Improving Congestive Heart Failure Identification and Management in the Primary Care Environment: A Quality Improvement Project
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Authors
Habermeyer, Molly
Issue Date
2025-05-15
Type
Manuscript
Language
Keywords
Screening Guidelines
Alternative Title
Abstract
Purpose: The purpose of this quality improvement project is to implement an evidence-based congestive heart failure (CHF) screening and intervention program for high-risk adults.
Background: CHF is a one of the leading diseases within the United States with an estimated 6.2 million people diagnosed with heart failure. 33% of the US population is considered Stage A heart Failure (HF) or at risk because of their vascular diseases. Clinical practice guidelines recommend early intervention and guideline medication therapy to prevent development of CHF.
Sample/Setting: This QI project was initiated at an east coast suburban family practice clinic over a 10-week period. Adults over age 18 being seen for an annual visit with diagnoses of both diabetes and hypertension were included.
Methods: The Plan-Do-Study-Act model was utilized to implement a multifactorial intervention over a 10-week period. A pre and post chart review was completed comparing high-risk patients on an SGLT-2 and who had a previous BNP. Patients were given cardiac education, BNP screening and SGLT-2 evaluation.
Results: The pre-intervention group included 34 patients with both HTN and T2DM being seen for annual appointments. Within this group, 3% had a baseline BNP completed and 23% were on SGLT-2 therapy. The post-intervention group consisted of 29 patients, BNP screening increased to 37% and SGLT-2 GDMT increased to 55%.
Discussion: Primary care providers can actively implement CHF by performing a baseline BNP within high-risk populations and performing SGLT-2 assessment. After interventions, BNP screening increased by 34% and SGLT-2 therapy increased by 32%.
Keywords: congestive heart failure, primary care, screening, guidelines
Description
Citation
Publisher
Creighton University
License
Copyright is retained by the Author. A non-exclusive distribution right is granted to Creighton University