2012-05-24T14:56:30Z Copyright (c) 2012, The RAND Corporation RAND Corporation http://www.rand.org/topics/congestive-heart-failure.html http://www.rand.org/pubs/external_publications/EP201100190.html Sep 30, 2011 Sep 30, 2011

Current federal standards for hospital "meaningful use" of health information technology--which requires electronic medication orders for 30 percent of eligible patients--are probably too low to reduce deaths from heart failure and heart attack among hospitalized Medicare beneficiaries.

http://www.rand.org/pubs/external_publications/EP201000196.html Jun 30, 2010 Jun 30, 2010

This paper presents research recommendations from the National Heart, Lung, and Blood Institute Working Group on emergency department management of acute heart failure.

http://www.rand.org/pubs/external_publications/EP20091108.html Dec 31, 2008 Dec 31, 2008

<p>Although dyspnea and fatigue are hallmark symptoms of heart failure (HF), the burden of pain may be underrecognized. This study assessed pain in HF and identified contributing factors.</p>

http://www.rand.org/pubs/external_publications/EP20070404.html Mar 31, 2007 Mar 31, 2007

<p>Hospitals that faced more competition and hospitals in market areas with higher HMO penetration provided higher quality of care for adult patients with medical conditions in California. Studies using linked hospital discharge and vital statistics data from other states should be conducted to determine whether these findings are generalizable.</p>

http://www.rand.org/pubs/external_publications/EP20070325.html Dec 31, 2006 Dec 31, 2006

<p>Lower baseline PCS and MCS are associated with unfavourable health outcome in MADIT II patients, but not with appropriate ICD therapy for ventricular tachyarrhythmias. Patients who experience ICD shock reported a decrease in PCS, but little or no changes in MCS.</p>

http://www.rand.org/pubs/external_publications/EP20071218.html Dec 31, 2006 Dec 31, 2006

<p>Describes the use, structure, and content of initiatives from the Centers for Medicare and Medicaid Services to encourage Medicare managed care plans to introduce congestive heart failure (CHF) disease management programs.</p>

http://www.rand.org/pubs/research_briefs/RB4519-1.html Jun 13, 2006 Jun 13, 2006

This research brief summarizes a study of how Medicare's prospective payment system (PPS) affected the quality of care for hospitalized Medicare patients.

http://www.rand.org/pubs/external_publications/EP20060226.html Dec 31, 2005 Dec 31, 2005

<p>Comorbidity measures are designed to exclude complications when they map International Classification of Diseases (ICD-9-CM) codes to diagnostic categories.</p>

http://www.rand.org/pubs/external_publications/EP20060630.html Dec 31, 2005 Dec 31, 2005

<p>Assesses the effect of hospital competition and HMO penetration on mortality after hospitalization for six medical conditions in California, New York, and Wisconsin.</p>

http://www.rand.org/pubs/external_publications/EP20060311.html Dec 31, 2005 Dec 31, 2005

<p>The Congressional hearings leading to these Medicare reforms, and the statute itself, mostly evidence the model used by commercial disease-management firms.</p>

http://www.rand.org/pubs/external_publications/EP20050805.html Jul 31, 2005 Jul 31, 2005

<p>Interventions that contain at least 1 CCM element improve clinical outcomes and processes of care-and to a lesser extent, quality of life-for patients with chronic illnesses.</p>

http://www.rand.org/pubs/external_publications/EP20001210.html Dec 31, 1999 Dec 31, 1999

<p>The goal of this study was to determine factors associated with receiving cardiologist care among patients with an acute exacerbation of congestive heart failure.</p>

http://www.rand.org/pubs/external_publications/EP20000541.html Dec 31, 1999 Dec 31, 1999

<p>To characterize the experiences of patients with congestive heart failure (CHF) during their last 6 months of life.</p>

http://www.rand.org/pubs/external_publications/EP19980807.html Dec 31, 1997 Dec 31, 1997

<p>The authors sought to describe the resuscitation preferences of patients hospitalized with an exacerbation of severe congestive heart failure, perceptions of those preferences by their physicians, and the stability of the preferences.</p>

http://www.rand.org/pubs/monograph_reports/MR783.html Jan 1, 1997 Jan 1, 1997

An Implicit Review Method for Measuring the Quality of In-hospital Nursing Care of Elderly Congestive Heart Failure Patients

http://www.rand.org/pubs/external_publications/EP19941105.html Dec 31, 1993 Dec 31, 1993

<p>Discusses the role of revascularization in the treatment of patients with severe heart failure. It concludes that CABG improves three-year survival rates in patients with moderate to severe left ventricular dysfunction and limiting angina.</p>

http://www.rand.org/pubs/external_publications/EP19940031.html Dec 31, 1993 Dec 31, 1993

<p>In its capacity as a contractor for AHCPR, RAND presided over a 16-member panel charged with developing a guideline for the management of patients with heart failure. Panel discussions about practice recommendations were held until consensus was reached. This article summarizes methodologic and procedural issues involved in this process.</p>

http://www.rand.org/pubs/external_publications/EP19941106.html Dec 31, 1993 Dec 31, 1993

<p>Counseling, education, and lifestyle modifications in CHF patients are the subject of this article, which presents the recommendations of the RAND Guideline Panel on congestive heart failure that counseling and education be used to improve patient outcomes and decrease unnecessary hospitalizations, that patients with mild to moderate heart failure should be restricted to three grams of sodium per day, that, initially, patients should be advised to drink no more than 30 ml per day of alcohol, and that exercise training is safe and can improve duration and symptoms.</p>

http://www.rand.org/pubs/external_publications/EP19941107.html Dec 31, 1993 Dec 31, 1993

<p>Deals with pharmacological treatment of congestive heart failure (CHF). It concludes that angiotensin-converting-enzyme (ACE) inhibitors should be given to all patients who have experienced heart failure unless specific contraindications exist. Diuretics should be used judiciously early in treatment to prevent excess diuresis. Digoxin has not been shown to affect the natural history of heart failure, and isosorbide dinitrate and hydralazine hydrochloride should be tried in patients who cannot tolerate ACE inhibitors or who have refractory symptoms.</p>

http://www.rand.org/pubs/external_publications/EP19941108.html Dec 31, 1993 Dec 31, 1993

<p>Deals with anticoagulation for patients with heart failure due to left ventricular systolic dysfunction. It concludes that findings regarding the relationship between ventricular function and thromboembolic events are contradictory. Until adequate studies are performed, anticoagulation should be discouraged for patients with heart failure who are in sinus rhythm.</p>