Abstract 3279: Short Term Outcomes In Heart Failure Patients, After Initiation Of Guideline Based Therapies Designed To Improve Performance Measures
BACKGROUND Quality improvement measures in heart failure (HF) have been focused on improvement in four performance measures reported in the Hospitals Compare Website. It is unclear whether improvement in these measures is associated with clinical outcomes. The data from Med AI in patients seen at the seven campuses of a large Orlando, Florida community hospital from 2004 through 2006 was analyzed to determine whether the implementation of an evidence-based HF therapy program led to meaningful improvement in short term clinical outcomes and could be associated with improved adherence to publicly reported performance measures. More than 3,000 patients with a primary discharge diagnosis of HF were seen each year in the hospital system. Of the 3,020 patients seen in 2006, 66% were older than 65 years of age and 28% were older than 80. Comorbidities included atrial fibrillation (33.9%), renal failure (21.5%), coronary artery disease (41%) and diabetes (41.9%). Significant improvement in the four core measures was observed (Table 1⇓). Improvement in core measures did not achieve statistical significance in short term outcomes (Table 2⇓).
CONCLUSION Publicly reported core measures do not reliably assess improvement in short term outcomes in HF patients.