Standing orders developed, but are infrequently utilized by the physicians. Physician pocket guides developed and reminders posted in the nursing stations. Process incorporated that station clerks print a copy of the last echo report and place on chart. Case managers screen for compliance with ACEI/ARB for LVSD. Identified charts are stickered with a standardized documentation tool. This has been beneficial to capture those not receiving an ACEI/ARB already, or to gain the needed information for contraindications. The nursing documentation is electronic, and the discharge has built in reminders. Medication reconcilliation is also electronic based. Therefore the combination of the above has been successful to maintain compliance with this measure. In the rare event a patient fails this measure, it is reviewed directly with all physicians of record (attending and cardiologist). Compliance with all measures are reviewed at each med-staff meeting.

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As stated above.

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UHC has a very detailed data validation process. Every failed case is reviewed as to "Why" by the QI Director. Opportunities for improvement are captured and implemented if necessary.

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As posted on JCAHO and HQID

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None to report.

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