【醫(yī)學(xué)課件】充血性心力衰竭ppt課件-文庫(kù)吧資料
2025-01-21 20:47本頁面
【正文】 1. 522. 533. 544. 55H os p i ta l i z a ti on s H os p i ta l D a y sC on tr olI n te r v e n ti onRR= P= RR= P CONCLUSIONS ? CHF is a devastating result of cardiovascular disease which continues to increase ? Multiple effective strategies are available to deal with this epidemic but not routinely delivered to patients ? Disease management strategies result in cost effective improvement in patients outes. Spread ? To other parts of the hospital ? To other hospitals in the system ? To other settings in the care continuum – Home Care – Office – HF Clinic When to Spread? ? There is intent to spread work of the pilot team in the anization ? Improvement is a key initiative for the anization ? Senior leader is responsible and engaged in coordination and spread of innovation ? Collaborative team is relatively selfsufficient 。132:191200 Impact of Subspeciality Care Upstate New York 10 hospitals Three patient groups I Noncardiologist n = 977 II Cardiologist Attending n = 419 III Cardiology Consult n = 1058 Group I more NH, more orbidity more females, less BBlocker use Upstate New York Results G r o u p I G r o u p I I G r o u p I I I C H F E t i o l o g y D o c u m e n t e d 66 83* 81* L V E F D o c u m e n t e d 51 86* 90* D i e t a r y C o u n s e l i n g 68 84* 83* C a s e M a n a g e m e n t 15 26* 29* A C E – I u s e d 58 73* 65* B B l o c k e r 13 25* 18* Results (cont.) G r o u p I G r o u p I I G r o u p I I I H o s p i t a l L O S 6 . 4 6 . 1 8 . 4 * C h a r g e s $5728 $7428* $9027 M o r t a l i t y 5 . 9 4 . 3 5 . 6 C u m u l a t i v e C H F M o r t a l i t y 1 2 . 9 1 1 . 2 1 0 . 9 T o t a l M o r t a l i t y 2 4 . 6 1 8 . 4 * 2 1 . 1 C H F R e a d m i s s i o n 2 7 . 1 2 3 . 9 2 2 . 8 * Q O L 6 . 4 7 . 1 * 6 . 6 Philb
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