0
Abstract: Slide Presentations |

COMPARISON OF HEART FAILURE CORE MEASURE PERFORMANCE AND LENGTH OF STAY AMONG TEACHING HOSPITALS IN CALIFORNIA FREE TO VIEW

Jun R. Chiong, MD; Raymond Yau, MD*; Linda Houston-Feenstra, MS
Author and Funding Information

Loma Linda University, Loma Linda, CA


Chest


Chest. 2008;134(4_MeetingAbstracts):s30003. doi:10.1378/chest.134.4_MeetingAbstracts.s30003
Text Size: A A A
Published online

Abstract

PURPOSE:Despite major advances in the management, heart failure (HF) remains a substantial cause of hospitalization. Evidence-based clinical practice guidelines have been developed and components of these guidelines have been adapted by Joint Commission (JC) to create core performance measures for patients hospitalized with HF. However, little is known regarding the application of these core measures, or if variation in adherence to these core measures impacts the length of stay (LOS) in patients with HF. The objective of the present study is to compare overall adherence and variability in application of the four JC HF core performance measures between teaching and non teaching hospitals in the state of California. Comparison was also made on the average length of stay between teaching and non teaching hospitals in relation to their respective JC HF core measures.

METHODS:2006 data on all hospitals providing HF care in the state of California was evaluated. There were 328 participating hospitals. The teaching status of each institution was determined using information from the Accreditation Council for Graduate Medical Education.

RESULTS:Teaching hospitals accounted for 28.2% of the participating institutions. Application of the four JC HF core measures, expressed in percent of patient population, and mean length of stay, expressed in days, for both groups are listed in Table 1. Teaching hospitals have a higher core measure performance score in ACEI/ARB therapy (89.5% vs. 85.4%, p=<0.01), assessment of ejection fraction (94.5% vs. 88.5%, p=<0.01))and length of stay (4.49 days vs. 5.12 days, p=<0.01). Smoking cessation counseling (88.5% vs. 90.1%, p=ns) and discharge instructions (66% vs 66.8%, p=ns)are similar in both groups.

CONCLUSION:Results of this study suggest that teaching hospitals in California are more compliant with the use ACEI/ARB therapy, assessment of left ventricular function and have a significantly lower length of stay compared to non teaching hospitals. There was no significant difference in the utilization of discharge education or smoking cessation counseling between hospital types.

CLINICAL IMPLICATIONS:Hospitals with teaching affiliation have higher core performance measure.

DISCLOSURE:Raymond Yau, No Financial Disclosure Information; No Product/Research Disclosure Information

Tuesday, October 28, 2008

10:30 AM - 12:00 PM


Figures

Tables

References

NOTE:
Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s "Cited By" API will populate this tab (http://www.crossref.org/citedby.html).

Some tools below are only available to our subscribers or users with an online account.

Related Content

Customize your page view by dragging & repositioning the boxes below.

CHEST Journal Articles
PubMed Articles
  • CHEST Journal
    Print ISSN: 0012-3692
    Online ISSN: 1931-3543