Download or read book Chronic Heart Failure Management in Rural Primary Care written by Erin Kreifels and published by . This book was released on 2013 with total page 23 pages. Available in PDF, EPUB and Kindle. Book excerpt: Background: Heart failure has been identified as a diagnosis associated with significant morbidity and mortality with inconsistent outcomes. As of October 1st, 2012 the Centers for Medicare and Medicaid Services (CMS) began reducing payments to penalize hospitals for excessive heart failure readmissions and publicly reporting readmission rates. The rationale for the reduction in payments is that many heart failure related admissions could have been prevented through improved outpatient management. In 2013, Medicare reimbursement cuts were applied to critical access hospitals. This most recent decrease in reimbursement to critical access hospitals paired with lack of reimbursement for heart failure related 30-day hospital readmissions provided the basis for implementing a heart failure management program. Participants: Thirteen adult patients, over the age of 19, voluntarily participated in the heart failure management program in a rural primary care clinic located in the Midwest. Methods: The project was a quality improvement design. A chronic heart failure management program was implemented utilizing the American Heart Association and the Institute for Health Care Improvement guidelines for heart failure management. Educational resources with monitoring logs for weights and symptoms were provided to each patient at the initial visit. Nursing staff filled out a heart failure flow sheet at each heart failure related visit, and each patient who presented was then contacted one month from his/her initial visit date to discuss patient concerns. Results: Of the 13 individuals who presented for the initial visit, 11 had the flow record completed. One patient came in for subsequent visits due to changes in medications and follow-up. The flow record was filled out entirely on these 2 subsequent visits. There were two heart failure admissions during the 12-week implementation period and neither were readmissions. Both patients followed up within one week of hospital discharge. There were no heart failure readmissions during the 12-week implementation period. Discussion: The findings of this project support the long-term feasibility of a chronic heart failure management program. Key words: heart failure, chronic heart failure management, heart failure management programs, heart failure management in primary care.
Download or read book Managing Heart Failure in Primary Care A Case Study Approach written by K. Melissa Smith Hayes and published by Springer Nature. This book was released on 2023-03-29 with total page 331 pages. Available in PDF, EPUB and Kindle. Book excerpt: This guide provides a clear and concise overview of heart failure for primary care clinicians. Written by two nurse practitioners for nurses, nurse practitioners, physician assistants, medical students, and pharmacists, it is uniquely designed to bridge the gap between cardiology and primary care. It delivers the most current recommendations outlined by the American Heart Association and the Heart Failure Society of America guidelines for the management and treatment of heart failure. This book includes a comprehensive overview of heart failure with reduced ejection fraction and heart failure with preserved ejection fraction. Special chapters are dedicated to physical exam, interpretation and application of diagnostic testing, and the management of chronic illness in the setting of acute and chronic heart failure. Additionally, the book provides clinicians with guidance on common medications to avoid, patient education, successful transitions of care, and conversations regarding goals of care. Each chapter includes an overview and learning objectives. The “Practice Pearls” and case studies found throughout the text highlight key takeaway points.
Download or read book A Review of Primary Care Management of Chronic Heart Failure in Two Towns of Rural South Australia written by Katie Lee Hondow and published by . This book was released on 2009 with total page 94 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Implementation of a Disease Management Program to Enhance Self care Behaviors for Rural Adults with Heart Failure written by Cathy Fliris and published by . This book was released on 2010 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Background: Heart failure (HF) affects 5.7 million Americans. It is Medicare's second largest diagnosis-related group and second largest expenditure group. Studies utilizing disease management programs (DMPs) supported the use of advanced practice nurses (APNs) to successfully manage complex HF patient self-care needs in the clinic. Project Significance: Heart failure management is a great challenge to primary care providers (PCPs), patients, and their families. Primary care providers have knowledge gaps and uncertainty about the complex pathophysiology of HF as well as the evidence-based HF disease management program (DMP) clinical practice guidelines (CPGs) for chronic management of HF, especially in rural areas. However, DMPs are not widely implemented systematically by PCPs in urban or rural settings and thus have failed to improve costly outcomes significantly. Implementation of DMP CPGs of self-care of HF in a rural setting was the purpose for this system practice change project. Setting and Participants: A rural, APN-owned, primary care clinic in a rural community in Wyoming. Three APNs participated and 22 patients with HF were identified by HF diagnosis codes. Theoretical and Evidence-Based Framework: Dorothea Orem's Self-care Deficit Theory of Nursing and Rosswurm and Larrabee's Model for Evidence-Based Practice Change. Objectives: (1) Literature-based needs assessment; (2) Practice-based needs assessment of knowledge and use of HF DMP CPGs on self-care behaviors; (3) Description of pre-implementation HF self-care behavior teaching documentation by chart audit; (4) Presentation of results of chart audit; (5) Education of APNs and staff on the project, DMP CPGs rationale, how to implement a prompt system to increase utilization and documentation of DMP CPGs; (6) Implementation of the CPGs for four months; (7) Description of the post-implementation level of HF self-care behavior teaching documentation by chart audit; (8) Presentation of chart audit results of change in utilization and documentation before and after the CPG