Does the Collaborative Model Improve Care for Chronic Heart Failure?
Medical CarePublished 21 June 2005
Steven M. Asch, David W. Baker, Joan Keesey, Michael S. Broder, Matthias Schonlau, Mayde Rosen
Citations95
SJR quartileQ1
SJR score1.57
SNIP1.38
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TL;DR
The data support the use of programs like the IHI BTS in improving the processes of care for patients with chronic diseases, including both medical therapeutics and education and counseling.
Abstract
Organizational participation in a common disease-targeted collaborative provider interaction improved a wide range of processes of care for CHF, including both medical therapeutics and education and counseling. Our data support the use of programs like the IHI BTS in improving the processes of care for patients with chronic diseases.
Keywords
Medicine
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Milbank QuarterlyOrganizing Care for Patients with Chronic Illness
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New England Journal of MedicineA Comparison of Enalapril with Hydralazine–Isosorbide Dinitrate in the Treatment of Chronic Congestive Heart Failure
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JAMAImproving Primary Care for Patients With Chronic Illness
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Journal of the American College of CardiologyACC/AHA guidelines for the evaluation and management of chronic heart failure in the adult: executive summary
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Milbank QuarterlyAssessing the Impact of Continuous Quality Improvement on Clinical Practice: What It Will Take to Accelerate Progress
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Quality Management in Health CareA Framework for Collaborative Improvement
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The LancetEffect of enalapril on 12-year survival and life expectancy in patients with left ventricular systolic dysfunction: a follow-up study
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Treatment with enalapril for 3-4 years led to a sustained improvement in survival beyond the original trial period in patients with left ventricular systolic dysfunction, with an important increase in life expectancy.
QRB - Quality Review BulletinImplementing Clinical Practice Guidelines: Social Influence Strategies and Practitioner Behavior Change
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Journal of Cardiac FailureHeart failure disease management: a critical review
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Based on currently available data, heart failure disease management programs appear to be a cost-effective approach to reducing morbidity and enhancing quality of life in selected patients with heart failure.
The Joint Commission Journal on Quality and SafetyWhat Do Collaborative Improvement Projects Do? Experience from Seven Countries
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Annals of Internal MedicineACOVE Quality Indicators
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This guide to care for dementia, depression, diabetes mellitus, end-of-life care Falls Hearing loss Heart failure Hospital care Hypertension Ischemic heart disease Malnutrition Medication use Osteoarthritis Osteoporosis Pain management Pneumonia Pressure ulcers Preventive care Stroke and atrial fibrillation Urinary incontinence Vision care.
Evaluation ReviewAn Evaluation of Collaborative Interventions to Improve Chronic Illness Care
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Archives of Internal MedicineQuality of Care for Elderly Patients Hospitalized With Heart Failure
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Annals of Internal MedicineCooperation: The Foundation of Improvement
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A review of modern theories of the foundations, uses, and problems of cooperation is beyond the scope of this paper, but a few examples suggest the richness of the scientific terrain for potential students of the topic.
The American Journal of MedicineEffect of diuresis on the performance of the failing left ventricle in man
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Diuresis improved the performance of the failing ventricle and reduced afterload, but it did not alter left ventricular diastolic dimension, an index of preload, suggesting that diuresis improves ventricular function by decreasing afterload.
Archives of Internal MedicineHeart Failure Treatment With Angiotensin-Converting Enzyme Inhibitors in Hospitalized Medicare Patients in 10 Large States
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Medical CareMortality Trends During a Program That Publicly Reported Hospital Performance
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PubMedDisease management interventions to improve outcomes in congestive heart failure.
74 Citations1997John L. Roglieri, Robert Futterman +6 more
Data indicate that a comprehensive disease management program can reduce healthcare utilization not only among CHF patients in the program but also among the entire managed care plan population.
The LancetCAPTOPRIL THERAPY FOR HEART FAILURE
59 Citations1982Alan Cowley, K. Stainer +2 more
In a placebo controlled study, the angiotensin-converting enzyme inhibitor captopril significantly improved exercise tolerance in patients with severe heart failure whose symptoms were not controlled with digoxin and diuretics.
Congestive Heart FailureHeart Failure Disease Management: Impact on Hospital Care, Length of Stay, and Reimbursement
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Academic MedicineA multisite collaborative for the development of interdisciplinary education in continuous improvement for health professions students
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Each LIT's approach to achieving the Collaborative's commitment to give health professions students the opportunity to work in interdisciplinary teams to learn about and practice CI methods will enable them to be effective providers in a variety of health care systems are described.
PubMedCan continuous quality improvement be assessed using randomized trials? [see comment].
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American Journal of Medical QualityThe Effect of External Feedback on the Management of Medicare Inpatients With Congestive Heart Failure
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Evaluation of the effects of external feedback on practice behavior requires sufficient time for organizational and individual clinician change to occur, and physician liaisons may play a role in facilitating this change.
