Other Heart Failure Measures



Discharge Instructions (HF)

What are we measuring and why?

MGH monitors the percentage of adult heart failure patients who received at discharge all appropriate instructions about their condition. National guidelines indicate that patient education helps to prevent further hospitalization. This education may include guidance on activity, diet, weight, follow-up, medicines, and worsening symptoms.

How are we doing and how do we compare to best practice?

This data is no longer collected by the Joint Commission (TJC). Our performance for the last reported period, January 2013  to December 2013 was 93%. The national average for all Joint Commission accredited hospitals is 95%.

Click to see MGH’s performance on this measure by patients’ race.

  • Current Scores
  • Scores Over Time
  • Higher values are better
95% 100% 93%

MGH Source: Hospital administrative data and chart review.
Comparison Group Source: CMS/TJC National Hospital Quality Measures.

N.B. Data for this measure is no longer being collected, nor is it publically reported.

MGH: Jan 13 -Dec 13
TJC: Jan 13-Dec 13

91 89 89 91 92 93 89 89 94 94 94 94 95 95 95 95 100 100 100 100 100 100 100 100

MGH Source: Hospital administrative data and chart review.
Comparison Group Source: CMS/TJC National Hospital Quality Measures.

N.B. Data for this measure is no longer being collected, nor is it publically reported.



What are we doing to improve?

We have used a number of approaches to improve adherence with this guideline including clinician to clinician education and reminders. In addition, we employ an automated electronic reminder, so that before a heart failure patient is discharged, the provider is prompted to provide discharge teaching. We reorganized the reminder process and enhanced our electronic systems, identifying and resolving process inefficienies in order to improve identification of patients with heart failure and more reliably deliver and document patient education. These types of interventions are used selectively to improve the reliability with which the right care is delivered. This should result in improved performance going forward.

What can you do?

If you or a family member is hospitalized with heart failure, ask when you can expect to receive discharge instructions and when you will be able to ask any questions you may have about the guidance you receive.  Adherence to medications, activity and diet are all important lifestyle practices that can help Congestive Heart Failure patients stay on track.  You should also ask your physician whether there are any available services that can assist you or your family member in managing these lifestyle changes once out of the hospital.

 

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