implementation; (9) Evaluation of the success of the CPG implementation by staff questionnaires; and (10) Discussion of ways to improve implementation and plan for sustainability. Methods: The project used a needs assessment questionnaire and chart audit and feedback format for measuring pre- and post-implementation for documentation of APN teaching of self-care, with results presented by PowerPoint presentation. Descriptive statistics were used to quanitify chart audit results. A post-implementation questionnaire was administered about successes and failures of the project and discussion was facilitated about ways to improve implementation and plan for sustainability. Results: Initial chart audit showed a baseline of zero documentation. Of a total of 22 patients identified with HF, 9 received documented self-care behavior teaching from the three APNs. Of the 12 patients seen in the clinic during the project, 9 received the teaching. The project demonstrated increased APN knowledge of HF self-care teaching, successful implementation of HF DMP DPGs into rural practice, and awareness of their practice patterns. Conclusion: Heart failure DMP CPGs on self-care behaviors can be successfully implemented in a rural primary care clinic practice by APNs. Provider education, chart audit and feedback, and consistent monitoring are effective means of implementing and measuring practice change. The APNs plan to sustain the project with the two modules found to be most important and pratical for patients on HF causes and medications.
Download or read book Team Based Care for Heart Failure An Issue of Heart Failure Clinics written by Gregg C. Fonarow and published by Elsevier Health Sciences. This book was released on 2015-07-24 with total page 177 pages. Available in PDF, EPUB and Kindle. Book excerpt: This issue of Heart Failure Clinics examines the critical role of team-based care in the management of patients with heart failure. Articles address Team-Based Care for Prevention, Patients Hospitalized with Heart Failure, Transitions of Care, Outpatients, Managing Cardiac Comorbidities, Managing Non-cardiac Conditions, Cardiac Rehabilitation and Exercise Training, External Telemonitoring, Ambulatory Hemodynamic Cardiac Device Monitoring, Advanced Heart Failure, and Palliative and End-of-Life Care.
Download or read book Management of Heart Failure in the Primary Care Setting in Rural and Underserved Areas written by Katelyn Erickson and published by . This book was released on 2019 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Chronic Heart Failure written by National Collaborating Centre for Chronic Conditions (Great Britain) and published by Royal College of Physicians. This book was released on 2003 with total page 190 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Improving Outcomes in Heart Failure written by Debra K. Moser and published by Jones & Bartlett Learning. This book was released on 2001 with total page 392 pages. Available in PDF, EPUB and Kindle. Book excerpt: Recent advances have changed the way heart failure is treated and have resulted in substantial improvements in heart failure management. Improving Outcomes in Heart Failure addresses innovative ways of dealing with issues such as quality of life, treatment compliance, effective patient and family education and counseling, nonpharmacologic therapy, and new health care delivery models for improving the management of heart failure. With an interdisciplinary approach, this reference shows how heart failure outcomes and health care resource utilization can be improved significantly. Written by the editors of the distinguished Journal of Cardiovascular Nursing, Debra K. Moser, DNSc, RN and Barbara Riegel, DNSc, RN, CS, FAAN are well-known and nationally recognized experts in the field of cardiovascular nursing. Moser and Riegel have received numerous prestigious awards and honors and have contributed to many renowned journals on a wide variety of cardiovascular topics.
Download or read book Best Care at Lower Cost written by Institute of Medicine and published by National Academies Press. This book was released on 2013-05-10 with total page 437 pages. Available in PDF, EPUB and Kindle. Book excerpt: America's health care system has become too complex and costly to continue business as usual. Best Care at Lower Cost explains that inefficiencies, an overwhelming amount of data, and other economic and quality barriers hinder progress in improving health and threaten the nation's economic stability and global competitiveness. According to this report, the knowledge and tools exist to put the health system on the right course to achieve continuous improvement and better quality care at a lower cost. The costs of the system's current inefficiency underscore the urgent need for a systemwide transformation. About 30 percent of health spending in 2009-roughly $750 billion-was wasted on unnecessary services, excessive administrative costs, fraud, and other problems. Moreover, inefficiencies cause needless suffering. By one estimate, roughly 75,000 deaths might have been averted in 2005 if every state had delivered care at the quality level of the best performing state. This report states that the way health care providers currently train, practice, and learn new information cannot keep pace with the flood of research discoveries and technological advances. About 75 million Americans have more than one chronic condition, requiring coordination among multiple specialists and therapies, which can increase the potential for miscommunication, misdiagnosis, potentially conflicting interventions, and dangerous drug interactions. Best Care at Lower Cost emphasizes that a better use of data is a critical element of a continuously improving health system, such as mobile technologies and electronic health records that offer significant potential to capture and share health data better. In order for this to occur, the National Coordinator for Health Information Technology, IT developers, and standard-setting organizations should ensure that these systems are robust and interoperable. Clinicians and care organizations should fully adopt these technologies, and patients should be encouraged to use tools, such as personal health information portals, to actively engage in their care. This book is a call to action that will guide health care providers; administrators; caregivers; policy makers; health professionals; federal, state, and local government agencies; private and public health organizations; and educational institutions.
