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

Driscoll, Andrea, Tonkin, Andrew, Stewart, Andrew, Thompson, David R., Worrall-Carter, Linda, Riegel, Barbara, Hare, David L., Davidson, Patricia M. and Stewart, Simon 2011, Development of an evidence-based scoring system (HF-IS) to assess the quality of heart failure programmes for patients postdischarge from hospital, Journal of clinical nursing, vol. 20, no. 21-22, pp. 3011-3019, doi: 10.1111/j.1365-2702.2010.03687.x.

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Title Development of an evidence-based scoring system (HF-IS) to assess the quality of heart failure programmes for patients postdischarge from hospital
Author(s) Driscoll, AndreaORCID iD for Driscoll, Andrea orcid.org/0000-0002-6837-0249
Tonkin, Andrew
Stewart, Andrew
Thompson, David R.
Worrall-Carter, Linda
Riegel, Barbara
Hare, David L.
Davidson, Patricia M.
Stewart, Simon
Journal name Journal of clinical nursing
Volume number 20
Issue number 21-22
Start page 3011
End page 3019
Total pages 9
Publisher Wiley
Place of publication London, England
Publication date 2011-11
ISSN 0962-1067
Keyword(s) disease management
heart failure
heart failure programmes
intervention score
national benchmark
Summary 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.
Language eng
DOI 10.1111/j.1365-2702.2010.03687.x
Field of Research 119999 Medical and Health Sciences not elsewhere classified
Socio Economic Objective 970111 Expanding Knowledge in the Medical and Health Sciences
HERDC Research category C1.1 Refereed article in a scholarly journal
Copyright notice ©2011, Wiley
Persistent URL http://hdl.handle.net/10536/DRO/DU:30056047

Document type: Journal Article
Collection: School of Nursing and Midwifery
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