Iowa Healthcare Collaborative

Background

Heart failure is a disease where the heart is weakened and is unable to pump enough blood and oxygen to meet the body's needs. This results in the person feeling short of breath, fatigued, and some people will have increased coughing with it. According to the American Heart Association (AHA) (2017) nearly 6 million Americans are living with heart failure and over 900,000 new cases are diagnosed yearly. The AHA estimates there will be a 38% increase in people living with heart failure by the year 2030, and one and 5 adults over the age of 40 will develop the disease in their lifetime. The overall national cost to Americans is $14.3 billion dollars yearly and about 80% of those costs are due to hospitalization per AHA. The disease is chronic and progressive with no cure, but can be treated with symptom improvement. 

Compass PTN Goal

Increase the percentage of patients who were prescribed beta-blocker therapy within a 12-month period with current or prior LVSD <40% by 2%.

Best Practice Guide

Pharmacological Therapy for Heart Failure (PDF) - American College of Cardiology/American Heart Association/Heart Failure Society of America
Guides for the 2016 therapy for heart failure and gives class recommendations, level of  evidence to clinical strategies, interventions, treatments or possibly diagnostic testing in patient care. 

Heart Failure Best Practices (PDF) - American College of Cardiology Foundation/American Heart Association
Guidelines on the diagnosis and treatment of heart failure based on four progressive stages of heart failure  

Templates

Congestive Heart Failure Checklist (PDF) 

Minneapolis VAMC CHF and Primary Care Consult Triage Algorithm (PDF)

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