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Chronic heart failure in adults [QS9]

Measuring the use of this guidance

Statement: 1

Adults with suspected chronic heart failure who have been referred for diagnosis have an echocardiogram and specialist assessment.

Quality standard measure: Proportion of adults with suspected chronic heart failure referred for diagnosis who have an echocardiogram and specialist assessment.
What was measured: Proportion of patients with a diagnosis of heart failure (diagnosed on or after 1 April 2006) which has been confirmed by an echocardiogram or by specialist assessment 3 months before or 12 months after entering on to the register.
Data collection end: July 2015
90.9%
Area covered: England
Source: Health and Social Care Information Centre. Quality Outcomes Framework.


Statement: 5

Adults with stable chronic heart failure have a review of their condition at least every 6 months.

Quality standard measure: Proportion of adults with stable chronic heart failure who have had a review of their condition during the past 6 months.
What was measured: Proportion of patients with chronic heart failure that had their fluid status monitored at least 6-monthly.
Data collection end: December 2011
90%
Area covered: Local
Source: Guha K, Vazir A, Guha K, et al. (2016) Audit of a tertiary heart failure outpatient service to assess compliance with NICE guidelines Clinical Medicine 16 (5) : 407-411.

Quality standard measure: Proportion of adults with stable chronic heart failure who have had a review of their condition during the past 6 months.
What was measured: Proportion of patients with chronic heart failure that had their functional capacity monitored at least 6-monthly.
Data collection end: December 2011
89%
Area covered: Local
Source: Guha K, Vazir A, Guha K, et al. (2016) Audit of a tertiary heart failure outpatient service to assess compliance with NICE guidelines Clinical Medicine 16 (5) : 407-411.

Quality standard measure: Proportion of adults with stable chronic heart failure who have had a review of their condition during the past 6 months.
What was measured: Proportion of patients with chronic heart failure that had a medication review at least 6-monthly.
Data collection end: December 2011
87%
Area covered: Local
Source: Guha K, Vazir A, Guha K, et al. (2016) Audit of a tertiary heart failure outpatient service to assess compliance with NICE guidelines Clinical Medicine 16 (5) : 407-411.

Quality standard measure: Proportion of adults with stable chronic heart failure who have had a review of their condition during the past 6 months.
What was measured: Proportion of patients with chronic heart failure that had their cardiac rhythm monitored at least 6-monthly.
Data collection end: December 2011
70%
Area covered: Local
Source: Guha K, Vazir A, Guha K, et al. (2016) Audit of a tertiary heart failure outpatient service to assess compliance with NICE guidelines Clinical Medicine 16 (5) : 407-411.

Quality standard measure: Proportion of adults with stable chronic heart failure who have had a review of their condition during the past 6 months.
What was measured: Proportion of patients with chronic heart failure that had their eGFR monitored at least 6-monthly.
Data collection end: December 2011
85%
Area covered: Local
Source: Guha K, Vazir A, Guha K, et al. (2016) Audit of a tertiary heart failure outpatient service to assess compliance with NICE guidelines Clinical Medicine 16 (5) : 407-411.

Quality standard measure: Proportion of adults with stable chronic heart failure who have had a review of their condition during the past 6 months.
What was measured: Proportion of patients with chronic heart failure that had their urea and electrolytes monitored at least 6-monthly.
Data collection end: December 2011
78%
Area covered: Local
Source: Guha K, Vazir A, Guha K, et al. (2016) Audit of a tertiary heart failure outpatient service to assess compliance with NICE guidelines Clinical Medicine 16 (5) : 407-411.


Statement: 6

Adults with stable chronic heart failure are offered an exercise‑based programme of cardiac rehabilitation.

Quality standard measure: Proportion of adults diagnosed with stable chronic heart failure who have been referred to an exercise‑based programme of cardiac rehabilitation.
What was measured: Proportion of patients with chronic heart failure that were referred to a rehabilitation programme.
Data collection end: December 2011
6%
Data collection end: December 2014
3%
Area covered: Local
Source: Guha K, Vazir A, Guha K, et al. (2016) Audit of a tertiary heart failure outpatient service to assess compliance with NICE guidelines Clinical Medicine 16 (5) : 407-411.



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