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ce.effectivehealthcare.ahrq.gov/hai/cauti-tools/ena-slides/case-study.html
October 01, 2015 - Her BNP is elevated, indicating congestive heart failure. … She is demonstrating severe congestive heart failure. … Slide 138
Considerations
Severe congestive heart failure
Need of fluid removal
Does diuresis
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4h_combo_psi11-postoprespfailure-bestpractices.pdf
May 20, 2016 - o History of chronic obstructive pulmonary disease and/or congestive heart failure.
o Smoking.
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ce.effectivehealthcare.ahrq.gov/diagnostic-safety/resources/issue-briefs/probabilistic-thinking2.html
September 01, 2022 - For example, an 80-year-old man with hypertension and lower extremity edema who is worried about heart … failure asks his primary care provider for a brain natriuretic peptide (BNP) test. … The clinician might explain the low likelihood of heart failure, the impact of results of a BNP test, … failure. … If we do a BNP test and it’s abnormal, that chance of heart failure would rise to about 8 percent.”
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ce.effectivehealthcare.ahrq.gov/patient-safety/settings/hospital/red/toolkit/phone-roleplay.html
March 01, 2013 - PATIENT: Yes, I was admitted with congestive heart failure. It was the second time this year. … CALLER: Could you tell me your understanding of congestive heart failure? … Since you left the hospital, do you feel your congestive heart failure has improved, worsened, or not
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/assess-resident-RTI-slides.pptx
June 01, 2021 - .
‹#›
Assessment of RTI
4
Case 1: Sandy
75-year-old resident
Has moderate dementia and congestive … heart failure
Is wheelchair bound
For the past 2 days, she reports:
Feeling stuffy
Headache
Muscle … breathing treatments.
‹#›
Assessment of RTI
15
Case 3: Peter
83-year-old resident
History of congestive … heart failure
Complains of being short of breath with a wet cough
Has not felt well for the past 10 … He is having a heart failure exacerbation.
He has bacterial pneumonia and needs antibiotics.
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/OConnor.pdf
November 29, 2004 - Metformin was used by 27.2 percent of those with congestive
heart failure, and by 16.6 percent of those … heart failure (CHF). … A congestive heart
failure diagnosis was assigned to any adult patient with diabetes who had two or … heart failure, liver function abnormalities, or
chronic lung disease. … CHF=congestive heart failure.
COPD=chronic obstructive pulmonary disease (emphysema).
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ce.effectivehealthcare.ahrq.gov/takeheart/training/learning-community-webinars/index.html
December 01, 2022 - for addressing the needs of traditionally underserved populations, including women and patients with heart … failure. … Bryant , BSN RN, Cardiac Rehab/Heart Failure Nurse Manager, Prairie Heart Institute at HSHS St. … Enhancing Care for Heart Failure Patients in Your Cardiac Rehab Program
Hicham Skali , MD, MSc, TAKEheart … failure patients.
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ce.effectivehealthcare.ahrq.gov/news/newsroom/case-studies/201511.html
May 01, 2015 - patient discharges, the hospital used AHRQ's RED toolkit to support patients who had been treated for congestive … heart failure, pneumonia, and chronic obstructive pulmonary disease admissions. … As a result, heart failure rate readmissions were reduced from 10 percent to zero," she said.
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/cahps-moving-forward-cleary-slides.pdf
March 01, 2010 - processes of care measures, including those for
related to the care of acute myocardial infarction (AMI),
congestive … heart failure (CHF), pneumonia, and surgery,
than hospitals with lowest scores
• Patients’ overall … of hospitals’ care and
discharge planning associated with lower 30-day
readmission rates for AMI, heart … failure, and pneumonia
References: Brousseau et al. (2004); Clark et al. (2008); Schulman and Staelin
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ce.effectivehealthcare.ahrq.gov/news/newsroom/case-studies/201522.html
August 01, 2015 - Mary’s Medical Center, a 389-bed trauma center in Long Beach, introduced RED in December 2013 for heart … failure patients and saw readmissions for this population drop to 7.7 percent as of July 2014 from 22.2 … Mary’s Medical Center also introduced RED with heart failure patients, which helped the facility reduce … After seeing the success of the RED Toolkit in reducing readmissions among heart failure patients, officials … After seeing initial success with heart failure patients, the hospital instituted nearly all RED Toolkit
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ce.effectivehealthcare.ahrq.gov/research/findings/studies/index.html?page=475
January 01, 2024 - That found that a 7-factor risk score was able to stratify 3-year risk of heart failure/cardiomyopathy … Risk prediction model for heart failure and cardiomyopathy after adjuvant trastuzumab therapy for breast … This study sought to assess the quality of care for heart failure patients who are hospitalized for all … failure, heart failure patients hospitalized for other causes were less likely to receive guideline … Quality of care for heart failure patients hospitalized for any cause.
