Quality & Systems Improvement Resources, Updates, and Local Initiatives

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1 American Heart Association American Stroke Association Quality & Systems Improvement Resources, Updates, and Local Initiatives Illinois Association for Healthcare Quality Annual Conference May 8, 2018 Renee Sednew Quality & Systems Improvement Director Renee.Sednew@heart.org Jacqueline Tomei Quality & Systems Improvement Director Jacqueline.Tomei@heart.org American Heart Association Midwest Affiliate

2 Disclosures None

3 Who we are The American Heart Association and American Stroke Association is dedicated to fighting heart disease and stroke, our No. 1 and No. 5 killers. What we do We build healthier lives, free of cardiovascular diseases and stroke.

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6 Making an Impact Build an Equitable, Sustainable Culture of Health Engage Communities Through Events Accelerate Scientific Knowledge Bringing Science to Life

7 Why Quality and Systems Improvement? Researchers have made enormous progress in discovering what works best in treating patients with cardiovascular disease and stroke. However, findings aren t always well communicated and implemented. The American Heart Association is working to change that by helping hospitals and health professionals know and follow proven protocols for treating cardiac and stroke patients in the pre-hospital, in-hospital and outpatient settings.

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9 Quality & Systems Improvement Get With The Guidelines Accreditation/Certification Mission: Lifeline Professional Resources Educational Events Patient and Community Education

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11 Accreditation/Certification Improve quality through published recommendations for the ideal system of care Assure processes that constantly evaluate patient care and recognize outcomes Mission: Lifeline STEMI Accreditation Cardiovascular Center of Excellence

12 Bringing Science to Life ACC/AHA/HFS A Guidelines Systems Clinical Practice I IIa IIb III Clinical trial evidence National guidelines Implement evidence-based care Improve communication Ensure compliance Improve quality of care Improve outcomes Adapted from the American Heart Association. Get With The Guidelines; 2001.

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15 National Recognition for Quality Care

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17 Quality & Systems of Care in Illinois Get With The Guidelines Mission: Lifeline Hospital Quality Improvement Consultation Regional Initiatives Policy Implementation Best Practice Sharing Trainings, Webinars, Conferences

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20 Goals of Mission: Lifeline Promote the IDEAL Systems of Care Help patient receive timely life saving care Bring healthcare resources together and create a strong, efficient and synergistic system Define the roles of all those who deliver care across the entire continuum of care Improve the overall quality of care through guideline implementation Save lives Preserve quality of life

21 STEMI Systems of Care in Illinois

22 Get With The Guidelines - Coronary Artery Disease GWTG-CAD data is used to generate Mission: Lifeline hospital level reports, and/or real-time robust reports and benchmarking data. Measure Data is updated and available to the user IMMEDIATELY in REAL TIME, upon data entry/upload Including Patient-Level Drill Down, Benchmarking & Regional Mission: Lifeline Reports Feedback reports for STEMI Referring Hospitals and EMS agencies Mission: Lifeline reports empower care providers and facilities to track outcomes, successes and identify gaps from the system-of-care perspective.

23 Mission: Lifeline - Chicago A Multi-hospital, Heart Failure QI Collaborative Multi-hospital learning collaborative utilizing Get With The Guidelines to increase AHA guideline adherence Highlighting AHA volunteer physician leadership & hospital best practice sharing to impact patient outcomes & guideline adherence Opportunity to impact high risk, diverse HF population Incorporate AHA professional, patient & community resources

24 Outpatient Quality Improvement Click a circle below to view detailed information Target: BP Improvement Program Measure Act Partner The Target: BP Improvement Program leverages the latest clinical evidence to make it easier for you to more effectively manage your patients with high blood pressure. The BP Improvement Program has three main parts, which can be remembered using the acronym M.A.P.: Measure accurately; Act rapidly; and Partner with patients, families and communities. M is for MEASURE blood pressure accurately every time Proper measurement is critical to controlling blood pressure. Build a protocol to ensure accuracy of blood pressure readings. A is for ACT rapidly to address high blood pressure readings This step requires rapid action during a patient visit and prioritizes follow-up appointments and a clear treatment plan to help patients achieve blood pressure control. P is for PARTNER with patients, families and communities to promote self-management Real change comes when patients take ownership of their health. Engage with patients, their families and communities helps to promote sustainable lifestyle change, thus supporting the improvement of overall health. The BP Improvement Program uses a team-based care approach where data drives improvement. Your practice will utilize hypertension quality-improvement metrics to monitor the impact of your efforts. Furthermore, you are encouraged to reach out to uncontrolled patients who need to return to the office for follow-up. Typically, within a six-month period, a practice that implements the BP Improvement Program can expect to see lower blood pressure and improved control rates in patients with hypertension. Section

25 American Heart Association - Resources One-on-One Quality Consulting Circulation Publications Patient & Professional Education Guidelines on-the-go! App Rise Above Heart Failure Target: BP Check. Change. Control.

26 Guidelines & Statements professional.heart.org

27 Toolkits and Best Practices Heart.org/quality

28 Patient and Community Resources supportnetwork.heart.org

29 Thank You! Next Steps & Opportunities for Engagement Renee Sednew Stroke & Atrial Fibrillation Jacqueline Tomei Mission: Lifeline & Heart Failure Any Questions?

30 Helpful AHA/ASA Links heart.org heart.org/quality heart.org/afibawareness heart.org/focusonafib myafibexperience.org strokeassociation.org/aistoolkit strokeassociation.org/recovery targetstroke.org targethf.heart.org strokeassociation.org/warningsigns supportnetwork.heart.org targetbp.org professional.heart.org heart.org/conditions