Process Improvement in Heart Failure, An Issue of Heart Failure Clinics

1st Edition, Volume 16-4 - September 10, 2020
Editors: Clyde Yancy, Kannan Mutharasan
Language: English
Hardback ISBN:
9 7 8 - 0 - 3 2 3 - 7 5 5 5 2 - 8
eBook ISBN:
9 7 8 - 0 - 3 2 3 - 7 5 5 5 3 - 5

This issue of Heart Failure Clinics, guest edited by Drs. Clyde W. Yancy and R. Kannan Mutharasan, will cover Process Improvement in Heart Failure. This issue is one of four issues… Read more

Process Improvement in Heart Failure, An Issue of Heart Failure Clinics

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This issue of Heart Failure Clinics, guest edited by Drs. Clyde W. Yancy and R. Kannan Mutharasan, will cover Process Improvement in Heart Failure. This issue is one of four issues selected each year by our series consulting editor, Dr. Eduardo Bossone. Topics discussed in this issue will include: Approaching Process Improvement, Identifying Heart Failure Patients, Predicting High-risk Patients and High-Risk Outcomes in Heart Failure, Selecting the Correct Target for Improvement in Heart Failure Care and Improving Adherence, Empowering Patients Living with Heart Failure with Social Media and Technology, Transitioning Heart Failure Patients to Outpatient Care, Innovating Outpatient Processes of Care and Anticipating Complex Care Algorithms, Addressing Co-morbidities in Heart Failure, Systematizing Heart Failure Population Health, Defragmenting Heart Failure Care, and Adapting to the Payment Landscape.

Cover image
Title page
Table of Contents
Copyright
Contributors
Heart Failure Clinics
Erratum
Preface
Approaching Process Improvement
Key points
What is a process and a process view?
What is process improvement and operational excellence?
Process metrics: evaluation and improvement
How to get started with process improvement and how to sustain it?
Identification of Patients with Heart Failure in Large Datasets
Key points
Introduction
Challenges in defining heart failure
Approaches to cohort identification
Phenomapping subgroup identification
Future directions
Predicting High-Risk Patients and High-Risk Outcomes in Heart Failure
Key points
Introduction
Established risk factors for poor outcomes in patients with heart failure
Multivariable risk models for patients with heart failure
Lack of evidence for clinical utility of risk prediction models
Barriers to implementation of risk prediction models in clinical practice and systems of care
Promise of artificial intelligence for risk prediction in heart failure
Summary and future directions
Empowering People Living with Heart Failure
Key points
Introduction
Patient empowerment
Reimagining clinical care
Patient-reported outcomes
Remote patient monitoring
Summary
Transitioning Patients with Heart Failure to Outpatient Care
Key points
Introduction
Step 1: take a broad view of the patient, recognizing medical comorbidities and socioeconomic factors. Take a deep view of heart failure, investigating root causes
Step 2: ensure the patient is ready for discharge from the heart failure hospitalization
Step 3: set up feedback loops for course correction during transitional care
Step 4: “stick the landing”—convert the patient to a chronic mode of therapy
Toward the future
Conclusion: what are my next steps?
Innovation in Ambulatory Care of Heart Failure in the Era of Coronavirus Disease 2019
Key points
Introduction
Gaps in provision of evidence-based therapies
Implementing guideline-directed medical therapy
Comorbidity management in heart failure
vaccination
Lifestyle interventions in ambulatory practice
Summary
Addressing Comorbidities in Heart Failure: Hypertension, Atrial Fibrillation, and Diabetes
Key points
Introduction
Hypertension
Atrial fibrillation
Diabetes mellitus
Summary
Systematizing Heart Failure Population Health
Key points
Introduction
Heart failure population health management
Systematizing processes of heart failure care based on disease severity
Payment policy changes to promote population health
Challenges and evolution
Data integration to achieve high-value care in population health
Summary
Defragmenting Heart Failure Care: Medical Records Integration
Key points
Introduction
Initiatives related to care fragmentation
Care fragmentation priorities for heart failure management
Discussion
Adapting to the Reimbursement Landscape: The Future of Value-Based Care
Key points
Introduction
Financial models ≠ care models: translating payment models into clinical care redesign opportunities
Case study: applying redesign efforts for care of congestive heart failure in the Centers for Medicare and Medicaid’s Bundled Payment for Care Improvement initiative
What’s next?

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Clyde Yancy

Kannan Mutharasan