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Published on: July 12, 2024
Establishing a National Quality of Care Framework for Heart Failure in Korea: Keep Standards for Heart Failure (KSHF)
Mi-Hyang Jung1, Soo Yong Lee2, Yang Hyun Cho3
1Division of Cardiology, Department of Internal Medicine, Seoul St. Mary's Hospital, Catholic Research Institute for Intractable Cardiovascular Disease, College of Medicine, The Catholic University of Korea, Seoul, Korea.
Insights
The Korean Society of Heart Failure
Area of Science:
- Cardiology
- Public Health
- Healthcare Quality Improvement
Background:
- Heart failure (HF) presents a growing public health challenge in Korea, with rising prevalence and costs.
- Current guideline-directed medical therapy (GDMT) has improved outcomes, but a gap exists between guidelines and real-world practice.
- This gap hinders optimal patient care and outcomes in heart failure management.
Purpose of the Study:
- To introduce the Keep Standards for Heart Failure (KSHF) initiative by the Korean Society of Heart Failure.
- To enhance the quality of care (QoC) for heart failure patients through a multi-faceted approach.
- To establish the KSHF-QoC registry for systematic evaluation of HF management in diverse settings.
Main Methods:
- Implementation of structured educational programs and a standardized discharge checklist.
- Development and utilization of the KSHF-QoC registry to analyze prescription trends and treatment adherence.
- Inclusion of general cardiologists alongside HF specialists for a broader assessment of routine care.
Main Results:
- The KSHF-QoC registry provides a comprehensive assessment of HF management across various healthcare settings.
- Continuous monitoring of QoC indicators and benchmarking enables performance feedback.
- The initiative aims to improve GDMT adherence and optimize HF care delivery.
Conclusions:
- The KSHF initiative represents a significant advancement in standardizing heart failure management in Korea.
- By addressing the gap between guidelines and practice, the initiative seeks to improve patient outcomes.
- Reducing readmission rates and optimizing care delivery are key goals for long-term HF patient benefit.
Abstract:
Heart failure (HF) continues to pose a significant public health burden in Korea, marked by increasing prevalence, hospitalizations, and healthcare costs. Although advances in guideline-directed medical therapy (GDMT) have improved patient prognosis, a persistent gap between evidence-based guidelines and real-world practice hinders optimal patient outcomes. To address this challenge, the Korean Society of Heart Failure launched the Keep Standards for Heart Failure (KSHF) initiative to enhance the quality of care (QoC) for individuals with HF. This initiative combines registry-based and non-registry approaches, including the development of structured educational programs, a standardized discharge checklist, and the implementation of the KSHF-QoC registry. The registry is designed to systematically evaluate HF management across diverse healthcare settings by analyzing prescription trends, treatment adherence, and patient-centered outcomes. Unlike earlier registries that focused primarily on acute HF in tertiary care centers managed by HF specialists, the KSHF-QoC registry broadens its scope to include general cardiologists, thereby offering a more comprehensive and representative assessment of routine care. Through continuous monitoring of QoC indicators, benchmarking across institutions, and structured performance feedback, the KSHF initiative aims to improve GDMT adherence, optimize HF care delivery, and reduce readmission rates. These efforts represent a critical advancement toward standardizing HF management and improving long-term outcomes for patients in Korea.
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