Improving Quality of Care Among Patients with Heart Failure | Cardiology Grand Rounds

Recorded live on May 16th, 2024

In this recorded Cardiology Grand Rounds presentation, Assistant Professor in the Division of Cardiology and Stanford Prevention Research Center, Dr. Alex Sandhu presents his research on using existing data to understand patient outcomes and care patterns, as well as pragmatic trials to improve quality of care in heart failure. He discusses the importance of robust observational study design and the need for higher standards in observational research. Dr. Sandhu then presents a case study on disparities in length of stay for heart failure hospitalizations, emphasizing the importance of adjusting for patient characteristics and differentiating between within-hospital and between-hospital differences. He also shares ongoing work on testing different strategies for improving quality of care among heart failure patients, including the use of patient-reported health status assessments and pharmacist-led medication optimization. Dr. Sandhu highlights the challenges in implementing these strategies across different healthcare systems and the need for collaboration with other institutions to improve generalizability. The presentation concludes with a discussion on future trends in AI applications for meeting minutes and conference proceedings.

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Learning Objectives:
1. Consider adjusting for patient severity at the time of presentation when analyzing length of stay differences in heart failure hospitalizations
2. Differentiate between within-hospital and between-hospital differences when studying disparities in healthcare
3. Expand the use of primary care pharmacists for heart failure management across the VA system
4. Collaborate with other institutions to improve the generalizability of quality improvement strategies
5. Explore the use of schematic images of heart dysfunction to motivate patients and improve adherence to medical therapy

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