John D. Dingell VA Medical Center, Detroit, Michigan
Congestive Heart Failure; Cardiovascular Service Line
The Heart Failure Cardiovascular service line is primarily geared toward serving a select group of cardiac patients with the diagnosis of congestive heart failure and associated left ventricular systolic dysfunction, Ejection Fraction
Here at the Detroit VA Medical Center, we have two heart failure clinics which are run in conjunction with a pharmacy-drug titration clinic. This clinic provides care for newly diagnosed CHF patients, for those with recent hospitalization for CHF as a primary diagnosis, and/or frequent CHF admissions. Patients admitted for heart failure are usually seen by cardiologists on consultation, and undergo heart failure education while in-house. Before discharge, patients are referred to our telehealth program to reinforce concepts and monitor patient progress. Upon discharge, all patients receive a follow up phone call within 7 days of discharge by a CHF Nurse Practitioner. The majority of our patients, depending on the severity of their CHF, are scheduled in the outpatient heart failure clinic for post-discharge follow up, typically within 7-14 days.
We have specific goals here in our cardiology unit at the Detroit VA Medical Center, they include but are not limited to:
- Reducing ER and hospital admissions for CHF
- Developing an integrative approach to tackling CHF
- Optimization of medication for heart failure patients
- Early recognition and intervention of fluid overload symptoms
Since the start of the project in September 2010, we have been able to achieve many goals. Most notably, we have reduced the number of 30 day readmission into the medical center by nearly one half. This rate is lower than the VA network average. We have also noted a large reduction in the number of hospitalizations of patients seen in our clinic.
We have also developed treatment systems and procedures for better management of heart failure in the Emergency Room, inpatient setting and outpatient setting. Keeping patients out of the hospital translates into improved quality of life for our Veteran patients with heart failure.
Location of Service in Medical Center:
Cardiology: C2800 (yellow section)
Dr. Patricia D. Brown, Associate Chief of Staff, Medicine, 313-576-1000, ext. 63319
Hours of Operation:
Monday - Friday, 8:00 a.m. - 4:30 p.m.
- C2800 yellow section
- 313-576-1000 Ext. 63319
Hours of Operation
Monday - Friday
8:00 a.m. to 4:30 p.m.