Better Care Coordination and Dialogue Through a Robust and Engaged Heart Failure Committee

Result:
Since starting a heart failure committee and other focused work to address heart failure patient care, Marymount has steadily maintained 100 percent compliance with core measures for heart failure care. The team also reduced its 30-day all cause readmission rate by 26 percent.  

Institution:
Marymount Hospital
12300 McCracken Road
Garfield Heights, OH 44125

Profile:
Marymount Hospital is a 320 bed, non-teaching hospital that is part of the Cleveland Clinic Health System.

Contact:
Marcia Grenig, RN, BSN, MBA, CPHQ
Director of Quality
P: (216) 581-0500
mgrenig@ccf.org

Innovation Implementation:
Coordinating heart failure care for discharged patients remains a difficult endeavor for all health care institutions and health care providers. Not ensuring that proper care and attention is given to heart failure patients after they leave the care setting can result in unnecessary readmission or worse.

Recognizing the number of stakeholders involved in treating their heart failure patients, team members at Marymount Hospital established a “heart failure committee” based on guidelines from a broader heart failure steering committee to maintain a regular planning, coordination and problem-solving entity.

Comprised of multidisciplinary stakeholders from Marymount Hospital and the Cleveland Clinic Health System family of hospitals, the committee includes a physician, nurses, pharmacist, care management, care advocate and others. The committee also invited representatives from outside of the system to participate, such as nursing home caregivers who staff recognized were frequently caring for their patients after discharge.

By meeting once a month, the goal of the heart failure committee is to ensure that there is a robust, regular discussion about the barriers to providing the highest quality of care possible and identifying potential improvements that can be implemented. Some of the issue areas addressed have included patient education processes and tools as well the communication of best practices. Participants not only share data and their experiences but also learn what efforts others are engaged in and establish important community relationships that ultimately benefit patient care.