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.

Related Concept Videos

Heart Failure VII: Nursing Interventions01:30

Heart Failure VII: Nursing Interventions

The first step in nursing management of a patient with heart failure involves thoroughly assessing the patient's medical history.Subjective Data: Obtain the patient's medical history of coronary artery disease, hypertension, myocardial infarction, and symptoms like dyspnea, orthopnea, and paroxysmal nocturnal dyspnea.Objective Data: Conduct a physical examination to identify findings such as jugular vein distention, pulmonary crackles, tachycardia, murmurs, peripheral edema, and vital signs,...
139
Heart Failure VI: Adjunct Therapies01:22

Heart Failure VI: Adjunct Therapies

Additional therapies for treating patients with heart failure (HF) may include procedural interventions, supplemental oxygen, the management of sleep disorders, and nutritional therapy.Procedural InterventionsImplantable Cardioverter-Defibrillator: For patients at risk of life-threatening arrhythmias due to severe left ventricular dysfunction, an Implantable Cardioverter-Defibrillator (ICD) can detect and terminate these arrhythmias, preventing sudden cardiac death and improving survival rates.
28
Heart Failure IV: Classification and Diagnostic Evaluation01:30

Heart Failure IV: Classification and Diagnostic Evaluation

Heart failure can be classified in various ways, with the most common classifications based on physical activity limitations, disease progression, severity, and treatment strategies.The Functional Classification of Heart Failure divides patients into four categories based on physical activity limitation due to symptom burden.Class I: Patients in this class have cardiac disease but no physical activity limitations. Ordinary activities like walking, climbing stairs, or routine tasks do not cause...
33
Heart Failure I: Introduction01:27

Heart Failure I: Introduction

Heart failure refers to a clinical syndrome caused by structural or functional cardiac disorders that prevent the heart from pumping an adequate amount of blood to meet the body's metabolic needs. This condition often arises from myocardial infarction or ischemia, leading to decreased cardiac output, reduced tissue perfusion, impaired gas exchange, fluid volume imbalance, and decreased functional ability.Heart failure can result from disruptions in the mechanisms that regulate cardiac output...
55
Pathophysiology of Heart Failure01:17

Pathophysiology of Heart Failure

Heart failure (HF) is a progressive syndrome involving ventricles that leads to inadequate cardiac output. It can be classified based on location and output or ejection fraction. Ejection fraction (EF) is an essential measurement in the diagnosis and surveillance of HF. Reduced EF corresponds to systolic heart failure (HFrEF). However, HF with preserved ejection fraction (HFpEF) is becoming increasingly prevalent. Also known as diastolic HF, this form of HF is related to aging. The...
1.8K
Heart Failure V: Medical Management01:30

Heart Failure V: Medical Management

Medical Management of Acute Decompensated Heart Failure (ADHF)The primary goals of therapy for patients hospitalized with acute decompensated heart failure (ADHF) include:Relieving symptomsOptimizing volume statusSupporting oxygenation and ventilationMaintaining cardiac output (CO) and end-organ perfusionIdentifying and addressing the cause of ADHFPreventing complicationsProviding patient education on factors precipitating HF exacerbationPlanning for dischargeOngoing monitoring and assessment...
23