Dissertation/Thesis Abstract

Improving heart failure and acute myocardial infarction core measures in a community hospital in Los Angeles: A medical staff leadership initiative
by Kayichian, Despina, M.H.A., California State University, Long Beach, 2011, 42; 1504490
Abstract (Summary)

Cardiovascular disease (CVD) presents a huge burden on the American healthcare system both in terms of costs and lives lost. Finite resources coupled with a large gap in the quality of care delivered in the hospitals created the need for practice change. Public reporting and transparency are at the heart of The Joint Commission (TJC) and Centers for Medicare and Medicaid Services (CMC) core measures. The present study evaluated the compliance with cardiac core measures, acute myocardial infarction (AMI) and heart failure (HF), in a mid-size community hospital in Los Angeles. For the purpose of anonymity, this hospital shall be named Unknown Medical Center (UMC). Data from 2005 until 2010 were analyzed and three hypotheses were tested using Z scores with a CI of 95%. ASA given in the ED, discharge instructions hard-wired with the discharge package, and preprinted order sets implementation had suboptimal effects on the measures. The review of the literature identified strategies that could improve the core measures compliance at UMC.

Indexing (document details)
Advisor: Reynolds, Grace
School: California State University, Long Beach
School Location: United States -- California
Source: MAI 50/03M, Masters Abstracts International
Subjects: Medicine, Health sciences, Health care management
Publication Number: 1504490
ISBN: 978-1-124-99432-1
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