Care Delivery Model Toolkit

Heart Failure Resource Center Admission Flow (pdf)
This flow chart lays out patient’s flow through the center, outlining steps from initial visit to phases of treatment and education.

Heart Failure Resource Center Algorithm (pdf)
A flow chart describing a sample pharmacologic algorithm for a heart failure patient.

More

Available Resources

Fuqua Heart Center of Atlanta website

An Innovative Model for Heart Failure Disease Management (pdf)
A single slide outlining the purpose, plan, outcomes, and implications for the innovative Heart Failure Resource Center.

How Piedmont Hospital Cut Heart Failure Patient Readmissions by 75 Percent
Mattia, J. HealthLeaders. May 21, 2007.

For More Information

For any questions not answered by materials provided within this profile, please contact Jennie Mattia at Jennie.Mattia@piedmont.org.

Leader

Jennie Mattia currently serves as the manager for Cardiovascular Outcomes and the Heart Failure Disease Management Program for the Fuqua Heart Center of Atlanta at Piedmont Hospital. In her role for the Heart Failure Disease Management Program at Piedmont, she is responsible for implementation and operational oversight of both inpatient and outpatient heart failure services. Jennie frequently speaks on topics associated with delivery of heart failure care and improving the quality of heart failure care. She has provided speaking services for the American Heart Association and The Joint Commission.

Why

“This model is just one more step in Piedmont’s evolution to the best quality of heart failure care. As we worked through The Joint Commission Disease Specific Care Certification process, it became evident that if all areas that touched heart failure worked together, we could be more effective. The evolution of care delivery from the outpatient, in-home model to a clinic model allowed for greater accessibility to care and also for more advanced clinical services.”

Whatimplementing

“It is validating to actually see that as clinicians you can really make a difference. This patient population is complex and time consuming. Our model takes the time to care for the patients into account. We have demonstrated that with time and resources most patients can learn to self manage their disease. This is empowering to individuals and in the long run positively affects the hospital resources utilized by the reduction in admissions and readmissions.”

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