Changes in heart failure outcomes after a province-wide change in health service provision a natural experiment in Alberta, Canada

Circulation: Heart Failure

Volumn 6, Issue 1, 2013, Pages 76-82

  McAlister, Finlay A ^a,g   Bakal, Jeffrey A ^a   Kaul, Padma ^b   Quan, Hude ^b,c   Blackadar, Robyn ^d   Johnstone, David ^e   Ezekowitz, Justin ^f  

^a Div of General Internal Medicine   (Canada)

^b Division of Cardiology   (Canada)

^c UNIVERSITY OF ALBERTA   (Canada)

^d MAZANKOWSKI ALBERTA HEART INSTITUTE   (Canada)

^e UNIVERSITY OF CALGARY   (Canada)

^f Family and Community Research   (Canada)

^g UNIVERSITY OF ALBERTA HOSPITAL   (Canada)

Author keywords

Disease management epidemiology; Heart failure; Outcomes

Indexed keywords

ADULT; AGED; ARTICLE; CANADA; COMORBIDITY; CONTROLLED STUDY; DISEASE COURSE; FEMALE; HEALTH SERVICE; HEART FAILURE; HOSPITAL CARE; HOSPITAL DISCHARGE; HOSPITAL READMISSION; HOSPITALIZATION; HUMAN; MAJOR CLINICAL STUDY; MALE; MORTALITY; PRIORITY JOURNAL; RISK ASSESSMENT; RURAL AREA;

AGED; ALBERTA; FEMALE; HEALTH SERVICES ACCESSIBILITY; HEART FAILURE; HOSPITAL MORTALITY; HOSPITALIZATION; HOSPITALS, SPECIAL; HUMANS; MALE; ODDS RATIO; RETROSPECTIVE STUDIES;

EID: 84873694949     PISSN: 19413289     EISSN: 19413297     Source Type: Journal    
DOI: 10.1161/CIRCHEARTFAILURE.112.971119     Document Type: Article

References (29)