Download or read book Disease Control Priorities Third Edition Volume 5 written by Dorairaj Prabhakaran and published by World Bank Publications. This book was released on 2017-11-17 with total page 948 pages. Available in PDF, EPUB and Kindle. Book excerpt: Cardiovascular, respiratory, and related conditions cause more than 40 percent of all deaths globally, and their substantial burden is rising, particularly in low- and middle-income countries (LMICs). Their burden extends well beyond health effects to include significant economic and societal consequences. Most of these conditions are related, share risk factors, and have common control measures at the clinical, population, and policy levels. Lives can be extended and improved when these diseases are prevented, detected, and managed. This volume summarizes current knowledge and presents evidence-based interventions that are effective, cost-effective, and scalable in LMICs.
Download or read book Managing Heart Failure in Primary Care written by Martin R. Cowie and published by Springer. This book was released on 2003-12-31 with total page 116 pages. Available in PDF, EPUB and Kindle. Book excerpt: Heart failure accounts for between 1% and 2% of health care expenditure in developed countries and up to 5% of admissions to general medical and geriatric wards. With a growing ageing population and increased survival rates to myocardial infarction, these statistics are likely to increase dramatically. This increasing workload falls to the hospital specialist and the general practitioner as, once diagnosis has been confirmed, the patient requires careful monitoring and management for the duration of their life.
Download or read book Heart Failure written by John G. F. Cleland and published by . This book was released on 2004 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Each title in the RAPID REFERENCE series provides the reader with authoritative and accessible information from a clinical expert in the field, to assist with treatment decisions. Each title includes standard core content (epidemiology, management, therapy) combined with the additional information-such as FAQs and patient organizations-needed by the primary care practitioners to provide effective patient care. The books also include drug listings, clinical trials, information on future developments, and web site listings, to keep the reader up to speed with new developments and to extend their knowledge of the disease area. Titles in the series focus on chronic conditions seen most often in the primary care setting. With patients becoming better informed about the nature and management of their conditions, Rapid Reference is a timely new series that offers the primary care practitioners easy access to the best information for patient care and management. Expert information succinctly written for ease of use. Abundant use of bulleted lists and short tables, for quick access to comparative information. Presents evidence-based sources for practice where available, either through research or best-practice guidelines. Frequently Asked Questions chapter helps practitioners prepare for patient visits and provide better patient care. Drugs appendix lists available drugs, with contraindications and side effects. Useful addresses and websites appendix provide additional resources for both the physician and patient.
Download or read book Chronic Heart Failure written by National Institute for Health and Clinical Excellence (Great Britain) and published by . This book was released on 2010 with total page 11 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Improving Outcomes in Chronic Heart Failure written by Simon Stewart and published by BMJ Books. This book was released on 2001-01-08 with total page 164 pages. Available in PDF, EPUB and Kindle. Book excerpt: Heart failure is a condition that often results in chronic tiredness and shortness of breath. It also requires complex nursing and medical treatment especially after a hospital admission, which is all too frequent for persons with heart failure. This book describes and discusses the latest research concerning the benefits of having specially trained nurses manage the care of patients with heart failure after they have been discharged from hospital to their own home. Leading nurses and doctors from around the world discuss their experiences with this type of innovative and effective care program. Building upon these experiences, the book also contains a practical guide to developing this type of care program into a fully functional service that provides quality care to those patients admitted to hospital with heart failure.
Download or read book Chronic Heart Failure written by and published by . This book was released on 2003 with total page 40 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Community Oriented Primary Care written by Institute of Medicine and published by National Academies Press. This book was released on 1983-01-01 with total page 313 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Heart Failure Management written by Norman Sharpe and published by CRC Press. This book was released on 1999-09-03 with total page 288 pages. Available in PDF, EPUB and Kindle. Book excerpt: The 19 chapters which comprise this text cover all aspects of heart failure, and are extremely readable and well-organized. The references selected for each chapter are highly sufficient and there is excellent coverage of all the pharmaceutical treatments, which have proven effective in the management of heart failure; moreover, there are chapters on the non-pharmacological management as well. The book instructs the physician in how to use the newer drugs, either singly or in combination and the clinical trials chapter gives the reader a balanced view of what is happening in research.
