Improving Heart Failure Care in Greater Cleveland

How are doctors and patients in Greater Cleveland doing?

Pretty well, actually, and slightly better than our last report.

This is our second Community Health Checkup report on the care of patients with heart failure, and it describes care in 2009. Over 275 doctors in 32 primary care practices at Cleveland Clinic, MetroHealth and Kaiser Permanente volunteer to measure and report on the evaluation and treatment of nearly 5,200 patients.

According to our heart failure measures, in 2009, just under four out of five (79%) of our heart failure patients had received an appropriate evaluation of their condition, and nearly all (96%) of our patients with serious or moderate heart failure (which affects about two of every five of our heart failure patients) received appropriate treatment with at least one key medication. Both of these numbers are slightly improved from our last report - six months ago.

We are particularly interested in exploring differences between heart failure patients according to their insurance type, race/ethnicity, income or education. To explore these results, use the sorting features next to the graphs at the bottom of the page.

Region-Wide Achievement,
All Patients

Region-Wide Achievement,
All Patients Each number represents the percentage of patients meeting the listed standard

	This Checkup (2009)
Evaluated (Percentage of Patients Receiving All 4 Assessments)	79%
Blood Pressure Checked Regularly (High Blood Pressure can signal serious heart problems)	98%
Blood Test Done Each Year (Basic Metabolic Panel to check blood chemistry)	97%
Heart Function Test Done (“Echo” to see how well your heart is pumping)	94%
Weight Checked Regularly (Look for fluid retention to monitor heart function)	87%
Treated (Percentage of Patients Receiving Either or Both Treatments)	96%
ACE/ARB Medication (Improves heart and kidney function and lowers blood pressure)	86%
Beta-Blocker Treatment (Blocks stress hormones, which make your heart work harder)	87%

Regional Achievement for Heart Failure

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