Donald S. Chang

Dashboard-Directed Intervention to Improve Guideline-Directed Heart Failure Therapy for Veterans

Qicong Sheng, Nicholas Keisuke Brownell, Jeffrey J. Hsu, Donald S. Chang et autres

BACKGROUND: Significant gaps in guideline-directed medical therapy (GDMT) persist in patients with heart failure (HF) with reduced ejection fraction (HFrEF). Although population health dashboards can identify these gaps, sustainable workflows integrating them into routine practice remain largely underutilized. OBJECTIVES: This study aimed …

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26-A-8584-ACC IMPLEMENTATION OF A DASHBOARD-DIRECTED POPULATION HEALTH CLINIC TO REDUCE GAPS IN GUIDELINE-DIRECTED MEDICAL THERAPY FOR VETERANS WITH HEART FAILURE WITH REDUCED EJECTION FRACTION

Qicong Sheng, Nicholas Keisuke Brownell, Jeffrey J. Hsu, Donald S. Chang et autres

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Variations in morbidity and mortality based on esophagectomy approach and leak status: Insights from a statewide quality collaborative

Jenny T. Bui, Donald S. Chang, Mary Elise Hollenbeck, Andrew M. Popoff et autres

Anastomotic leak remains a major source of morbidity after esophagectomy. Cervical anastomoses have been associated with higher leak rates compared with intrathoracic anastomoses; however, cervical leaks may have a less severe clinical impact. The aim was to determine whether the patterns of …

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Coronary CT Angiography for Acute Chest Pain in the Emergency Department: A Systematic Review of Clinical Utility

Kyvan Irannejad, Logan C Hubbard, Aditya Narashim, Beshoy Iskander et autres

Introduction: Chest pain is one of the most common and high-risk presentations in the emergency department (ED), necessitating timely and accurate evaluation to prevent adverse cardiovascular outcomes. Coronary Computed Tomography Angiography (CCTA) has emerged as a promising non-invasive modality with high sensitivity …

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DASH-HF Study: A Pragmatic Quality Improvement Randomized Implementation Trial for Patients With Heart Failure With Reduced Ejection Fraction

Aradhana Verma, Gregg C. Fonarow, Jeffrey J. Hsu, Cynthia Anne Jackevicius et autres

BACKGROUND: Heart failure is a prevailing diagnosis of hospitalization and readmission within 6 months, and nearly a quarter of these patients die within a year. Guideline-directed medication therapies reduce risk of mortality by 73% over 2 years; however, the implementation of these …

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The design of the Dashboard Activated Services and Telehealth for Heart Failure (DASH-HF) study: A pragmatic quality improvement randomized implementation trial for patients with heart failure with reduced ejection fraction

Aradhana Verma, Gregg C. Fonarow, Jeffrey J. Hsu, Cynthia Anne Jackevicius et autres

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Improving heart failure care and guideline-directed medical therapy through proactive remote patient monitoring-home telehealth and pharmacy integration

Kimberly A. Lynch, David A. Ganz, Debra Saliba, Donald S. Chang et autres

To address ambulatory care sensitive hospitalisations in heart failure (HF), we implemented a quality improvement initiative to reduce admissions and improve guideline-directed medical therapy (GDMT) prescription, through proactive integration of remote patient monitoring-home telehealth (RPM-HT) and pharmacist consultations. Each enrolled patient (n=38) …

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AORTIC VALVE PAPILLARY FIBROELASTOMA CAUSING RECURRENT CEREBROVASCULAR ACCIDENT

Michael J. Ahlers, Vishnu Rajan Nair, David M. Tehrani, Pratyaksh K. Srivastava et autres

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Leveraging telemedicine for management of veterans with heart failure during COVID-19

Shelly S. de Peralta, Boback Ziaeian, Donald S. Chang, Sarah Elizabeth Goldberg et autres

BACKGROUND: Telemedicine and telemonitoring have become invaluable tools in managing chronic diseases, such as heart failure (HF). With the recent pandemic, telemedicine has become the preferred method of providing consultative care. LOCAL PROBLEM: This rapid paradigm shift from face-to-face (F2F) consultations to …

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Impact of a Multidisciplinary Heart Failure Postdischarge Management Clinic on Medication Adherence

Lingyun Lu, Cynthia Anne Jackevicius, Noelle K. de Leon, Alberta L. Warner et autres

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Angiogenesis on Coronary Angiography Is a Marker for Accelerated Cardiac Allograft Vasculopathy as Assessed by Intravascular Ultrasound

Richard Cheng, Babak Azarbal, Donald S. Chang, Tamar L. Aintablian et autres

BLEEDING RISK OF DIRECT ORAL ANTICOAGULANTS COMPARED WITH WARFARIN IN PATIENTS WITH ATRIAL FIBRILLATION AND HEART FAILURE

Lingyun Lu, Alberta L. Warner, Zunera Ghaznavi, Donald S. Chang et autres

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