Tang Amber B, Lewsey Sabra C, Yancy Clyde W, Heidenreich Paul A, Greene Stephen J, Allen Larry A, Jessup Mariell, Bolles Michele, Rutan Christine, Navar Natalie, Thomas Kathie, Fonarow Gregg C
Department of Medicine, University of California Los Angeles (A.B.T.).
Division of Cardiovascular Medicine, Johns Hopkins University School of Medicine, Baltimore, MD (S.C.L.).
Circ Heart Fail. 2025 May 12:e012936. doi: 10.1161/CIRCHEARTFAILURE.125.012936.
The Get With the Guidelines-Heart Failure program was developed in 2005 with the goal of bringing evidence-based guidelines in heart failure management into widespread clinical practice. The program includes workshops, webinars, tool kits, chart abstraction, performance benchmarking, and achievement awards to drive quality improvement at participating hospitals. Two decades after its inception, the program has grown to include over 600 participating institutions across the United States. Linking registry data to Centers for Medicare and Medicaid Services claims has also allowed for the evaluation of longitudinal outcomes. Get With the Guidelines-Heart Failure has helped improve the quality of care for patients and has contributed substantially to the understanding of clinical science and optimal management of heart failure. This narrative review provides an overview of the indelible impact of the Get With the Guidelines-Heart Failure program on quality heart failure care over the past 20 years and highlights future challenges and directions.
“遵循指南-心力衰竭”项目于2005年启动，目标是将基于证据的心力衰竭管理指南推广至广泛的临床实践中。该项目包括研讨会、网络研讨会、工具包、图表摘要、绩效基准评估和成就奖，以推动参与项目的医院提高质量。项目启动二十年后，已发展到涵盖美国600多家参与机构。将注册数据与医疗保险和医疗补助服务中心的索赔数据相链接，也有助于评估长期结果。“遵循指南-心力衰竭”项目有助于提高患者护理质量，并为临床科学的理解和心力衰竭的优化管理做出了重大贡献。本叙述性综述概述了“遵循指南-心力衰竭”项目在过去20年对优质心力衰竭护理产生的不可磨灭的影响，并强调了未来的挑战和方向。
