The Effect of Implementation of Medical Center Guidelines and Focused Education on the JCAHO Quality Measures in Patients Hospitalized for HF

2.50
Hdl Handle:
http://hdl.handle.net/10755/151390
Type:
Presentation
Title:
The Effect of Implementation of Medical Center Guidelines and Focused Education on the JCAHO Quality Measures in Patients Hospitalized for HF
Abstract:
The Effect of Implementation of Medical Center Guidelines and Focused Education on the JCAHO Quality Measures in Patients Hospitalized for HF
Conference Sponsor:Sigma Theta Tau International
Conference Year:2006
Author:Fontana, Dee, RN, MSN, ACNP
P.I. Institution Name:University of Illinois Medical Center at Chicago
Title:Heart Failure Nurse Practitioner
Co-Authors:Karen Vuckovic, RN, MS, CNS; Robert DiDomenico, PharmD; George T. Kondos, MD
Approximately 4.9 million people in the United States are diagnosed with heart failure (HF) each year and acute decompensated heart failure (ADHF) is the primary discharge diagnosis in 1 million hospital admissions. This diagnosis is associated with staggering readmissions rates, approaching 20% at 30 days and 50% at 6 months.  The 4 year mortality rate in this population following an admission for ADHF is approximately 60%.  The economic burden of HF approximated 24 billion dollars in 2003.  As life expectancy and survival with cardiovascular disease increases, exponential growth of this disease is predicted.   Numerous studies reveal discrepancies in the quality of HF care. This inadequate treatment prompted the Joint Commission of Accredited Hospital Organizations (JCAHO) to mandate data submission by hospitals which reflects their performance on quality indicators for HF.  The four quality indicators which describe the basic standards for evidenced-based HF care are: 1.  Documentation of left ventricular function 2.  Prescription at discharge for angiotension converting enzyme inhibitors (ACEI) or angiotensin receptor blockers (ARB) in patients with documented left ventricular dysfunction3.  Complete discharge instructions (i.e. activity level, daily weight monitoring, low sodium diet, follow up appointments, response to changes in symptoms and a list of discharge medications)4.  Smoking cessation counseling if appropriate The University of Illinois Medical Center at Chicago (UIMCC) created guidelines and computerized order sets consistent with evidenced-based practice to address these disparities in care within the institution.  The purpose of this research project was to compare UIMCC performance regarding these quality indicators prior and subsequent to the intervention.  The results of this project indicate that guidelines and computerized order sets coupled with focused nursing education improve performance compliance with JCAHO quality indicators for heart failure.
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.titleThe Effect of Implementation of Medical Center Guidelines and Focused Education on the JCAHO Quality Measures in Patients Hospitalized for HFen_GB
dc.identifier.urihttp://hdl.handle.net/10755/151390-
dc.description.abstract<table><tr><td colspan="2" class="item-title">The Effect of Implementation of Medical Center Guidelines and Focused Education on the JCAHO Quality Measures in Patients Hospitalized for HF</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">2006</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Fontana, Dee, RN, MSN, ACNP</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">University of Illinois Medical Center at Chicago</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Heart Failure Nurse Practitioner</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">dfonta1@uic.edu</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">Karen Vuckovic, RN, MS, CNS; Robert DiDomenico, PharmD; George T. Kondos, MD</td></tr><tr><td colspan="2" class="item-abstract">Approximately 4.9 million people in the United States are diagnosed with heart failure (HF) each year and acute decompensated heart failure (ADHF) is the primary discharge diagnosis in 1 million hospital admissions.&nbsp;This diagnosis is associated with staggering readmissions rates, approaching 20% at 30 days and 50% at 6 months.&nbsp; The 4 year mortality rate in this population following an admission for ADHF is approximately 60%.&nbsp; The economic burden of HF approximated 24 billion dollars in 2003.&nbsp; As life expectancy and survival with cardiovascular disease increases, exponential growth of this disease is predicted.&nbsp; &nbsp;Numerous studies reveal discrepancies in the quality of HF care. This inadequate treatment prompted the Joint Commission of Accredited Hospital Organizations (JCAHO) to mandate data submission by hospitals which reflects their performance on quality indicators for HF.&nbsp; The four quality indicators which describe the basic standards for evidenced-based HF care are:&nbsp;1.&nbsp; Documentation of left ventricular function 2.&nbsp; Prescription at discharge for angiotension converting enzyme inhibitors (ACEI) or angiotensin receptor blockers (ARB) in patients with documented left ventricular dysfunction3.&nbsp; Complete discharge instructions (i.e. activity level, daily weight monitoring, low sodium diet, follow up appointments, response to changes in symptoms and a list of discharge medications)4.&nbsp; Smoking cessation counseling if appropriate&nbsp;The University of Illinois Medical Center at Chicago (UIMCC) created guidelines and computerized order sets consistent with evidenced-based practice to address these disparities in care within the institution.&nbsp; The purpose of this research project was to compare UIMCC performance regarding these quality indicators prior and subsequent to the intervention.&nbsp; The results of this project indicate that guidelines and computerized order sets coupled with focused nursing education improve performance compliance with JCAHO quality indicators for heart failure.</td></tr></table>en_GB
dc.date.available2011-10-26T11:00:47Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T11:00:47Z-
dc.description.sponsorshipSigma Theta Tau Internationalen_GB
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