Development of an evidence-based scoring system (HF-IS) to assess the quality of heart failure programmes for patients postdischarge from hospital

Driscoll, A; Tonkin, A; Stewart, A; Thompson, DR; Worrall-Carter, L; Riegel, B; Hare, DL; Davidson, PM; Stewart, S

Development of an evidence-based scoring system (HF-IS) to assess the quality of heart failure programmes for patients postdischarge from hospital

Driscoll, A Tonkin, A Stewart, A Thompson, DR Worrall-Carter, L Riegel, B Hare, DL Davidson, PM

Stewart, S

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Publication Type:: Journal Article
Citation:: Journal of Clinical Nursing, 2011, 20 (21-22), pp. 3011 - 3019
Issue Date:: 2011-11-01

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Field	Value	Language
dc.contributor.author	Driscoll, A	en_US
dc.contributor.author	Tonkin, A	en_US
dc.contributor.author	Stewart, A	en_US
dc.contributor.author	Thompson, DR	en_US
dc.contributor.author	Worrall-Carter, L	en_US
dc.contributor.author	Riegel, B	en_US
dc.contributor.author	Hare, DL	en_US
dc.contributor.author	Davidson, PM https://orcid.org/0000-0003-2050-1534	en_US
dc.contributor.author	Stewart, S	en_US
dc.date.issued	2011-11-01	en_US
dc.identifier.citation	Journal of Clinical Nursing, 2011, 20 (21-22), pp. 3011 - 3019	en_US
dc.identifier.issn	0962-1067	en_US
dc.identifier.uri	http://hdl.handle.net/10453/18625
dc.description.abstract	Aim. The aim of this study was to develop a potential scoring algorithm for interventions in a chronic heart failure management programme - the Heart Failure Intervention Score - to facilitate quality improvement and programme auditing. Background. The overall efficacy of chronic heart failure management programmes has been demonstrated in several meta-analyses. However, meta-analyses did not determine individual interventions in a programme that resulted in beneficial patient outcomes. Design. A prospective cross-sectional survey design. Method. All chronic heart failure management programmes in Australia (n=62), identified by a national register, were surveyed to determine programme characteristics and interventions. Results. Of the 62 national chronic heart failure management programmes, 48 (77%) completed the survey and 27 individual interventions were identified. Variability in the use of the key interventions was common among the programmes. Each intervention was given an arbitrary weighted score according to the level of supportive evidence available and a total score calculated. Programmes were then categorised into low or high complexity based on several interventions implemented and their weighted score. A total score of ≥190 (median=178, interquartile range 176-195) was used to divide programmes into two groups. Nine programmes were categorised into high Heart Failure Intervention Score group and majority of these were based in the acute hospital setting (78%). In the low Heart Failure Intervention Score group, there were 39 programmes of which there were a higher proportion of community-based programmes (38%) and programmes in small community hospitals (10%). Conclusion. The Heart Failure Intervention Score provides a potential evidence-based quality improvement tool through which a set of minimum standards can be developed. Implementation of the Heart Failure Intervention Score provides guidance to programme coordinators to enable monitoring of standards of heart failure programmes, which may potentially result in better patient outcomes. Relevance to clinical practice. The Heart Failure Intervention Score is an evidence-based tool that can be easily used by heart failure programme coordinators to ensure that their programme is evidence-based, which will improve the quality of their programme and potentially programme outcomes. © 2011 Blackwell Publishing Ltd.	en_US
dc.relation.ispartof	Journal of Clinical Nursing	en_US
dc.relation.isbasedon	10.1111/j.1365-2702.2010.03687.x	en_US
dc.subject.classification	Nursing	en_US
dc.subject.mesh	Humans	en_US
dc.subject.mesh	Patient Discharge	en_US
dc.subject.mesh	Prospective Studies	en_US
dc.subject.mesh	Cross-Sectional Studies	en_US
dc.subject.mesh	Quality of Health Care	en_US
dc.subject.mesh	Australia	en_US
dc.subject.mesh	Heart Failure	en_US
dc.subject.mesh	Evidence-Based Nursing	en_US
dc.title	Development of an evidence-based scoring system (HF-IS) to assess the quality of heart failure programmes for patients postdischarge from hospital	en_US
dc.type	Journal Article
utslib.citation.volume	21-22	en_US
utslib.citation.volume	20	en_US
utslib.for	1701 Psychology	en_US
utslib.for	1110 Nursing	en_US
utslib.for	1117 Public Health and Health Services	en_US
dc.location.activity	Las Vegas, Nevada, USA
pubs.embargo.period	Not known	en_US
pubs.organisational-group	/University of Technology Sydney
pubs.organisational-group	/University of Technology Sydney/Faculty of Health
pubs.organisational-group	/University of Technology Sydney/Faculty of Health/Nursing
utslib.copyright.status	closed_access
pubs.issue	21-22	en_US
pubs.publication-status	Published	en_US
pubs.volume	20	en_US

Abstract:

Aim. The aim of this study was to develop a potential scoring algorithm for interventions in a chronic heart failure management programme - the Heart Failure Intervention Score - to facilitate quality improvement and programme auditing. Background. The overall efficacy of chronic heart failure management programmes has been demonstrated in several meta-analyses. However, meta-analyses did not determine individual interventions in a programme that resulted in beneficial patient outcomes. Design. A prospective cross-sectional survey design. Method. All chronic heart failure management programmes in Australia (n=62), identified by a national register, were surveyed to determine programme characteristics and interventions. Results. Of the 62 national chronic heart failure management programmes, 48 (77%) completed the survey and 27 individual interventions were identified. Variability in the use of the key interventions was common among the programmes. Each intervention was given an arbitrary weighted score according to the level of supportive evidence available and a total score calculated. Programmes were then categorised into low or high complexity based on several interventions implemented and their weighted score. A total score of ≥190 (median=178, interquartile range 176-195) was used to divide programmes into two groups. Nine programmes were categorised into high Heart Failure Intervention Score group and majority of these were based in the acute hospital setting (78%). In the low Heart Failure Intervention Score group, there were 39 programmes of which there were a higher proportion of community-based programmes (38%) and programmes in small community hospitals (10%). Conclusion. The Heart Failure Intervention Score provides a potential evidence-based quality improvement tool through which a set of minimum standards can be developed. Implementation of the Heart Failure Intervention Score provides guidance to programme coordinators to enable monitoring of standards of heart failure programmes, which may potentially result in better patient outcomes. Relevance to clinical practice. The Heart Failure Intervention Score is an evidence-based tool that can be easily used by heart failure programme coordinators to ensure that their programme is evidence-based, which will improve the quality of their programme and potentially programme outcomes. © 2011 Blackwell Publishing Ltd.

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http://hdl.handle.net/10453/18625