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Learn about current best practices in interprofessional heart failure care.

Introduction

UWMC Advanced Heart Failure Team Demonstrating Structured Interprofessional Bedside RoundsOver six million people in the United States have heart failure, and approximately half will die within 5 years of their initial diagnosis. Heart failure is one of the most expensive diagnoses costing the US healthcare system over $30 billion each year. It’s prevalence is steadily increasing due to an aging population and a rise in conditions that contribute to the development of heart failure, including obesity, hypertension, and diabetes.* To optimize patient longevity and quality of life while limiting costs, it is imperative that heart failure is diagnosed early on and patients are treated with guideline-directed medical therapy.

In 2014, a grant team led by Brenda Zierler, PhD, RN, FAAN facilitated the development of quality improvement projects at the University of Washington Medical Center (UWMC) Heart Failure units and the Regional Heart Center (RHC).

What you will find here:

  • Current evidence-based webinars on clinical management of advanced heart failure for all health professionals.
  • Tutorials on essential components of quality care.
  • An emphasis on rural and urban underserved populations in Washington, Wyoming, Alaska, Montana and Idaho.
  • A focus on patient-centered interprofessional health care.

 

Online Heart Failure Care Management Modules

This collection of self-study modules covers essential components of patient-centered heart failure clinical practice. They provide a framework for healthcare professionals and students interested in learning about up-to-date guidelines for heart failure care. Developed through an academic-practice partnership between the University of Washington (UW) School of Nursing (SON) and UW Medicine’s Regional Heart Center (RHC), topics covered in this series were specifically chosen to enhance clinical practice and improve heart failure outcomes throughout the Washington, Wyoming, Alaska, Montana, and Idaho (WWAMI) region and beyond. The self-paced modules are freely accessible and may be completed in any order. Additional modules will be added as they are completed.

Communication & Decision Making in Advanced Heart Disease

Learn how to conduct discussions about goals of care and share decision making with patients and their families

Learning Objectives:

  1. Define advanced heart failure (HF), goals of care discussion, and shared decision making.
  2. Outline the trajectory of HF illness and anticipated decision points.
  3. Identify triggers for goals of care conversations.
  4. Recognize potential barriers to patient-provider communication in advanced HF.

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Detecting & Evaluating Cognitive Impairment in Heart Failure Patients

Strategies for implementing screening and care management approaches for patients with cognitive decline.

Learning Objectives:

  1. Become familiar with prevalence of cognitive impairment in Heart Failure patients.
  2. Understand how to screen for cognitive impairment.
  3. Learn how to administer, score and interpret results of the Mini-Cog™, AD8 and PhQ-2 screening instruments.
  4. Rule out comorbidities and identify contributing factors that may affect cognition in heart failure such as cardiovascular pathology, medications, or the presence of depression.
  5. Disclose clinical findings to patients and families.
  6. Formulate diagnosis, treatment plan and initiating referrals.

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The Role of Home Telehealth in Care Delivery for Heart Failure

Overview of telehealth including definitions, current guidelines, and anticipated health benefits

Learning Objectives:

  1. Define telehealth terminology.
  2. Describe the history of telehealth.
  3. Discuss current guidelines and anticipated benefits for home telehealth.
  4. Analyze effective telehealth in a person with heart failure.

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Depression in Heart Failure

Understand the risk for depression in heart failure and identify screening and treatment options

Learning Objectives:

  1. Describe key symptoms of depression and tools used in assessment of depression in Heart Failure (HF).
  2. Identify treatment options for patients with depression and HF.
  3. Describe interprofessional team roles for treatment of depression in patients with HF.

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Management of Acute Heart Failure from Admission to Transition

An unfolding case study about the management of an adult in the midst of a health crisis

Learners are presented with information as the providers learn of the patient’s emergent and ongoing health concerns, and asked to make decisions about how to care for this patient.

Authors: Angela D. Pal, PhD, RN, ARNP; Hilaire J. Thompson, PhD, RN, ARNP; Joelle T. Fathi, DNP, ARNP; Phyllis Christianson, MN, ARNP; Leigh Ann Mike, PharmD, BCPS; Megan Moore, PhD, MSW; Janet Lenart, RN, MN, MPH; Kumhee Ro, DNP, ARNP; Patricia Kritek, MD, EdM; Marni Levy, BS
© 2017 University of Washington | School of Nursing | L&IT Interactive Production Web Services
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Identifying Bias in Clinical Settings

Learn about implicit bias, its impacts on healthcare and strategies to reduce those impacts

Learning Objectives:

  1. Define implicit and explicit bias
  2. Identify how bias operates in clinical settings
  3. Apply strategies to mitigate impact of bias

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Population Health

Learning Objectives:

  1. Define population health and population health management.
  2. Summarize the benefits of population health strategies for improving heart failure outcomes.
  3. Identify the key steps involved in creating a population health intervention for heart failure.

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Living Well with an ICD

An overview of changes physical and mental functioning following the implantation of an ICD and strategies to cope with these changes.

Learning Objectives:

  1. Discuss physical functioning and psychological adjustment following an ICD.
  2. Explore cognitive and relationship challenges following an ICD.
  3. Suggest helpful strategies to the patient to enhance adjustment following an ICD.

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Transitions of Care

Co-develop a plan of care for a heart failure patient’s transition from hospital to home with the patient, his family and other transition team members.

Learning Objectives:

  1. Identify challenges that patients with advanced heart failure face transitioning from hospital to home.
  2. Describe the role and responsibilities of team members involved in the transfer of the patient from hospital to home.
  3. Apply evidence-based methods to improve care coordination, patient safety and clinical outcomes.

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NWHFC Project ECHO Webinars

In 2016, with additional funding from HRSA, the Northwest Heart Failure Collaborative Project ECHO was developed to provide training webinars to healthcare teams in rural and urban underserved populations across the Washington, Wyoming, Alaska, Montana and Idaho (WWAMI) region. Didactic presentations from an array of different health professionals provide current evidence-based clinical management of advanced heart failure for all health professionals on our YouTube channel. All of our content is free to access. For additional resources on heart failure clinical practice, please visit the Northwest Heart Failure Collaborative: Project ECHO web page.

Interprofessional Preceptor Training Toolkit

This IPE Toolkit is intended for educators involved in providing clinical interprofessional education for working professionals or students. Visit our Interprofessional Preceptor Training Toolkit for more information.

Acknowledgements

The Heart Failure Learning Resources web pages are supported by the Health Resources and Services Administration (HRSA) of the U.S. Department of Health and Human Services (HHS) as part of an award totaling $2,090,495 with 0 percentage financed with non-governmental sources. The contents are those of the author(s) and do not necessarily represent the official views of, nor an endorsement, by HRSA, HHS or the U.S. Government.