Quality of congestive heart failure care: Assessing measurement of care using electronic medical records

Article Figures & Data

Table 1.

Items in the Ontario MOHLTC CHF flow sheet2 that are available in the DELPHI database

SECTIONS ON THE CHF FLOW SHEET	NO. OF ITEMS THAT COULD BE MEASURED (N = 91)	NO. OF ITEMS AVAILABLE IN THE DELPHI DATABASE (N = 60)
Diagnosis	4	2
Initial investigations to assist diagnosis	22	19
Vaccinations	2	2
Required elements of care:
• Physical examinations	22	16
• Laboratory tests	8	8
• Patient self-management	5	5
Pharmacologic management for systolic heart failure	28	8

CHF—congestive heart failure, DELPHI—Deliver Primary Healthcare Information, MOHLTC—Ministry of Health and Long-Term Care.

Table 2.

Patients with CHF (N = 488) receiving quality-of-care item at least once since the date of diagnosis

QUALITY-OF-CARE ITEMS, BY CHF FLOW CHART2 SECTION	PATIENTS WITH CHF WHO HAD THIS ITEM RECORDED, N (%)
Initial investigations to assist diagnosis
• Chest radiograph	271 (55.5)
• Electrocardiogram	159 (32.6)
• Echocardiogram	157 (32.2)
Vaccinations
• Annual influenza vaccine	206 (42.2)
• Pneumococcal vaccine	87 (17.8)
Physical examinations
• Blood pressure	381 (78.1)
• Weight	200 (41.0)
• Heart rate	137 (28.1)
Laboratory tests
• Serum creatinine	354 (72.5)
• Potassium	340 (69.7)
• Sodium	337 (69.1)
• eGFR	324 (66.4)
Medications
• Loop diuretic	224 (45.9)
• Angiotensin-converting enzyme inhibitor	149 (30.5)
• Anticoagulant	118 (24.2)
• β-Blocker	102 (20.9)
• Angiotensin receptor blocker	77 (15.8)
• Acetylsalicylic acid	58 (11.9)
• Digoxin	55 (11.3)
• Spironolactone	28 (5.7)