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Author(s): Larry A Allen , John S Rumsfeld Added: 3 years ago
Hospital readmissions contribute significant clinical and economic burden to patients and payers.1 Nearly 20 % of Medicare patients are readmitted to the hospital within 30 days of discharge, with heart failure listed as the most common reason for readmission.2 Based on a more than twofold variation in institutional readmission rates adjusted for patient clinical characteristics,3 preventable… View more

Standards & Guidelines

Digital Health
Author(s): Joseph P Drozda Jr Added: 3 years ago
Since its foundation six decades ago, the goal of the American College of Cardiology (ACC) has been to improve the quality of cardiovascular care. The College’s founders initially sought to accomplish this goal by providing the College’s members with access to high-quality educational opportunities such as the ACC’s highly successful annual scientific sessions. In 1984, the quest for improved… View more

Standards & Guidelines
Author(s): John S Rumsfeld , Gregory J Dehmer , Ralph G Brindis Added: 3 years ago
High-quality healthcare is that which increases “the likelihood of desired health outcomes and is consistent with standards of health care.”1 Inherent in such a definition is the critical role of measurement of patient outcomes and the ‘standards of healthcare,’ such as those reflected in evidence-based clinical practice guidelines.2 Unfortunately, when the quality of healthcare in the US is… View more

Standards & Guidelines
Author(s): Neal W White Jr Added: 3 years ago
Hospital to Home (H2H) is a national quality improvement initiative of the American College of Cardiology (ACC) and the Institute for Healthcare Improvement (IHI). It builds on the success of the ACC Door-to-Balloon Alliance for Quality and the IHI 100K Lives and 5 Million Lives campaigns. The goal of the H2H initiative is to reduce 30-day all-cause readmission rates for patients discharged with… View more

Anticoagulation

Standards & Guidelines
Author(s): Marjorie L King Added: 3 years ago
In this era of healthcare financial reform, there is a growing consensus that treatments should be cost-effective, decrease disability, and improve survival. There is also increasing recognition that healthcare should be co-ordinated among clinicians and care settings, and that patients should be involved in the decision-making process. Cardiac rehabilitation (CR) programs are ideally situated to… View more

Heart Failure

Prevention & Chronic Conditions
Author(s): Blair D Erb , Joseph Allen , Lisa Chambers , et al Added: 3 years ago
In the fall of 2009, the American College of Cardiology (ACC) launched the Practice innovation and clinical excellence (PINNACLE) Network™.1 The foundation of the PINNACLE Network rested on three observations by ACC membership and staff: The medical profession is in the midst of unprecedented social, political, and economic change that dramatically impacts how cardiovascular specialists… View more

Standards & Guidelines

Digital Health
ACC 21: The CONNECT-HF Trial
Author(s): Adam DeVore Added: 2 years ago
In this interview, Dr Adam DeVore (Duke University School of Medicine, Durham, NC) discusses the key findings of the CONNECT-HF randomized clinical trial, which aimed to evaluate the gap between clinical trials and practice in the management of heart failure with reduced ejection fraction. Questions: What is the CONNECT-HF Trial, and what does it aim to address? What is the design, patient… View more

Heart Failure
CRT 24: The CLIPPER Cohort
Author(s): Alexander Fanaroff Added: 4 weeks ago
CRT 24 - Dr Alexander Fanaroff (Penn Medicine, US) joins us in this short interview to discuss the findings of a national cohort of patients with chronic limb-threatening ischemia, CLIPPER.The CLIPPER cohort includes the baseline data and outcomes of 1.13 million patients with chronic limb-threatening ischemia.Findings from the study showed that for individuals with a diagnosis to limb… View more

Vascular Disease and Surgery
Author(s): Nathan T Glusenkamp , William J Oetgen , Brendan Mullen Added: 3 years ago
The past decade has seen impressive advances in cardiovascular (CV) care and reductions in patient mortality from CV disease (CVD). Between 1997 and 2007 (the year for which most recent final data are available), the death rate from CVD declined by 27.8 %. The actual number of CVD deaths per year declined by 14.2 % over this period. Meanwhile, the death rate for stroke fell by 44.8 % in the same… View more

Standards & Guidelines

Prevention & Chronic Conditions
Public Reporting of Cardiovascular Data: Benefits, Pitfalls, and Vision for the Future
Author(s): Gregory J Dehmer Added: 3 years ago
In what is often cited as the earliest public reporting of healthcare information, Florence Nightingale published mortality rates at British military hospitals caring for casualties of the Crimean War.1 Dr Ernest Codman, about 50 years later, called for the public release of surgical outcomes at his hospital, but was highly criticized for his effort eventually leading to the loss of his hospital… View more

Standards & Guidelines

Digital Health