15 April 2009

Evaluation of Heart Failure in the Internal Medicine Clinic

Evaluation of Heart Failure in the Internal Medicine Clinic
Presentation by
Natohya Henry, Pharm.D.
Kristin Campbell, Pharm.D., Jennifer Campbell, Pharm.D., CDE; Christa George Pharm.D., BCPS, CDE; Kristie Ramser, Pharm.D., CDE, Laura Sprabery, MD, FACP,
Craig Dorko, MD, FACP


Heart Failure
NYHA Classification
Stages of Heart Failure
ACC/AHA 2005 Guidelines
Stages in the development of HF/recommended therapy by stage
CMS Core Measures
Routine Assessment
Evidence-Based Therapies
Symptomatic benefits
Loop Diuretics
Beta Blockers
Evaluation of HF in the Internal Medicine Clinic
Methods
Pre-Intervention
Medical Record Review
Physicians

* Symptoms/ ER visits
* Smoking and smoking cessation
* Diet and daily weights
* Review of results
* Review of ACC/ AHA guidelines
* Review of CMS core measures

Medical Record Review
Baseline Characteristics
Use of Heart Failure Medications in All Patients
Use of Evidence-Based Medications
Conclusions
References

Evaluation of Heart Failure in the Internal Medicine

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