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Transforming Care at the Bedside How-to Guide: Creating an Ideal Transition Home for Patients with Heart Failure
One of the most promising changes developed as part of the Transforming Care at the Bedside initiative is “creating an ideal transition home” for patients who are being discharged from medical and surgical units within hospitals.
How-to Guide: Improved Care for Patients with Congestive Heart Failure
The goal of this How-to Guide is to significantly improve care and reduce readmissions for patients with congestive heart failure by reliably implementing the recommended components of care.
WIHI: Minimally Disruptive Medicine
August 9, 2012 | Minimally disruptive medicine is an approach to chronic disease that seeks to design effective treatment programs for patients that fit with their goals and contexts, thus minimizing the burden of treatment.
Improving the Reliability of Health Care
This white paper describes principles and strategies used successfully in other industries to help evaluate, calculate, and improve the overall reliability of complex systems, and explains the application of reliability principles to health care.
Patient First: Efficient Patient Flow Management Impact on the ED
Memorial Regional Hospital (Hollywood, Florida, USA) improves care and service in the adult emergency department by focusing on key operational, clinical, and service improvement strategies.
How-to Guide: Improved Care for Patients with Congestive Heart Failure — Rural Hospitals Supplement
The goal of this How-to Guide, which has been tailored specifically for rural hospitals, is to significantly improve care and reduce readmissions for patients with congestive heart failure by reliably implementing the recommneded components of care.
Getting Started Guide: Improving Care for Patients with Heart Failure — Focus on Ambulatory Care
This Guide builds on the promising work in the hospital setting by applying known best practices to the outpatient care of individuals with heart failure, and by highlighting the high-leverage opportunities for improvement in office practices.
St. Luke’s Hospital: Where Patients’ Home Care Needs Are Anticipated at Discharge
By providing self-management support for patients at home, St. Luke’s Hospital in Cedar Rapids, Iowa, part of the Iowa Health System, is reducing its rate of readmissions for heart failure patients.
Good Heart Failure Care Follows Patients Home
Many health care providers are successfully employing a specific set of interventions to improve congestive heart failure care for patients in the hospital and after discharge, resulting in fewer hospitalizations and readmissions.
Advanced Clinic Access: Getting to the Heart of the Matter in Cardiology
The Cardiology Clinic at the Cincinnati Veterans Administration (Cincinnati, Ohio, USA) has made tremendous changes to achieve open access by shaping the demand for patients being referred to cardiology. Waiting times for all appointment types decreased from 70 to 80 days in May 2000, to an average of less than 18.3 days in November 2002.
Province-wide CHF Collaborative
Healthy Heart Society (Vancouver, BC, Canada) sponsored a chronic disease collaborative of 19 teams, which increased the proportion of their congestive heart failure (CHF) patients receiving guideline-based care by 68 percent.
Improving Heart Failure Care Through Education
At Advocate Health Care, based in Oak Brook, Illinois (USA), the Heart Failure team recognized that teaching patients how to self manage this chronic illness is vital to improved quality of life and can have a significant impact on readmission rates.
Reducing Readmissions for Heart Failure Patients: Hackensack University Medical Center
Hackensack University Medical Center (Hackensack, New Jersey, USA) has dramatically reduced heart failure readmission by implementing telephone follow-up with patients.
Patient-Centered Care on Medical/Surgical Units
Truly patient-centered care on medical and surgical units honors the whole person and family, respects individual values and choices, and ensures continuity of care. Patients will say, "They give me exactly the help I want (and need) exactly when I want (and need) it."
ED Performance Measures and Benchmarking Summit Consensus Statement
This consensus statement group was tasked with standardizing definitions pertinent to emergency department performance measures, creating a set of general and operational measures, developing a comparison system for benchmarking, and creating a plan for the dissemination of this information.
Kaiser Permanente: Where Patients Returning Home Receive Both Human and Technological Support
Transition nurses help smooth the transition home for congestive heart failure patients by remaining in contact for several weeks after discharge, and home telemonitoring helps patients manage their health. This dual approach has decreased hospitalization and readmission rates for heart failure patients.
Preliminary Discharge Instructions for CHF Patients
A generic discharge instructions tool which includes all important elements for patients with congestive heart failure.
Physician Discharge Orders: Congestive Heart Failure
This form is used to indicate the physician's discharge orders for patients with congestive heart failure.
Physician Admission Orders: Congestive Heart Failure
This form is a good example of a admission order set used to indicate physician admission orders for patients with congestive heart failure. This order set supports good communication, teamwork, and reliable care processes that lead to safe care and good discharge processes.
Annotated Bibliography for Improving Care for Patients with Congestive Heart Failure
This annotated bibliography presents selected literature for improving care for patients with congestive heart failure.
Interdisciplinary Patient/Family Education Record: Congestive Heart Failure
This tool is used to document education about care after discharge that is provided to patients with congestive heart failure and their families.
Heart Failure Zone Flyer
This handout helps patients recognize and understand the symptoms of heart failure and how to respond.
General Discharge Instruction Sheet: Congestive Heart Failure
This documentation sheet is used to provide discharge instructions to patients with congestive heart failure.
Cardiac Discharge Contract
This hospital discharge form is designed to be used at discharge for acute myocardial infarction patients to ensure that all appropriate medications are prescribed and that the patient understands and is engaged in developing a plan for post-discharge activity.