Medicare Quality Measures:
Heart Failure (CHF - Congestive Heart Failure)
Heart failure is a weakening of the heart’s pumping power. With heart failure your body doesn’t get enough oxygen and nutrients to meet its needs. These quality measures show some of the standards of care provided, if appropriate, to someone who has heart failure. Below is how Holy Spirit Hospital ranks with both national and state averages. This information is available at Hospital Compare.
|Heart Failure (CHF)||
National Avg April 2012 to March 2013
|State Avg April 2012 to March 2013||HSH Avg April 2012 to March 2013||
HSH Monthly for Dec 13
|Given ACE inhibitor or ARB for left Ventricular Systolic Dysfunction. *||97%||97%||97%||100%|
The Hospital Compare Parameters was created by The Centers for Medicare and Medicaid Services (CMS). Please visit The Centers for Medicare and Medicaid Services (CMS) to view more details about the compare parameters.
The four parameters for CHF focus on the treatment, evaluation and prevention of reoccurrence. Discharge Instructions outline symptoms that patients can monitor and actions they can take to prevent re-admission. Smoking cessation impacts to a great degree the long term outcome of heart failure. Certain medications, outlined below, can improve the pumping mechanism of the heart. These parameters are proven to prolong survival and decrease hospitalizations.
|Holy Spirit Hospital’s Performance Improvement activities
related to the heart failure parameters include:
|• Improving the documentation tools physicians use to ensure patients are discharged on optimal medication regimen. And, if there are medical reasons why a medication cannot be used, the reason is clearly stated in the patient’s record.
• Case managers and registered nurses who assist in a patient’s care plan are assigned specifically to patients with heart failure.
• Improving the documentation of patients who smoke so all who do will receive counseling and assistance on quitting.
*Medications to make heart pump more efficiently.
**Discharge Instructions include six specific areas of knowledge that should be delivered to the patient upon discharge:
• activity level (what you can and cannot do)
• diet (what you should and should not eat or drink)
• follow-up appointment
• watching your daily weight
• what to do if your symptoms get worse