Table 21-2.

HF Quality-of-Care Measures, 2011

Quality-of-Care Measure	National Data From HIQR Program*	AHA GWTG-HF	VHA
LVEF assessment	98.3	99.2	100
ARB/ACEI at discharge for patients with LVSD	95.3	95.4	96
Complete discharge instructions	91	93.5	97
Adult smoking cessation advice/counseling	98.9	99.2	99
β-Blockers at discharge for patients with LVSD, no contraindications	NM	96.2	NM
Anticoagulation for atrial fibrillation or atrial flutter, no contraindications	NM	75.4	95

Values are percentages.

In the GWTG registry, mechanical ventilation was required in 1.1% of patients. In-hospital mortality rate was 3.4%, and mean length of hospital stay was 5.7 days (median 4.0 days).

HF indicates heart failure; HIQR, Hospital Inpatient Quality Reporting; AHA GWTG-HF, American Heart Association’s Get With The Guidelines–Heart Failure; VHA, Veterans Health Administration; LVEF, left ventricular ejection fraction; ARB/ACEI, angiotensin receptor blocker/angiotensin-converting enzyme inhibitor; LVSD, left ventricular systolic dysfunction; and NM, not measured.

^*HIQR Program includes data from all payers, including Medicare and Medicaid.