Reducing CHF Readmissions Through Effective Transitions - QUERI

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Sustain the Gains • Reinforcement with Inpatient Providers • Continuous monitoring and feedback 5/16/2012 2011_IF-T_Reducing CHF Readmissions Through Effective Transitions 26
• Sharing with others Spread – Note: OHI CAP Review Guide Coordination of Care – Heart Failure October 2011 • Establishment of a Pneumonia Clinic • Group Appointments – On site at the Medical Center – Via TeleHealth for CBOC and State Veteran’s Home Residents – Cardiology Education – Fridays at 1 p.m. 5/16/2012 2011_IF-T_Reducing CHF Readmissions Through Effective Transitions 27
Page 1 and 2: Transitioning Levels of Care Reduci
Page 3 and 4: A Collaborative Vision Transitionin
Page 5 and 6: Team Additional Team Members and Ro
Page 7 and 8: AIM Statements • Clinical Aim: By
Page 9 and 10: 5/16/2012 2011_IF-T_Reducing CHF Re
Page 11 and 12: MAP - CHF Clinic/Group Education 5/
Page 13 and 14: 60.00% 50.00% VAMC Huntington, WV %
Page 15 and 16: When Aggregate Data Isn’t Enough
Page 17 and 18: Change - PDSA Cycle 5/16/2012 2011_
Page 19 and 20: Actions Taken • CHF Clinic - esta
Page 21 and 22: Actions Taken • Orientation for H
Page 23 and 24: 5/16/2012 2011_IF-T_Reducing CHF Re
Page 25: Shopping Pocket Guide 5/16/2012 201
Page 29 and 30: Lessons Learned • Active leadersh
Page 31 and 32: Sing the Same Tune! Continuity acro
Page 33 and 34: Serving Our Nation’s Heroes 5/16/
Page 35 and 36: Contact Information •Paula.McKee@
Page 37 and 38: Evidenced Based Practice (EBP) Jour

Reducing CHF Readmissions Through Effective Transitions - QUERI

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