooperative Approach to Standardizing Care for Patients with AMI or Heart Failure
Abstract:Background: In fall 2003 the five hospitals in Wichita, Kansas, formed a collaborative to improve care for patients presenting with acute myocardial infarction or heart failure (HF). Standard order sets were developed from guidelines developed by the American College of Cardiology and the American Heart Association.
The Wichita Citywide Heart Care Collaborative Gets to Work: The order sets, which highlighted the appropriate interventions and made their implementation a "check-box" activity, were placed in the progress note section of the medical record. Booklets for patient education on heart care were developed.
Results: All five hospitals have experienced significant improvement in core measure data. For example, for angiotension-converting enzyme inhibitor for left ventricular systolic dysfunction, the overall compliance score improved from 70% to 85%, a 15% improvement in 18 months. Compliance for HF was perhaps more successful, given the low level of initial compliance (50%).
Discussion: Physician compliance was enhanced by incorporating the guidelines into practitioners' daily workflow needs, providing prompt feedback on their performance, incorporating their suggestions made at the point of care, and using process measurements.
Document Type: Miscellaneous
Publication date: 2006-12-01
More about this publication?
- The Joint Commission Journal on Quality and Patient Safety will be published by Elsevier beginning in 2017! For readers who receive access to the journal through their institutions, the journal can now be found on ScienceDirect (http://www.sciencedirect.com/science/journal/15537250). For librarians looking to subscribe to the journal for their institutions please contact your Elsevier Account Manager or visit www.myelsevier.com for more information. All other readers, please visit http://www.jointcommissionjournal.com/ to subscribe to the journal or to claim your access for an existing subscription.
- Editorial Board
- Information for Authors
- Subscribe to this Title
- Information for Advertisers
- Reprints and Permissions
- Ingenta Connect is not responsible for the content or availability of external websites