|OR (95% CI)||p Value||OR (95% CI)||p Value|
|GWTG-HF Achievement Measures (Q4 vs. Q1)|
|Defect-free care: 100% compliance with achievement measures||2.54 (1.81–3.58)||<0.001||2.72 (1.88–3.94)||<0.001|
|Discharged home with 6 instructions∗||2.60 (1.61–4.21)||<0.001||2.76 (1.54–4.92)||<0.001|
|Documentation of LV function||6.02 (2.95–12.30)||<0.001||7.48 (3.62–15.50)||<0.001|
|LVSD discharged on ACE or ARB||2.04 (1.36–3.05)||<0.001||2.72 (1.76–4.21)||<0.001|
|LVSD discharged on BB||2.05 (1.40–3.01)||<0.001||2.17 (1.46–3.23)||<0.001|
|Smoker discharged with smoking cessation||2.06 (1.28–3.31)||0.003||1.99 (1.19–3.32)||0.009|
|GWTG-HF quality measures|
|Chronic or recurrent atrial fibrillation discharged on anticoagulation||1.90 (1.50–2.40)||<0.001||2.03 (1.58–2.61)||<0.001|
|LVSD discharged on specific evidence-based BB||1.12 (0.86–1.45)||0.42||1.37 (1.06–1.77)||0.016|
|ICD placed or prescribed at discharge||1.67 (1.24–2.23)||<0.001||1.87 (1.37–2.57)||<0.001|
|Blood pressure control (140/90 mm Hg) at discharge||1.01 (0.90–1.13)||0.91||1.00 (0.90–1.12)||0.97|
Significance level was p < 0.0028 using Bonferroni correction for multiple testing. Multivariable models adjusted for the following patient characteristics: age, sex, race (black, Hispanic, other races vs. white), insurance (Medicare, Medicaid, other insurance vs. no insurance), medical histories (atrial fibrillation/flutter, COPD, diabetes mellitus, dyslipidemia, hypertension, peripheral vein disease, stroke, anemia, pacemaker, dialysis, renal insufficiency, depression, valvular disease, ICD, cardiac resynchronization therapy pacemaker, CRT-D, ischemic heart disease (combined coronary artery disease, myocardial infarction, PCI, coronary artery bypass graft), smoker, and LV dysfunction. Multivariable models adjusted for the following hospital characteristics: teaching hospital, number of beds, region, rural vs. urban, PCI, surgical, interventional and heart transplantation capability, number of cardiac intensive care beds, adult cardiology service, mobile health service, established medical home, has adult diagnostic catheterization capability, and has adult interventional catheterization capability. Multiple imputation was conducted on the hospital level to impute the missing hospital characteristic variables.
ACE = angiotensin-converting enzyme; ARB = angiotensin receptor blocker; BB = β-blocker; CI = confidence interval; GWTG-HF = Get With the Guidelines–Heart Failure; ICD = implantable cardioverter-defibrillator; LV = left ventricular; LVSD = left ventricular systolic dysfunction; OR = odds ratio; PCI = percutaneous coronary intervention.
↵∗ Discharge instructions include activity level, diet, discharge medications, follow-up appointment, weight monitoring, and what to do if symptoms worsen.