Orders from Heartquarters
The best way to care for patients with heart failure in a comprehensive and all-inclusive way from admission to discharge.
What are Heart Failure order sets?
A person who is specialized in heart failure knowledge and has a primary role of assisting patients/caregivers through education and proper discharge planning assistance with the multidisciplinary team.
What is a Heart Failure Navigator?
This interdisciplinary daily "get together" allows the Care Manager insight to the wholistic picture of the patient's status and needs at discharge.
What is Patient Care Rounds?
This is an additional surveillance utilized for symptom management and progression of CHF.
What is Remote Monitoring?
This person is responsible for educating the patient on HF medications throughout the inpatient stay.
What is Clinician/Hospitalist/Cardiologist/HF navigator/Inpatient Nurse/Pharmacist/Transitional Care nurse/Home Health Nurse?
If a patient has a comorbidity of heart failure, this is the best way to comprehensively care for them in an all-inclusive way from admission to discharge.
What is a heart failure order set?
The Heart Failure Navigator continuously reviews this booklet throughout patient's stay and documents education provided in EMR.
What is Living Well with Heart Failure Booklet?
The recommended time HHC should visit the Heart Failure patient after discharge from the hospital.
What is 48 hours?
This is one criteria required for CHF Patients to qualify for remote monitoring.
What is Abnormal NT-ProBNP?
This process ensures the patient gets the correct medications at discharge.
What is medication reconciliation?
Place this service order prior to discharge from the hospital.
What is Heart Failure Clinic order?
The Heart Failure Navigator introduces this next site of service to the Heart Failure patient where experienced heart failure professionals care for the patient post discharge and titrate medications.
What is the Heart Failure Clinic?
If Advocate Home Health is accepting post discharge care of the heart failure patient, what supplemental service should also be ordered to assist the patient with virtual monitoring and management of their disease.
What is Helping Hearts at Home?
This is one Criteria required for CHF patients to qualify for a remote monitoring device.
What is NYHA functional classification II or III (refractory symptoms)?
This program promotes filling of discharge prescriptions with associated retail pharmacy so the patient can leave the hospital with medications in hand.
What are Meds to Bed program?
The percentage of utilization of HF order sets for the organization for each site.
What is 90%? The goal is 20% in order set usage per quarter until target of 90% is met.
The Heart Failure Navigator reviews the discharge orders for HF Clinic referral and to have labs completed post discharge at this timeframe.
What are labs in 1 week?
This is the timeframe for the Transitional Care Nurse to reach out to the Heart Failure patient post discharge.
What is 48 hours?
This is one Criteria required for CHF patients to qualify for a remote monitoring device.
What is hospital admission with HF exacerbation despite being on medical management?
This application in EPIC can be utilized by the prescriber to assess medication affordability.
What is Real Time Prescription Benefits (RTPB)?
43.7%
What is CMC's percentage of utilization of heart failure order sets?
The Heart Failure Navigator plays an integral role in ensuring and documenting the education required for Get with the Guidelines for Heart Failure is met. This is the number of minutes of education required.
What is 60 minutes?
This Outpatient service is embedded in the CHF Order set as a critical service to promote overall management of the patient with heart failure.
What is the CHF Clinic?
This is a wireless pulmonary artery pressure device using a small sensor which is permanently implanted, typically in the outpatient setting, and serves as a surrogate measure for fluid retention in the lungs.
What is CardioMEMS HF System?
Transitional Care Nurses confirm the patient's understanding of their medication regimen after discharge home and if concerns arise during the call this team can be utilized to assist the TCN.
What is Virtual Pharmacy Team via Population Health Pharmacy?