This session will review the complexities of caring for the growing population of cardiac patients in skilled nursing facilities (SNFs). The speakers will familiarize the participants with the current deficits in care provision to these patients from a clinical, systems, and facility factor perspective, and will provide the audience with an understanding of how to develop targets to improve care delivery. Proposed targets for performance improvement include appropriate recognition of the high risk patient, modification of clinical practice to the cardiology patient in the SNF setting, understanding the value of models in progress to improve systems of care, applying best practices to date for post- acute transfers and SNF preparedness, and understanding the policy changes pending implementation by Centers for Medicare & Medicaid Services that will emphasize improved performance.
Discuss the SNF patient with cardiovascular disease (CVD) as a distinct high risk patient with significantly increased morbidity, mortality, and risk for hospital readmission compared to those discharged to other health care settings.
Describe the deficiencies in both facility preparedness for the growing population of SNF patients with CVD, and systems affecting care transitions to the SNF setting.
Discuss developing policy changes and payments structures that will affect provision of care to the post-acute cardiac patient and provider reimbursement.
Identify benefits and limitations of using CHF clinical practice guidelines in the geriatric guidelines.
Describe the National PACE* Association CHF Model Practice and how it can be used to identify patient preferences and goals of care.
University of Colorado Denver School of Medicine