Heart Failure Patient Outcomes Following an Evidence-Based Program

2.50
Hdl Handle:
http://hdl.handle.net/10755/149460
Type:
Presentation
Title:
Heart Failure Patient Outcomes Following an Evidence-Based Program
Abstract:
Heart Failure Patient Outcomes Following an Evidence-Based Program
Conference Sponsor:Sigma Theta Tau International
Conference Year:2009
Author:Maynard, Judy, BSN
P.I. Institution Name:Memorial Medical Center
Title:Heart Failure Nurse
Co-Authors:Karen Baur, RN, MPA; Geralyn Wiechert, RN, MPA; Marilyn Prasun, PhD, CCNS, FAHA
[Evidence-based Practice Session Presentation] Background: Heart failure (HF) affects 5 million Americans and is associated with a tremendous economic burden, resulting in 34.8 billion dollars in health care expenditures each year.1 Hospitalizations for acute decompensated HF comprise nearly half of the reported expenditures.1 The purpose of this study was to examine the outcomes of hospitalized HF patients following implementation of an evidence based program.Methods: An evidence based program was implemented across the continuum of care at a Mid-western acute care facility. Multiple approaches were implemented to ensure accurate identification of patients with primary and secondary HF diagnosis. Education of care providers, development of a computerized tracking tool, automated results reporting of important laboratory values for inpatients were a few of the initiatives implemented. A retrospective review of HF indicators prior and following implementation of the evidence based program revealed positive results.Results: Overall hospital admissions from 2004 to 2008 increased by 7.8%. Quality indicators prior and following implementation of the program are as follows: Completed discharge instructions (80/98.8%), assessment of left ventricular function (85.8/99.8%), implementation of ACE Inhibitor (76.6/99%) and smoking education (69.2/100%). Heart failure admissions decreased by 38% from 2004 to 2008. Program cost is the salary of 2 full time Registered Nurses.Conclusion: Implementation of evidence based care is critical to improving outcomes of this patient population. Through accurate patient identification, monitoring and communicating with care providers, increased utilization of evidence based care and reduced healthcare costs will result.1.      American Heart Association. Heart disease and Stroke Statistics-2008 update. Dallas Texas. American Heart Association. 2008.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Sigma Theta Tau International

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleHeart Failure Patient Outcomes Following an Evidence-Based Programen_GB
dc.identifier.urihttp://hdl.handle.net/10755/149460-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Heart Failure Patient Outcomes Following an Evidence-Based Program</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Sigma Theta Tau International</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2009</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Maynard, Judy, BSN</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">Memorial Medical Center</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Heart Failure Nurse</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">maynard.judy@mhsil.com</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">Karen Baur, RN, MPA; Geralyn Wiechert, RN, MPA; Marilyn Prasun, PhD, CCNS, FAHA</td></tr><tr><td colspan="2" class="item-abstract">[Evidence-based Practice Session Presentation] Background: Heart failure (HF) affects 5 million Americans and is associated with a tremendous economic burden, resulting in&nbsp;34.8 billion dollars in health care expenditures each year.1 Hospitalizations for acute decompensated HF&nbsp;comprise nearly half of the reported expenditures.1 The purpose of this study was to examine the outcomes of hospitalized HF patients following implementation of an evidence based program.Methods: An evidence based program was implemented across the continuum of care at a Mid-western acute care facility. Multiple approaches were implemented to ensure accurate identification of patients with primary and secondary HF diagnosis. Education of care providers, development of a computerized tracking tool, automated results reporting of important laboratory values for inpatients were a few of the initiatives implemented. A retrospective review of HF indicators prior and following implementation of the evidence based program revealed positive results.Results: Overall hospital admissions&nbsp;from 2004 to 2008 increased by 7.8%. Quality indicators prior and following implementation of the program are as follows: Completed discharge instructions (80/98.8%), assessment of left ventricular function (85.8/99.8%), implementation of ACE Inhibitor (76.6/99%) and smoking education (69.2/100%). Heart failure admissions decreased by 38% from 2004 to 2008. Program cost is the salary of 2 full time Registered Nurses.Conclusion: Implementation of evidence based care is critical to improving outcomes of this patient population. Through accurate patient identification, monitoring and communicating with care providers, increased utilization of evidence based care and reduced healthcare costs will result.1.&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; American Heart Association. Heart disease and Stroke Statistics-2008 update. Dallas Texas. American Heart Association. 2008.</td></tr></table>en_GB
dc.date.available2011-10-26T10:02:52Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T10:02:52Z-
dc.description.sponsorshipSigma Theta Tau Internationalen_GB
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