scholarly journals Addressing the challenges of improving primary care quality in Uzbekistan: a qualitative study of Chronic Heart Failure management

2012 ◽  
Vol 28 (5) ◽  
pp. 458-466 ◽  
Author(s):  
Mohir Ahmedov ◽  
Judith Green ◽  
Ravshan Azimov ◽  
Guloyim Avezova ◽  
Sherzod Inakov ◽  
...  
Keyword(s):  
Heart Failure ◽  
Primary Care ◽  
Chronic Heart Failure ◽  
Qualitative Study ◽  
Care Quality ◽  
Heart Failure Management ◽  
Primary Care Quality

scholarly journals Reducing heart failure admission rates in England 2004-2011 are not related to changes in primary care quality: national observational study

2013 ◽  
Vol 15 (12) ◽  
pp. 1335-1342 ◽  
Author(s):  
Rachel Brettell ◽  
Michael Soljak ◽  
Elizabeth Cecil ◽  
Martin R. Cowie ◽  
Philippe Tuppin ◽  
...  
Keyword(s):  
Heart Failure ◽  
Primary Care ◽  
Observational Study ◽  
Care Quality ◽  
Admission Rates ◽  
Primary Care Quality ◽  
Heart Failure Admission

Chronic Heart Failure Management in Rural Primary Care

2016 ◽  
Vol 9 (1) ◽  
pp. 20-28 ◽  
Author(s):  
Erin Kreifels ◽  
Mary Tracy
Keyword(s):  
Heart Failure ◽  
Primary Care ◽  
Chronic Heart Failure ◽  
Management Program ◽  
Critical Access Hospitals ◽  
Initial Visit ◽  
Heart Failure Management ◽  
Rural Primary Care ◽  
Implementation Period ◽  
Heart Failure Readmissions

Background: Heart failure has been identified as a diagnosis associated with significant morbidity and mortality with inconsistent outcomes. As of October 1, 2012, the Centers for Medicare and Medicaid Services (CMS) began reducing payments to penalize hospitals for excessive heart failure readmissions and publicly reporting readmission rates. The rationale for the reduction in payments is that many heart failure–related admissions could have been prevented through improved outpatient management. In 2013, Medicare reimbursement cuts were applied to critical access hospitals. This most recent decrease in reimbursement to critical access hospitals paired with lack of reimbursement for heart failure related 30-day hospital readmissions provided the basis for implementing a heart failure management program. Participants: Thirteen adult patients, older than the age of 19 years, voluntarily participated in the heart failure management program in a rural primary care clinic located in the Midwest. Methods: The project was a quality improvement design. A chronic heart failure management program was implemented using the American Heart Association and the Institute for Health Care Improvement guidelines for heart failure management. Educational resources with monitoring logs for weights and symptoms were provided to each patient at the initial visit. Nursing staff filled out a heart failure flow sheet at each heart failure–related visit, and each patient who presented was then contacted 1 month from his or her initial visit date to discuss patient concerns. Results: Of the 13 individuals who presented for the initial visit, 11 had the flow record completed. One patient came in for subsequent visits because of changes in medications and follow-up. The flow record was filled out entirely on these 2 subsequent visits. There were 2 heart failure admissions during the 12-week implementation period, and neither were readmissions. Both patients followed up within 1 week of hospital discharge. There were no heart failure readmissions during the 12-week implementation period. Discussion: The findings of this project support the long-term feasibility of a chronic heart failure management program.

Midwest Docs Draft Plan For Primary Care Quality

2011 ◽  
Vol 41 (19) ◽  
pp. 48-49
Author(s):  
MARY ELLEN SCHNEIDER
Keyword(s):  
Primary Care ◽  
Care Quality ◽  
Primary Care Quality

Electronic medical records and primary care quality: Evidence from Manitoba

2021 ◽  
Vol 30 (5) ◽  
pp. 1124-1138
Author(s):  
Elisabet Rodriguez Llorian ◽  
Gregory Mason
Keyword(s):  
Primary Care ◽  
Electronic Medical Records ◽  
Medical Records ◽  
Care Quality ◽  
Primary Care Quality ◽  
Quality Evidence

scholarly journals Challenges of using asthma admission rates as a measure of primary care quality in children: An international comparison

2021 ◽  
pp. 135581962110127
Author(s):  
Irina Lut ◽  
Kate Lewis ◽  
Linda Wijlaars ◽  
Ruth Gilbert ◽  
Tiffany Fitzpatrick ◽  
...  
Keyword(s):  
Primary Care ◽  
Hospital Admission ◽  
Hospital Admissions ◽  
Underlying Disease ◽  
Primary Diagnosis ◽  
Care Quality ◽  
Attendance Rates ◽  
Admission Rates ◽  
Primary Care Quality ◽  
Hospital Administrative

Objectives To demonstrate the challenges of interpreting cross-country comparisons of paediatric asthma hospital admission rates as an indicator of primary care quality. Methods We used hospital administrative data from >10 million children aged 6–15 years, resident in Austria, England, Finland, Iceland, Ontario (Canada), Sweden or Victoria (Australia) between 2008 and 2015. Asthma hospital admission and emergency department (ED) attendance rates were compared between countries using Poisson regression models, adjusted for age and sex. Results Hospital admission rates for asthma per 1000 child-years varied eight-fold across jurisdictions. Admission rates were 3.5 times higher when admissions with asthma recorded as any diagnosis were considered, compared with admissions with asthma as the primary diagnosis. Iceland had the lowest asthma admission rates; however, when ED attendance rates were considered, Sweden had the lowest rate of asthma hospital contacts. Conclusions The large variations in childhood hospital admission rates for asthma based on the whole child population reflect differing definitions, admission thresholds and underlying disease prevalence rather than primary care quality. Asthma hospital admissions among children diagnosed with asthma is a more meaningful indicator for inter-country comparisons of primary care quality.

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