Get With The Guidelines-Heart Failure Registry

Study Overview
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Brief Summary
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Get With The Guidelines-Heart Failure is designed to improve the quality of care in patients hospitalized with heart failure. The program aims to help ensure that eligible patients are initiated on guideline recommended therapies and receive appropriate counseling prior to hospital discharge.

Detailed Description
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Get With The Guidelines-Heart Failure was initiated in 2005 with over 500 U.S. hospitals participating is designed to improve the quality of care in patients hospitalized with heart failure. The program aims to help ensure that eligible patients are initiated on guideline recommended therapies and receive appropriate counseling prior to hospital discharge. Peer-reviewed research(with over 35 manuscripts) has demonstrated that through participating in Get With The Guidelines-Heart Failure, hospitals will provide equitable care (regardless of race, ethnicity, age, or gender), the importance of scheduled physician follow-up after heart failure hospital discharge, the value in device-support as necessary for the acute heart failure patient, and many other significant findings. Achievement measures tracked through Get With The Guidelines-Heart Failure: Angiotensin converting enzyme inhibitor (ACEI) and angiotensin receptor blocker (ARB) at discharge Evidence-based specific beta blockers Measure left ventricular function Post-discharge appointment for heart failure patients Quality Measures tracked through Get With The Guidelines-Heart Failure: Mineralocorticoid receptor antagonist at discharge Aldosterone antagonist at discharge Anticoagulation for atrial fibrillation Hydralazine nitrate at discharge DVT prophylaxis CRT-D or CRT-P placed or prescribed at discharge ICD counseling, or ICD placed or prescribed at discharge Influenza vaccination during flu season Pneumococcal vaccination Follow-up visit within 7 days or less Lab monitoring follow-up SGLT-2 inhibitor at discharge Defect-free care for quadruple therapy medication for patients with heart failure with reduced ejection fraction Direct-acting oral anticoagulant at discharge for non-valvular atrial fibrillation or atrial flutter patients Additional measures collected by Get With The Guidelines-Heart Failure can be viewed at: http://www.heart.org/idc/groups/heart-public/@wcm/@private/@hcm/@gwtg/documents/downloadable/ucm_310967.pdf

Official Title
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Get With The Guidelines-Heart Failure Registry

Conditions
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Heart Failure

Intervention / Treatment
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* Other: GWTG Heart Failure program


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Patients hospitalized with congestive heart failure. Exclusion Criteria: Patients who do not have congestive heart failure, Patients under age of 18, Patients not admitted as inpatients.

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 125 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Arms and Interventions

| Intervention/Treatment |
| --- |
|Other: GWTG Heart Failure program|Evidence based guideline recommended therapies and counseling prior to hospital discharge|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| 30 day readmission rate | Percent of index encounters where there is a readmission within 30 days | 30 days post discharge from hospital | 
| 60 day readmission rate | Percent of index encounters where there is a readmission within 60 days | 60 days post discharge from hospital | 
| 90 day readmission rate | Percent of index encounters where there is a readmission within 90 days | 90 days post discharge from hospital |