American College of Physicians unveils tools to improve acute coronary syndrome care

April 12, 2013, American College of Physicians

The American College of Physicians (ACP) today unveiled two evidence-based interventions and two videos to improve the health outcomes of patients in the first year following an initial acute coronary syndrome (ACS) event such as heart attack and unstable angina (chest pain or discomfort but no part of the heart muscle dies), the most common indications of ACS.

About five million in the U.S. are at risk for ACS and approximately 134,000 die from it every year. ACS results in almost 1.2 million hospitalizations annually with 70 percent of those from and 30 percent from unstable angina.

ACP's Initiative on aims to bridge the communication gap between clinicians and patients in the home or hospital. Because care in the 12 months after an initial ACS event is so important, the initiative focuses on improving in the first year utilizing four key interventions suited to the varied needs of patients and clinicians: a patient guide, a clinician support tool, and two videos.

"These easy-to-understand, straightforward materials in multiple formats will facilitate communication between clinicians and patients, helping to prevent instances of and improve treatment of heart attack and ," said David L. Bronson, MD, FACP, president, ACP.

"Keeping Your Heart Healthy: What You and Your Family Should Do"

This reader-friendly educational guide is designed to enhance patient-clinician communication by helping patients and caregivers talk to the physician and other members of the health care team and encouraging them to ask questions. The guide includes information to help patients maintain a with sections on lifestyle modifications, medications and supplements, and recovery issues, such as when to go back to work and when normal activities can be resumed. Color coded sections further emphasize necessary actions such as when to call 911 (red) or the doctor (yellow).

"Practice Guide for the Post Acute Coronary Syndrome Hospitalization Office Visit"

This decision support tool enables busy clinicians to make the most of the first post-discharge office visit. Assessment suggestions, such as medication adherence and , include a corresponding intervention, such as teach-back or reviewing approved physical activities like walking or driving.

In addition to these print materials, two patient videos geared toward empowering patients to actively engage in their care have been produced: "Discharge from the Hospital" and "Medications after a Heart Attack."

"By working with experts in clinical practice, health care quality, and patient advocacy to develop interventions that close gaps in understanding and communication, ACP has developed interventions to improve patient comprehension and management of ACS," said Doron Schneider, MD, FACP, chief safety and quality officer, Abington Health System and a member of the initiative's National Steering Committee. "Improved patient understanding coupled with evidence-based practice is essential to better health outcomes."

Members of the National Steering Committee that developed the interventions include experts from ACP, the American Academy of Physician Assistants, the American Association of Critical-Care Nurses, the American College of Cardiology, the American Pharmacists Association, The Joint Commission, the Society for Cardiovascular Angiography and Interventions, and America's Health Insurance Plans.

Explore further: Intervention results in increased use of evidence-based medications for patients with acute coronary syndrome

More information: www.acponline.org/acs

Related Stories

Intervention results in increased use of evidence-based medications for patients with acute coronary syndrome

March 25, 2012
Among patients with acute coronary syndromes (such as heart attack or unstable angina) treated at public hospitals in Brazil, implementation of a multifaceted intervention that included educational materials, checklists and ...

New clinical recommendations for diagnosing and treating stable ischemic heart disease

November 19, 2012
Six organizations representing physicians, other health care professionals, and patients today issued two new clinical practice guidelines for diagnosing and treating stable ischemic heart disease (IHD), which affects an ...

ACP and SGIM find the PCMH model aligns with principles of medical ethics and professionalism

July 30, 2012
The American College of Physicians (ACP) and the Society of General Internal Medicine (SGIM) explore the ethical dimensions of the patient-centered medical home (PCMH) in a new position paper published by the Journal of General ...

Electronic discharge tool reduces hospital readmissions in heart failure patients

March 7, 2013
The use of electronic discharge orders aimed at providing evidence-based decision support and clear instructions to heart failure patients helped increase compliance with quality care measures and lowered hospital readmission ...

Recommended for you

New link found between alcohol, genes and heart failure

May 25, 2018
The researchers investigated faulty versions of a gene called titin which are carried by one in 100 people or 600,000 people in the UK.

Low-dose aspirin could help pregnant women with high blood pressure avoid a dangerous condition

May 25, 2018
A daily dose of aspirin could help pregnant women in the first stage of high blood pressure avoid a condition that puts both mother and baby in danger, according to a new study.

Study examines the rise of plaque in arteries

May 25, 2018
The accumulation of cholesterol plaques in artery walls can lead to atherosclerosis, or the hardening of arteries that contributes to heart attacks and strokes. In a new study, Yale researchers investigate how plaque cells ...

Study shows in-home therapy effective for stroke rehabilitation

May 24, 2018
In-home rehabilitation, using a telehealth system and supervised by licensed occupational/physical therapists, is an effective means of improving arm motor status in stroke survivors, according to findings presented by University ...

New guidelines mean 1 in 3 adults may need blood pressure meds

May 23, 2018
(HealthDay)—One out of every three U.S. adults has high blood pressure that should be treated with medication, under guidelines recently adopted by the two leading heart health associations.

Surgery involving ultrasound energy found to treat high blood pressure

May 23, 2018
An operation that targets the nerves connected to the kidney has been found to significantly reduce blood pressure in patients with hypertension, according to the results of a clinical trial led in the UK by Queen Mary University ...

0 comments

Please sign in to add a comment. Registration is free, and takes less than a minute. Read more

Click here to reset your password.
Sign in to get notified via email when new comments are made.