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Open AccessJournal ArticleDOI

The Spoke-Hub-and-Node Model of Integrated Heart Failure Care.

Ashlay A. Huitema, +3 more
- 01 Jul 2018 - 
- Vol. 34, Iss: 7, pp 863-870
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TLDR
The spoke-hub-and-node (SHN) model represents an organization of care that works collaboratively with the primary care sector and is highly integrated with community-based multidisciplinary teams of health care professionals and specialty care.
About: 
This article is published in Canadian Journal of Cardiology.The article was published on 2018-07-01 and is currently open access. It has received 25 citations till now. The article focuses on the topics: Integrated care & Palliative care.

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Journal ArticleDOI

Optimal Usage of Sacubitril/Valsartan for the Treatment of Heart Failure: The Importance of Optimizing Heart Failure Care in Canada.

Ashlay A. Huitema, +8 more
TL;DR: It is suggested that a substantial number of deaths, hospitalizations, and HF readmissions could potentially be avoided by optimal usage of sacubitril/valsartan therapy in Canada.
Journal ArticleDOI

The Status of Specialized Ambulatory Heart Failure Care in Canada: A Joint Canadian Heart Failure Society and Canadian Cardiovascular Society Heart Failure Guidelines Survey.

Sean A. Virani, +41 more
TL;DR: 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 care with specific reference to elements and processes of care associated with quality and high performing health systems.
Journal ArticleDOI

Revisiting the four core functions (4Cs) of primary care: operational definitions and complexities.

Geronimo Jimenez, +6 more
- 10 Nov 2021 - 
TL;DR: In this article, the four primary care (PC) core functions (the "4Cs"): first contact, comprehensiveness, coordination and continuity) are defined, and a literature review and analysis of enhancement strategies to improve these four core functions is presented.
Journal ArticleDOI

Therapies for Advanced Heart Failure Patients Ineligible for Heart Transplantation: Beyond Pharmacotherapy

Ashlay A. Huitema, +4 more
- 01 Feb 2020 - 
TL;DR: The benefits of palliative care (PC), exercise-based cardiac rehabilitation (ExCR), device therapy (cardiac resynchronization therapy and mitral clip), and mechanical circulatory support (MCS) in advanced HF patients who are transplant ineligible are reviewed.
Journal ArticleDOI

Referral and access to heart function clinics: A realist review

Adeleke Fowokan, +13 more
- 01 Aug 2021 - 
TL;DR: Given the burden of HF and benefit of HF clinics, more research is needed to understand, and hence overcome sub-optimal use ofHF clinics, and in particular, an understanding from the perspective of referring providers is needed.
References
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Journal ArticleDOI

Heart Disease and Stroke Statistics—2016 Update: A Report From the American Heart Association

Dariush Mozaffarian, +41 more
- 26 Jan 2016 - 
TL;DR: Author(s): Writing Group Members; Mozaffarian, Dariush; Benjamin, Emelia J; Go, Alan S; Arnett, Donna K; Blaha, Michael J; Cushman, Mary; Das, Sandeep R; de Ferranti, Sarah; Despres, Jean-Pierre; Fullerton, Heather J; Howard, Virginia J; Huffman, Mark D; Isasi, Carmen R; Jimenez, Monik C; Judd, Suzanne
Journal ArticleDOI

Improving Chronic Illness Care: Translating Evidence Into Action

Edward H. Wagner, +5 more
- 01 Nov 2001 - 
TL;DR: The CCM is described, its use in intensive quality improvement activities with more than 100 health care organizations, and insights gained in the process are described, to guide quality improvement.
Journal ArticleDOI

Outcome of heart failure with preserved ejection fraction in a population-based study.

R. Sacha Bhatia, +10 more
- 20 Jul 2006 - 
TL;DR: The rates of readmission for heart failure and of in-hospital complications did not differ between the two groups, and the survival of patients with heart failure with preserved ejection fraction was similar to that of Patients with reduced ejections fraction.
Journal ArticleDOI

Multidisciplinary strategies for the management of heart failure patients at high risk for admission: A systematic review of randomized trials

Finlay A. McAlister, +3 more
- 18 Aug 2004 - 
TL;DR: Multidisciplinary strategies for the management of patients with HF reduce HF hospitalizations and those programs that involve specialized follow-up by a multidisciplinary team also reduce mortality and all-cause hospitalizations.
Journal ArticleDOI

Telemonitoring in Patients with Heart Failure

Sarwat I. Chaudhry, +9 more
- 08 Dec 2010 - 
TL;DR: Among patients recently hospitalized for heart failure, telemonitoring did not improve outcomes, and the results indicate the importance of a thorough, independent evaluation of disease-management strategies before their adoption.
Related Papers (5)

Organisation of services for people with cardiovascular disorders in primary care: transfer to primary care or to specialist-generalist multidisciplinary teams?

Egle Price, +4 more
- 22 Sep 2014 - 

Integrated, collaborative palliative care in heart failure: The st. george heart failure service experience 1999-2002

Patricia M. Davidson, +9 more
- 01 Jan 2004 - 

Principles Supporting Dynamic Clinical Care Teams: An American College of Physicians Position Paper

Robert B. Doherty, +1 more
- 05 Nov 2013 - 

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Stephen H. Taplin, +9 more
- 01 May 2012 - 

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Frequently Asked Questions (5)
Q1. What have the authors contributed in "The spoke-hub-and-node model of integrated heart failure care" ?

The authors consider the respective roles of HF Clinics, HF nurse specialists, pharmacists, palliative care teams, telemonitoring, and solo practitioners. The authors also discuss levels of care delivery and the importance of patient stratification and patient flow. The SHN approach has the potential to build on and improve the chronic care model ( CCM ) to deliver centralized services to preserve quality, patient-centered care at an affordable cost. 

Integrated care is defined as health services that are managed and delivered so that people receive a seamless continuum of health promotion, disease prevention, diagnosis, treatment, disease-management, rehabilitation and palliative care services. 

The spoke-hub-and-node model represents an organization of care working collaboratively with the primary care sector and is highly integrated with community-based multidisciplinary teams of health care professionals and specialty care. 

The SHN approach has the potential to build on and improve the chronic care model (CCM) to deliver centralized services to preserve quality, patient-centered care at an affordable cost. 

The authors consider the respective roles of HF Clinics, HF nurse specialists, pharmacists, palliative care teams, telemonitoring, and solo practitioners.