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ce.effectivehealthcare.ahrq.gov/patient-safety/settings/hospital/red/toolkit/redtool-30day.html
March 01, 2013 - Predicted readmission is the number of readmissions (following discharge for heart attack, heart failure … Expected readmission is the number of readmissions (following discharge for heart attack, heart failure … model also adjusts readmission rate results for small hospitals or hospitals with few heart attack, heart … failure, or pneumonia cases in a given reference period.
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ce.effectivehealthcare.ahrq.gov/news/newsroom/press-releases/significant-patient-safety-improvement.html
July 01, 2022 - Researchers found significant decreases in in-hospital adverse event rates for heart attack, heart failure … data for 2010 and 2019, adverse event rates fell 36 percent for heart attack patients, 31 percent for heart … failure patients, 39 percent for pneumonia patients, 36 percent for major surgery patients, but were … diminished for all five patient groups, as follows: 41percent for heart attack patients, 27 percent for heart … failure patients, 36 percent for pneumonia patients, 41percent for major surgery patients, and 18 percent
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/c1_combo_prioritizationworksheet.xlsx
July 01, 2016 - Selected Conditions Quality Indicator Composite Conditions Composite
IQI 15 AMI Mortality
IQI 16 Heart … Failure Mortality
IQI 17 Acute Stroke Mortality
IQI 18 Gastrointestinal Hemorrhage Mortality
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/takeheart/training/module-5-slides.pdf
December 31, 2022 - or heart/lung
transplant
DIAGNOSIS
(ICD-10 codes)
• MI
• Chronic stable angina
• Chronic stable heart … failure
• EF=<35%
• Outpatient referral
• Medicare guidelines:
6 weeks post hospital
WHO: Eliminate … during
the care encounter
Require providers to act for patients
with qualifying diagnoses, e.g., heart … failure
Target appropriate outpatient
providers
WHERE: Which CR Programs Will You Refer To?
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/takeheart/training/module-10-slides.pdf
February 24, 2022 - (see resource slides, entry 3)
Among patients with
stable heart failure, CR
is NOT associated with … failure
(see resource slides, entry 12)
Odds Ratios Reflecting Current Gaps in CR Participation
0 … failure
patients treated outside the hospital, etc.) … High readmission rates for AMI or heart failure
can impact Medicare payments
If your hospital or health … Efficacy and safety of exercise training in patients with chronic heart failure: HF-ACTION randomized
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/takeheart/training/event-summary-details-maximizing-physician-buy-in.pdf
June 16, 2022 - Bryant, BSN, RN- Cardiac Rehabilitation/Heart Failure Nurse
Manager, Prairie Heart Institute at HSHS … value of CR
for eligible patients, its particular value for frail, elderly patients or those with heart … failure, and
the underrepresentation of women, minorities, and low-income patients all can be shared … share with
their physicians have also been influential; this is especially true for patients with heart … failure
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/prevhosp/prevehosp-trans-intakenotes.pdf
June 29, 2017 - Chest pain/angina
Dizzy/lightheaded
Hypertension/uncontrolled HTN
Hypotension
Rule out congestive … heart failure
Rule out DVT
Respiratory
Abnormalities of breathing
COPD
Cough or wheezing
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ce.effectivehealthcare.ahrq.gov/news/blog/ahrqviews/heart-month-tools.html
February 01, 2023 - lower among “minority” populations—a particularly urgent concern when considering that the risk of heart … failure for Black men and women is 70 percent and 50 percent higher, respectively, than for White men
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/takeheart/training/module-5-implementation-guide.pdf
February 13, 2023 - failure
Important Discussions
• Dedicate time to discuss coding combinations with the billing/ … failure (LVEF ≤35% and
NYHA class II to IV)
I50.22, I50.42, I50.82
* “Stable” defined as
no … failure. … Chronic heart failure patients with a major
cardiovascular hospitalization or procedure 5
weeks ago … So this patient would not yet meet the
criteria for stable chronic heart failure.