Decrease (-) Restore Default Increase (+)
Bookmark and Share
clear spacerNorton Healthcare Quality Report

Heart Failure


Heart failure, sometimes called congestive heart failure, is a chronic (long-term) condition caused by the inability of the heart to pump as much blood as the body needs. Heart failure becomes more common with age and causes symptoms such as shortness of breath and a build-up of fluid in the feet and legs. Heart failure is one of the most common reasons for hospitalization. A healthy lifestyle and proper medications can reduce the effects of heart failure and the need for future hospitalization. These indicators examine how well we manage the care of patients hospitalized for heart failure. Norton Healthcare performance represents the performance of all the hospitals combined.

Heart failure treatment - percent of heart failure patients
Number of heart failure patients per 100, with documentation that left ventricular function (LVF) was assessed (test performed to determine if left ventricle of the heart is performing effectively) before arrival, during hospitalization, or is planned following discharge. Identification of patients with LVF is important to the evaluation and management of heart failure patients. Includes inpatients discharged with a principal diagnosis of heart failure. Excludes patients transferred to another hospital, patients who died or left AMA, patients with reasons documented for no LVF assessment, and patients who had a left ventricular assistive device (LVAD) or heart transplant during hospital stay.(NQF HF 14 / JC / CMS HF 2) with LVF assessment high 100 100Quality Ribbon 100Quality Ribbon 98 # 100 99 100
Number of heart failure patients with left ventricular systolic dysfunction (LVSD), a particular form of heart failure, per 100, who received an angiotensin converting enzyme inhibitor (ACEI) or an angiotensin receptor blocker (ARB), a class of drugs used in the treatment of heart failure, at hospital discharge. This is the only Heart Failure accountability measure defined by Joint Commission. Accountability measures are quality measures that meet four criteria designed to identify measures that produce the greatest positive impact on patient outcomes when hospitals demonstrate improvement: Research (strong scientific evidence exists demonstrating that compliance with a given process of care improves health outcomes), Proximity (the process being measured is closely connected to the outcome it impacts; there are relatively few clinical processes that occur after the one that is measured and before the improved outcome occurs), Accuracy (the measure accurately assesses whether the evide nce-based process has actually been provided), and Adverse Effects (the measure construct is designed to minimize or eliminate unintended adverse effects). Includes inpatients discharged with a principal diagnosis of heart failure and with moderate to severe systolic dysfunction. Excludes patients with contraindications to both ACEI and ARB, patients transferred to another acute care hospital, patients who died or left AMA, and patients discharged to hospice.(NQF HF 16 / JC/ CMS HF 3) prescribed ACEI/ARB at discharge (accountability measure) high 97 # 92 # # 96 96 98
Heart failure mortality - percent of heart failure patients
Number of heart failure patients per 100, who died in the hospital. Risk-adjusted using patient age, severity of illness, and risk of mortality (APR-DRG version 20). Includes inpatients 18 years and older discharged with a principal diagnosis of heart failure. Excludes patients with missing discharge dispositions or patients transferred to an acute care hospital.(AHRQ IQI 16) who die (AHRQ risk-adjusted) low 1.6 1.4 1.1 1.2   1.4   3.3
Number of heart failure patients per 100, who died of any cause within 30 days of admission. Includes Medicare patients who are 65 years of age and older who were discharged with a principal diagnosis of heart failure. Excludes patients discharged alive with length of stay less than 1 day/AMA, and patients not enrolled in Medicare for the past 12 months. who die of any cause w/in 30 days (adj) low 10.3 10.3 10.3 10.3   10.3   11.7
Heart failure readmission - percent of heart failure patients
Number of heart failure patients per 100, who were readmitted to any hospital for any cause within 30 days of discharge. Includes Medicare patients who are 65 years of age and older who were discharged with a principal diagnosis of heart failure. Excludes patients who died, and patients not enrolled in Medicare for the past 12 months. who are readmitted for any cause w/in 30 days (adj) low 22.7 22.7 22.7 22.7   22.7   23.0

Medical Care

Cancer
Pregnancy & Prenatal Classes
Weight Loss
Orthopedics
Heart Disease
Neurology
Women's Health
More Medical Care

Locations

Hospitals
Immediate Care
Health Centers
Emergency Room
Doctors Offices
Specialists
Affiliate Hospitals

Patients and Visitors

MyChart
Pay Your Bill
Request an Appointment
Get Healthy
Support Groups
Fitness Groups
Mobile Applications
Clinical Trials
Online Nursery
Classes and Events
Send an eCard
Patient Stories
Places to Stay

About Us

Quality Report 
Careers
Ways to Help
Community Outreach
Contact Us
(502) 629-1234

Connect with us

© 2014 Norton Healthcare
Serving Kentucky and Southern Indiana