Cardiovascular Outcomes: Collaborative, Path-Based Approaches

Author: Suzanne Smith Smith Blancett
Published: April 1998
Publisher: Jones & Bartlett Publishers, Inc.
ISBN: 0834211386
Paperback Book
Number of Pages: 287

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A collection of the most current and innovative presentations in path—based collaborative practices, this second of two volumes focuses on the design, implementation and analysis of outcomes in cardiovascular care. As in Health Care Outcomes, the authors present two to three standard clinical pathways for each DRG, and then show how those pathways can be manipulated to alter outcomes. Cardiovascular Outcomes covers a full range of medical and surgical cardiovascular outcomes. A comprehensive collection of critical pathways and outcomes maps being used by leading hospitals and health care agencies around the country, this is an important reference for developing path—based care models or revising critical paths and outcomes maps. A companion to the work , focusing on the specialty of cardiovascular care and practice. The 18 contributions look at the evolution of outcomes management, a rapid rule-out process for myocardial infarction, stroke outcome improvement, the fast-track critical pathway for surgical outpatients in perianesthesia care, and the management of abdominal aortic aneurysms. Many contributions include worksheets and tables designed to facilitate the path-based approaches that are presented. .

Table of Contents
Contributors
Foreword
Preface
1 The Evolution of Outcomes Management 3
2 Patient Care Outcomes: A League of Their Own 13
3 A Rapid Rule Out Process for Myocardial Infarction: Separating Low Risk Cardiac Disease from Uncomplicated MI 21
4 Data Driven Critical Pathway Development and Outcomes: The Case of Heparin in Thromboembolic Disease 39
5 Heart Failure: Managing Care and Outcomes Across the Continuum 48
6 Improving Outcomes Related to the Cooperative Cardiovascular Project 62
7 Pathways and Outcomes Across the Continuum: A Community Medical Center's Experience with Congestive Heart Failure 81
8 Stroke Outcome Improvement 113
9 An Acute Myocardial Clinical Pathway: Design, Outcomes, and Lessons Learned 135
10 The Fast-Track Critical Pathway for Surgical Outpatients in Perianesthesia Care 159
11 Developing a Pathway and Improving Outcomes for Carotid Endarterectomy 172
12 Coronary Intervention Collaboration Model: Cardiovascular Laboratory to Home 184
13 The Coronary Artery Bypass Graft Clinical Pathway: Changing Paradigms in Patient Outcomes 195
14 Open Heart Surgery Clinical Pathway: A Guide to Managing Patient Outcomes 207
15 Achieving Positive Outcomes through Quality Improvement for Cardiac Interventional Procedures 223
16 Improving Outcomes for Coronary Artery Bypass Patients: A Path-Based Initiative 235
17 Abdominal Aortic Aneurysm: Management and Outcomes 246
18 Outcomes of a Critical Pathway for Uncomplicated Cardiac Surgical Patients 265
Index 277
About the Authors 287

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