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An Evidence-Based Approach to Improving Care of Patients with Heart Failure across the Continuum

Miranda, Mary Beth RN, MS; Gorski, Lisa A. MS, RN, CS, CRNI; LeFevre, Jacqueline G. RN; Levac, Kathleen A. RN, MS; Niederstadt, Jennifer A. RN, MS, APRN; Toy, Anne L. MS, RN

Journal of Nursing Care Quality: October 2002 - Volume 17 - Issue 1 - pp 1-14
Article

A coordinated initiative for patients with heart failure was planned and implemented across this healthcare system to: (1) incorporate best evidence-based practice to rapidly stabilize the patient, and (2) establish early, coordinated patient education to promote self-care at home with the support of appropriate resources. Length of stay, readmission frequency, ACE inhibitor and beta blocker prescribing patterns at discharge were the outcomes selected for ongoing study and cross-site efforts toward improvement. These outcomes did improve following cross-site implementation with the collaboration of all appropriate disciplines and the coordination of new and existing services to serve this population.

Outcomes Based Care Management Coordinator; Covenant Healthcare System; Milwaukee, Wisconsin

Covenant Home Health & Hospice; Milwaukee, Wisconsin

Heart Failure Follow-up Coordinator; Covenant Healthcare System; Milwaukee, Wisconsin

Outcomes Coordinator; Covenant Medical Group; Milwaukee, Wisconsin

Clinical Nurse Specialist; St. Francis Hospital; Milwaukee, Wisconsin

Clinical Nurse Specialist; St. Joseph Regional Medical Center; Milwaukee, Wisconsin

© 2002 Lippincott Williams & Wilkins, Inc.