PeaceHealth St. Joseph Medical Center
Measure: ACEI or ARB for LVSD

Time Period Ending:  12/31/2012

Rate: 89%

What We Are Doing:

Angiotension-converting enzyme inhibitors (ACEIs) are known to be helpful for people who have Left Ventricular Systolic Dysfunction (LVSD). LVSD means that less than 40% of the blood in the heart gets pumped out when it beats. The standard of care for using an ACEI has been around for a long time. Some patients can not tolerate ACEIs, so they are prescribed an angiotensin receptor blocker (ARB) instead.

We've discovered that the difficulty is not for physicians to remember to prescribe an ACEI or ARB, but, rather, the lack of documentation explaining why some patients may not get one prescribed.  In these cases, the care of the patient is appropriate, but the measure performance will not appear to support this, due to the missing documentation.

In an effort to improve documentation, we have revised our discharge orders to prompt the physicians to either prescribe one of these medications or document a reason why one was not indicated.

What can YOU do?

Know the results of your test and lab. If your Ejection Fraction is less than 40%, ask your provider about an ACE or ARB.

Get a Shared Care Plan- this is a secure and confidential place for you to organize and store all of your health information in one place. There is  a place to track allergies and medications both past and present. If you have an emergency or are admitted to the hospital health care providers can access this information.

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