Table 20-4.
Time Trends in GWTG-HF Quality-of-Care Measures, 2006–2009
| Quality of Care Measure | 2006 | 2007 | 2008 | 2009 |
|---|---|---|---|---|
| Left ventricular ejection fraction assessment* | 93.8 | 96.2 | 96.8 | 98.2 |
| ARB/ACEI at discharge for patients with left ventricular systolic dysfunction* | 85.5 | 89.1 | 91.6 | 93.0 |
| Complete discharge instructions* | 78.8 | 84.8 | 88.5 | 90.9 |
| Adult smoking cessation advice/counseling* | 90.8 | 94.7 | 97.1 | 97.6 |
| β-blockers at discharge for patients with LVSD, no contraindications* | 89.9 | 90.2 | 92.5 | 92.7 |
| Anticoagulation for atrial fibrillation or atrial flutter, no contraindications | 62.9 | 61.6 | 60.7 | 68.9 |
GWTG-HF indicates Get With The Guidelines–Heart Failure; ARB, angiotensin receptor blocker; ACEI, angiotensin-converting enzyme inhibitor; LVSD, left ventricular systolic dysfunction.
Values are percentages.
In the GWTG registry, mechanical ventilation was required in 3.0% of patients. In-hospital mortality was 3.0%, and mean length of hospital stay was 5.5 days (median 4.0 days).
Indicates the 5 key achievement measures targeted in GWTG-HF. The composite quality of care measure for 2009 was 94.5%. The composite quality-of-care measure indicates performance on the provision of several elements of care. It is computed by summing the numerators for each key achievement measure across the population of interest to create a composite numerator (all the care that was given), summing the denominators for each measure to form a composite denominator (all the care that should have been given), and reporting the ratio (the percentage of all the needed care that was given).