Veterans affairs quality enhancement research initiative in chronic heart failure

Carol M. Ashton, Biykem Bozkurt, Wilson B. Colucci, Catarina I. Kiefe, Douglas L. Mann, Barry M. Massie, Mara T. Slawsky, William M. Tierney, Jeffrey A. West, David J. Whellan, Nelda P. Wray

Research output: Contribution to journalArticle

11 Citations (Scopus)

Abstract

Chronic heart failure (CHF) is a highly prevalent condition associated with serious morbidity, intense levels of health services use, and shortened survival. It is also a condition for which ameliorative therapies exist. The evidence indicates that there is substantial need to change clinical practice and health care delivery for people with CHF and thereby improve their outcomes. The goal of the Veterans Affairs (VA) Quality Enhancement Research Initiative in CHF (CHF QUERI) is to create measurable, rapid, and sustainable improvements in quality of care and health outcomes of veterans with heart failure. This article describes the current state of knowledge and practice in care for people with CHF. Using the framework of the 5 steps of the QUERI process, we point out the gaps in research and practice that must be filled if the CHF QUERI is to achieve its goal. We relate our recommendations for how the VA can put its research and administrative infrastructure to work to fill the gaps. Lessons learned about CHF in the course of the CHF QUERI will be applicable to all people with heart failure and to all health care systems - VA as well as non-VA - that care for them.

Original languageEnglish (US)
JournalMedical Care
Volume38
Issue number6 SUPPL. 1
StatePublished - 2000
Externally publishedYes

Fingerprint

Veterans
Heart Failure
Research
health care
Delivery of Health Care
Quality of Health Care
morbidity
Health Status
Health Services
health service
infrastructure
Morbidity
Survival

Keywords

  • Chronic heart failure
  • Quality of care
  • Veterans Affairs

ASJC Scopus subject areas

  • Nursing(all)
  • Public Health, Environmental and Occupational Health
  • Health(social science)
  • Health Professions(all)

Cite this

Ashton, C. M., Bozkurt, B., Colucci, W. B., Kiefe, C. I., Mann, D. L., Massie, B. M., ... Wray, N. P. (2000). Veterans affairs quality enhancement research initiative in chronic heart failure. Medical Care, 38(6 SUPPL. 1).

Veterans affairs quality enhancement research initiative in chronic heart failure. / Ashton, Carol M.; Bozkurt, Biykem; Colucci, Wilson B.; Kiefe, Catarina I.; Mann, Douglas L.; Massie, Barry M.; Slawsky, Mara T.; Tierney, William M.; West, Jeffrey A.; Whellan, David J.; Wray, Nelda P.

In: Medical Care, Vol. 38, No. 6 SUPPL. 1, 2000.

Research output: Contribution to journalArticle

Ashton, CM, Bozkurt, B, Colucci, WB, Kiefe, CI, Mann, DL, Massie, BM, Slawsky, MT, Tierney, WM, West, JA, Whellan, DJ & Wray, NP 2000, 'Veterans affairs quality enhancement research initiative in chronic heart failure', Medical Care, vol. 38, no. 6 SUPPL. 1.
Ashton CM, Bozkurt B, Colucci WB, Kiefe CI, Mann DL, Massie BM et al. Veterans affairs quality enhancement research initiative in chronic heart failure. Medical Care. 2000;38(6 SUPPL. 1).
Ashton, Carol M. ; Bozkurt, Biykem ; Colucci, Wilson B. ; Kiefe, Catarina I. ; Mann, Douglas L. ; Massie, Barry M. ; Slawsky, Mara T. ; Tierney, William M. ; West, Jeffrey A. ; Whellan, David J. ; Wray, Nelda P. / Veterans affairs quality enhancement research initiative in chronic heart failure. In: Medical Care. 2000 ; Vol. 38, No. 6 SUPPL. 1.
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