Key result
Canadian HF clinics reveal wide practice variability, nurse-dependent care, and limited data infrastructure.
Why the study?
The report was conducted to provide a pan-Canadian snapshot of the current state of clinic-based ambulatory HF care in Canada, focusing on care elements and processes linked to quality and high-performing health systems.
Cross-Sectional (n=45)
Yes
The survey highlights significant gaps in the standardization, resourcing, and integration of ambulatory heart failure care in Canada, emphasizing the need for comprehensive health human resource strategies and shared-care models.
Inconsistent Canadian HF clinic criteria and infrastructure may affect care quality; cross-sectional data leaves open optimal standardization and shared-care models.
This joint Canadian Heart Failure Society and the CCS Heart Failure guidelines report has been developed to provide a pan-Canadian snapshot of the current state of clinic-based ambulatory heart failure (HF) care in Canada with specific reference to elements and processes of care associated with quality and high performing health systems. It includes the viewpoints of persons with lived experience, patient care providers, and administrators. It is imperative to build on the themes identified in this survey, through engaging all health care professionals, to develop integrated and shared care models that will allow better patient outcomes. Several patient and organizational barriers to care were identified in this survey, which must inform the development of regional care models and pragmatic solutions to improve transitions for this patient population. Unfortunately, we were unsuccessful in incorporating the perspectives of primary care providers and internal medicine specialists who provide the majority of HF care in Canada, which in turn limits our ability to comment on strategies for capacity building outside the HF clinic setting. These considerations must be taken into account when interpreting our findings. Engaging all HF care providers, to build on the themes identified in this survey, will be an important next step in developing integrated and shared care models known to improve patient outcomes.
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Virani et al. (2020) conducted a cross-sectional in Ambulatory heart failure care delivery (n=45). Ambulatory heart failure clinic practice patterns was evaluated on Current state of clinic-based ambulatory heart failure care (human resources, processes of care, transitions, and quality of care). The survey identified significant variability in admission criteria, heavy reliance on nurse-dependent care models, and a lack of data infrastructure across Canadian heart failure clinics.
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