Advanced Search

Journal Navigation

Journal Home

Subscriptions

Archive

Contact Us

Table of Contents

The Diabetes Educator

Click here to sign up for SAGE Journal Email Alerts today!

Sign In to gain access to subscriptions and/or personal tools.
Evaluation & the Health Professions
This Article
Right arrow Full Text (PDF)
Right arrow References
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Right arrow Citation Map
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to Saved Citations
Right arrow Download to citation manager
Right arrowRequest Permissions
Right arrow Request Reprints
Right arrow Add to My Marked Citations
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Right arrow Citing Articles via Scopus
Google Scholar
Right arrow Articles by Delong, J. F.
Right arrow Articles by Schiesz, N.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Delong, J. F.
Right arrow Articles by Schiesz, N.
Social Bookmarking
Add to CiteULike   Add to Complore   Add to Connotea   Add to Del.icio.us   Add to Digg   Add to Reddit   Add to Technorati   Add to Twitter  
What's this?

A Congestive Heart Failure Project with Measured Improvements in Care

James F. Delong

Richard M. Allman

Robert G. Sherrill

Nadine Schiesz

Alabama Quality Assurance Foundation

This project was designed to improve the in-hospital management ofMedicare beneficiaries with congestive heart failure (CHF). Eleven hospitals were studied using two indicators: (a) assessment of left ventricular (LV) function, and (b) use of angiotensin converting enzyme (ACE) inhibitors in patients with systolic dysfunction. Baseline performance rates were obtainedfor 990 cases with the Diagnosis Related Group (DRG) 127 for CHF discharged January 1994 to December 1994. Baseline data feedback presentations in 1995 spurred quality improvement plans with interventions such as physician education, critical care maps, and standing orders. Follow-up abstractions were performed on 612 discharges October 199S through April 1997. The study demonstrated 12% improvement (53% to65%, p <.01) inassessingLVfunction and 20% improvement (54% to 74%, p < .01) in appropriate ACE inhibitor use. Projects emphasizing Health Care Quality Improvement Program (HCQIP) principles can successfully affect health care management for the Medicare population.

Evaluation & the Health Professions, Vol. 21, No. 4, 472-486 (1998)
DOI: 10.1177/016327879802100406
Add to CiteULike CiteULike   Add to Complore Complore   Add to Connotea Connotea   Add to Del.icio.us Del.icio.us   Add to Digg Digg   Add to Reddit Reddit   Add to Technorati Technorati   Add to Twitter Twitter    What's this?


This article has been cited by other articles:


Home page
 Eur J Heart FailHome page
A. Ahmed, P. Thornton, G. J. Perry, R. M. Allman, and J. F. DeLong
Impact of atrial fibrillation on mortality and readmission in older adults hospitalized with heart failure
Eur J Heart Fail, June 1, 2004; 6(4): 421 - 426.
[Abstract] [Full Text] [PDF]

Home page
 American Journal of Medical QualityHome page
B. Wu and G. C. Pope
Left Ventricular Ejection Fraction Test Rates for Medicare Beneficiaries With Heart Failure
American Journal of Medical Quality, March 1, 2002; 17(2): 61 - 66.
[Abstract] [PDF]