GET WITH THE GUIDELINES- PAST AND FUTURE

Transcription

1 GET WITH THE GUIDELINES- PAST AND FUTURE Amy Graham, RN, BS, CEN, NREMT-P Director, Quality & Systems Improvement Kentucky and Southwest Ohio American Heart Association 1

2 DISCLOSURE SLIDE I AM THE QUALITY & SYSTEMS IMPROVEMENT DIRECTOR FOR THE AMERICAN HEART ASSOCIATION FOR KENTUCKY AND SOUTHWEST OHIO. I HAVE NOTHING TO DISCLOSE 2

3 OBJECTIVE AND EDUCATIONAL NEED OBJECTIVE: THE PARTICIPANT WILL BE EDUCATED ON THE USE OF THE AMERICAN HEART ASSOCIATION S GET WITH THE GUIDELINES PROGRAMS IN MEASURING INPATIENT QUALITY OF CARE IN STEMI/NSTEMI AND HEART FAILURE POPULATIONS. NEED: PROVIDERS CARING FOR PATIENTS WITH MULTIPLE CARDIOVASCULAR CONDITIONS SHOULD MONITOR THEIR INPATIENT PROGRAM DATA AND QUALITY MEASURES. CURRENTLY HOSPITALS MAY NOT BE MONITORING HEART FAILURE OR STEMI SYSTEM OF CARE DATA BECAUSE IT IS NOT REQUIRED FOR REIMBURSEMENT BY GOVERNMENT AGENCIES. MEASURING SYSTEM OF CARE AND HEART FAILURE DATA IS NEEDED TO IMPROVE THE INDIVIDUAL CARDIOVASCULAR PATIENT OUTCOMES AND THE SYSTEM OF CARE WHILE REDUCING OVERALL COSTS IN PATIENTS WITH CARDIOVASCULAR DISEASE. 3

4 GET WITH THE GUIDELINES THE AMERICAN HEART ASSOCIATION/AMERICAN STROKE ASSOCIATION WORKS TO NARROW THE GAPS AND DISPARITIES BY CONVERTING SCIENTIFIC RESEARCH INTO TREATMENT GUIDELINES. OUR GWTG PROGRAMS DEMONSTRATE THE IMPACT IN SHORTENING HOSPITAL STAYS, LOWERING 30-DAY READMISSIONS AND REDUCING MORTALITY RATES AMONG OLDER MEDICARE PATIENTS OUR TOOLS ALSO IDENTIFY THE CORRELATION BETWEEN THE LOWEST POST-HOSPITALIZATION PATIENT FOLLOW-UP RATES AND THE HIGHEST 30-DAY HOSPITAL READMISSION RATES. 4

5 5 GET WITH THE GUIDELINES - CORONARY ARTERY DISEASE AND MISSION: LIFELINE

6 GET WITH THE GUIDELINES - CORONARY ARTERY DISEASE UTILIZES IQVIA IRP PLATFORM DATA SOLUTIONS AVAILABLE USE OF A AUTHORIZED DATA VENDOR CSV UPLOADER FREE ONE-TIME USE OF HISTORICAL DATA UPLOADER. FEATURES AND FUNCTIONS TIMELY ACCESS TO MISSION: LIFELINE PROCESS DATA, HOSPITAL-LEVEL AND REGIONAL REPORTS. MISSION: LIFELINE RECOGNITION 6

7 REAL TIME HOSPITAL LEVEL REPORTS Receiving Center Primary PCI 90 minutes EMS First Medical Contact to Primary PCI 90 minutes Aspirin at Arrival Aspirin at Discharge Beta-Blocker at Discharge Statin at Discharge Adult Smoking Cessation Advice Arrival at First Facility to Primary PCI 120 minutes Referral Center ECG within 10 minutes of Arrival Arrival to Thrombolytics in 30 minutes Arrival to PCI Transfer within 45 minutes Aspirin at Arrival Aspirin at Discharge Beta-Blocker at Discharge Statin at Discharge Adult Smoking Cessation Advice NSTE-ACS Measures Cardiac Rehabilitation Patient Referral from an Inpatient Setting ACE-Inhibitor or Angiotensin Receptor Blocker (ARB) for LVSD at Discharge Dual Antiplatelet Therapy Prescribed at Discharge Evaluation of LV Systolic Function Adult Smoking Cessation Advice 7

8 MISSION: LIFELINE Grew data collection in KY from 6 hospitals to 24 of 27 PPCI capable hospitals Expanded scope of practice to allow EMTs to do 12 lead ECGs Catalyst for KBEMS to initiate Cardiac and Stroke Subcommittee Update statewide treatment and destination protocols Accelerator I and II Kentuckiana (I) Eastern/Central Kentucky (II) Northern Kentucky (II) prehospital agencies received ML EMS Quality Achievement Award 8

9 MISSION: LIFELINE REGIONAL REPORTS NEW AND IMPROVED MISSION: LIFELINE REPORTS ARE AVAILABLE MISSION: LIFELINE DATA UPDATED EVERY 24 HOURS REGIONS CAN SET THEIR OWN DATA SUBMISSION DATE EXPECTATIONS IN ADDITION TO THOSE THAT ARE SET FOR THE QUARTERLY REPORT REFRESH HOSPITALS CAN SHARE DATA WITH THEIR MULTIDISCIPLINARY STEMI COMMITTEES MONTHLY 9

10 10 GET WITH THE GUIDELINES- HEART FAILURE

11 GET WITH THE GUIDELINES - HEART FAILURE IMPACT GWTG- HF was launched in 2005 Extension of quality improvement efforts post-discharge (30-day follow-up form) Published studies indicate that participating in our program can improve processes of care Captures and uploads required data elements for advanced certification in heart failure (TJC) and accreditation in heart failure (ACC) 11

12 GET WITH THE GUIDELINES - HEART FAILURE ACHIEVEMENT MEASURES ACEI/ARB/ARNI AT DISCHARGE EVIDENCE-BASED SPECIFIC BETA BLOCKERS MEASURE LV FUNCTION POST-DISCHARGE APPOINTMENT FOR HEART FAILURE PATIENTS 12

13 13 GET WITH THE GUIDELINES - HEART FAILURE REPORTS

14 QUESTIONS? THANK YOU!! 14