Other Heart Failure Measures



LVF Assessment

What are we measuring and why?

When a patient has heart failure, the function of the left ventricle – which is the main pumping chamber of the heart -- should be carefully evaluated. MGH tracks the percentage of adult heart failure patients who receive this evaluation, whether before arrival at the hospital, during the hospitalization, or planned for post-discharge.  If the test shows that the left ventricle is not pumping blood effectively, the condition is known as left ventricle systolic dysfunction (LVSD). This type of heart failure often causes difficulties with breathing.  There are many effective treatments for this condition.

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

This data is no longer being collected by the Joint Commission (TJC), nor is it publically reported.  Over the last four years, virtually all heart failure patients over the age of 18 have had an LVF assessment before arrival at the hospital, during the hospitalization, or planned for afterwards.  Performance over the last four years has ranged between 99% and 100%, in line with the average for all Joint Commission  accredited hospitals. Our performance for the last reporting period, January 2014 to December 2014 was 100%.  MGH achieved the best possible performance.

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

  • Current Scores
  • Scores Over Time
  • Higher values are better
99% 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.

MGH: Jan 14-Dec 14
TJC: Jan 14-Dec 14

100 100 100 100 100 100 100 100 99 99 99 99 99 99 99 99 100 100 100 100 100 100 100 100

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?

MGH uses order sets and pathways to remind physicians to order recommended tests and diagnostic tests.  We also have a computerized record that allows the ordering physician to quickly see whether a test has been ordered recently and therefore we do our best to avoid any unnecessary over testing.

What can you do?

If you or a family member is hospitalized with heart failure, ask you physician if your left ventricle has been evaluated (and if not, when it will be evaluated) and what the results mean for your care going forward. All adult heart failure patients should receive an LVF either before, during, or shortly after hospitalization.

 

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