Abstract 077: Hospitalized Heart Failure Epidemiology: Active Surveillance to Enhance Inpatient Cardiology Consultation Rates

Background: Co-management of hospitalized heart failure (HHF) patients by hospitalists and cardiologists may enhance care quality. Aided by an enterprise data warehouse (EDW) screen for HHF patients, we implemented a house surveillance model of heart failure consultation, whereby cardiology consultation and multidisciplinary heart failure intervention was offered for patients meeting criteria. Objective: To analyze the impact of house surveillance for HHF on cardiology consultation rates for patients coding into heart failure diagnosis-related groups (DRGs) on medicine units. Methods: An EDW screen for HHF was deployed, and services with HHF patients were offered cardiology consultation. The intervention was deployed 7/2015; chart review for patients 6 months pre- and post-intervention was conducted to ascertain consultation rate. Results: There were 386 patient discharges from a non-cardiac service with a heart failure DRG. In the six months prior to intervention, 40% of patients had cardiology consultation. This figure rose to 69% post-intervention, a highly statistically significant result. Conclusions: EDW-enabled active surveillance for HHF increases cardiology consultation rate, allowing for multidisciplinary intervention, co-management, and potentially improved outcomes for HHF patients.