Heart Failure

Heart Failure - 2017 Update

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55 Coordinating Care for Patients With Chronic HF Î Effective systems of care coordination with special attention to care transitions should be deployed for every patient with chronic HF that facilitate and ensure effective care that is designed to achieve GDMT and prevent hospitalization. (I-B) Î Every patient with HF should have a clear, detailed, and evidence- based plan of care that ensures the achievement of GDMT goals, effective management of comorbid conditions, timely follow-up with the healthcare team, appropriate dietary and physical activities, and compliance with secondary prevention guidelines for cardiovascular disease. This plan of care should be updated regularly and made readily available to all members of each patient's healthcare team. (I-C) Î Palliative and supportive care is effective for patients with symptomatic advanced HF to improve quality of life. (I-B) Quality Metrics/Performance Measures Î Performance measures based on professionally developed clinical practice guidelines should be used with the goal of improving quality of care for HF. (I-B) Î Participation in quality improvement programs and patient registries based on nationally endorsed, clinical practice guideline–based quality and performance measures can be beneficial in improving quality of HF care. (IIa-B) Table 36. Outcome Measures for HF Measure Developer Congestive HF mortality rate (NQF endorsed) Agency for Health Research and Quality HF 30-d mortality rate (NQF endorsed) Centers for Medicare and Medicaid Services Congestive HF admission rate (NQF endorsed) Agency for Health Research and Quality HF 30-d risk-standardized HF readmission rate (NQF endorsed) Centers for Medicare and Medicaid Services

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