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2012-08-21: Lean Startup improves heart failure care
- 1. Lean Improves Heart Failure Care Kapil Parakh MD MPH PhD Director of Heart Failure
- 2. What is Heart Failure? • 6 million Americans, $35 Billion • Chronic condition - Heart fails to meet body’s needs • The body compensates by retaining salt and water • Many causes – heart attacks, high BP, alcohol, drugs etc • Complex management – medical therapy and self care • Leading cause of readmissions 2
- 3. Education Follow-up Communication Heart Failure NP Clinic Heart Failure NP Electronic education communicates to PCP Transportation New Patient Patient /caregiver Diuresis clinic outreach Education Material Motivational Education in diuresis clinic TAP Primary Care interviewing training Heart Failure Provider Education ED Triage and risk stratification New order sets for Admission medicine floors Improved protocols Johns Hopkins Heart Failure Community Hospital fills Education of Advocate Program prescriptions homecare nurses Identify high-risk for Pharmacist Ultrafiltration readmission medication review Treatment High-risk Patient Medicines
- 4. Heart Failure All Cause Readmission Rates $ 800,000 savings!!