1. Jhund PS, Macintyre K, Simpson CR, Lewsey JD, Stewart S, Redpath A, Chalmers JW, Capewell S, McMurray JJ. Long-term trends in first hospitalization for heart failure and subsequent survival between 1986 and 2003: A population study of 5.1 million people. Circulation. 2009;119:515-523.
2. Bueno H, Ross JS, Wang Y, Chen J, Vidán MT, Normand SL, Curtis JP, Drye EE, Lichtman JH, Keenan PS, Kosiborod M, Krumholz HM. Trends in length of stay and short-term outcomes among Medicare patients hospitalized for heart failure, 1993-2006. JAMA. 2010;303:2141-2147.
3. Heidenreich PA, Hernandez AF, Yancy CW, Liang L, Peterson ED, Fonarow GC. Get With The Guidelines program participation, process of care, and outcome for Medicare patients hospitalized with heart failure. Circ Cardiovasc Qual Outcomes. 2012;5:37-43.
4. Majumdar SR, McAlister FA, Furberg CD. From knowledge to practice in chronic cardiovascular disease: A long and winding road. J Am Coll Cardiol. 2004;43:1738-1742.
5. Ezekowitz JA, van Walraven C, McAlister FA, Armstrong PW, Kaul P. Impact of specialist follow-up in outpatients with congestive heart failure. CMAJ. 2005;172:189-194.
6. McAlister FA, Stewart S, Ferrua S, McMurray JJ. Multidisciplinary strategies for the management of heart failure patients at high risk for admission: A systematic review of randomized trials. J Am Coll Cardiol. 2004;44:810-819.
7. Riegel B, Lee CS, Sochalski J. Developing an instrument to measure heart failure disease management program intensity and complexity. Circ Cardiovasc Qual Outcomes. 2010;3:324-330.
8. JCAHO performance measures accessed online at: Http://www. jointcommission. org/specifications-manual-for-national-hospital-inpatient- quality-measures.aspx. Accessed December 17, 2012.
9. Lee DS, Tran C, Flintoft V, Grant FC, Liu PP, Tu JV; Canadian Cardiovascular Outcomes Research Team/Canadian Cardiovascular Society Heart Failure Quality Indicator Panel. CCORT/CCS quality indicators for congestive heart failure care. Can J Cardiol. 2003;19:357-364.
10. Quan H, Sundararajan V, Halfon P, Fong A, Burnand B, Luthi JC, Saunders LD, Beck CA, Feasby TE, Ghali WA. Coding algorithms for defining comorbidities in ICD-9-CM and ICD-10 administrative data. Med Care. 2005;43:1130-1139.
11. Lee DS, Donovan L, Austin PC, Gong Y, Liu PP, Rouleau JL, Tu JV. Comparison of coding of heart failure and comorbidities in administrative and clinical data for use in outcomes research. Med Care. 2005;43: 182-188.
12. Keenan PS, Normand SL, Lin Z, Drye EE, Bhat KR, Ross JS, Schuur JD, Stauffer BD, Bernheim SM, Epstein AJ, Wang Y, Herrin J, Chen J, Federer JJ, Mattera JA, Wang Y, Krumholz HM. An administrative claims measure suitable for profiling hospital performance on the basis of 30-day all-cause readmission rates among patients with heart failure. Circ Cardiovasc Qual Outcomes. 2008;1:29-37.
13. Krumholz HM, Wang Y, Mattera JA, Wang Y, Han LF, Ingber MJ, Roman S, Normand SL. An administrative claims model suitable for profiling hospital performance based on 30-day mortality rates among patients with heart failure. Circulation. 2006;113:1693-1701.
14. Au AG, McAlister FA, Bakal JA, Ezekowitz J, Kaul P, van Walraven C. Predicting the risk of unplanned readmission or death within 30 days of discharge after a heart failure hospitalization. Am Heart J. 2012;164:365-372.
15. Whellan DJ, Zhao X, Hernandez AF, Liang L, Peterson ED, Bhatt DL, Heidenreich PA, Schwamm LH, Fonarow GC. Predictors of hospital length of stay in heart failure: Findings from Get With the Guidelines. J Card Fail. 2011;17:649-656.
16. Krumholz HM, Parent EM, Tu N, Vaccarino V, Wang Y, Radford MJ, Hennen J. Readmission after hospitalization for congestive heart failure among Medicare beneficiaries. Arch Intern Med. 1997;157:99-104.
17. Dunlay SM, Redfield MM, Weston SA, Therneau TM, Hall Long K, Shah ND, Roger VL. Hospitalizations after heart failure diagnosis a community perspective. J Am Coll Cardiol. 2009;54:1695-1702.
18. Hernandez AF, Fonarow GC, Liang L, Heidenreich PA, Yancy C, Peterson ED. The need for multiple measures of hospital quality: Results from the Get with the Guidelines-Heart Failure Registry of the American Heart Association. Circulation. 2011;124:712-719.
19. Joynt KE, Jha AK. Thirty-day readmissions-truth and consequences. N Engl J Med. 2012;366:1366-1369.
20. Joynt KE, Jha AK. Who has higher readmission rates for heart failure, and why? Implications for efforts to improve care using financial incentives. Circ Cardiovasc Qual Outcomes. 2011;4:53-59.
21. van Walraven C, Bennett C, Jennings A, Austin PC, Forster AJ. Proportion of hospital readmissions deemed avoidable: A systematic review. CMAJ. 2011;183:E391-E402.
22. Joynt KE, Orav EJ, Jha AK. The association between hospital volume and processes, outcomes, and costs of care for congestive heart failure. Ann Intern Med. 2011;154:94-102.
23. Bonow RO. Measuring quality in heart failure: Do we have the metrics? Circ Cardiovasc Qual Outcomes. 2008;1:9-11.
24. Fonarow GC, Abraham WT, Albert NM, Stough WG, Gheorghiade M, Greenberg BH, O'Connor CM, Pieper K, Sun JL, Yancy C, Young JB; OPTIMIZE-HF Investigators and Hospitals. Association between performance measures and clinical outcomes for patients hospitalized with heart failure. JAMA. 2007;297:61-70.
25. Patterson ME, Hernandez AF, Hammill BG, Fonarow GC, Peterson ED, Schulman KA, Curtis LH. Process of care performance measures and long-term outcomes in patients hospitalized with heart failure. Med Care. 2010;48:210-216.
26. Dunlay SM, Weston SA, Jacobsen SJ, Roger VL. Risk factors for heart failure: A population-based case-control study. Am J Med. 2009;122:1023-1028.
27. Wong CY, Chaudhry SI, Desai MM, Krumholz HM. Trends in comorbidity, disability, and polypharmacy in heart failure. Am J Med. 2011;124:136-143.
28. Fonarow GC, Abraham WT, Albert NM, Gattis Stough W, Gheorghiade M, Greenberg BH, O'Connor CM, Pieper K, Sun JL, Yancy CW, Young JB; OPTIMIZE-HF Investigators and Hospitals. Influence of a performance-improvement initiative on quality of care for patients hospitalized with heart failure: Results of the Organized Program to Initiate Lifesaving Treatment in Hospitalized Patients With Heart Failure (OPTIMIZE-HF). Arch Intern Med. 2007;167:1493-1502.
29. Ezekowitz JA, Kaul P, Bakal JA, Quan H, McAlister FA. Trends in heart failure care: Has the incident diagnosis of heart failure shifted from the hospital to the emergency department and outpatient clinics? Eur J Heart Fail. 2011;13:142-147.