Protocol Setting — what does the data tell us CHAMP Results
{"Image DocumentName": "Protocol Setting \u2014 what does the data tell us? CHAMP Results", "Image ImageDescription": "Increase in use of therapies in post MI treatment. 100% 92% 86% 80% The UCLA Medical Center\u2019s Cardiac Hospitalization Atherosclerosis Management Program (CHAMP) increased guideline intervention. 78% 61% 60% 56% 40% FACILITATOR NOTES: The CHAMP study targeted post-MI care. It was established that there was relatively low usage at discharge of evidence-based post MI therapy\u2013 specifically beta blockers, ASA, Statins and ACE-inhibitors. The intervention in this study was standard protocol based order sets for these patients which defaulted to these four interventions. The team involved in care of post-MI patients were aware of both the rationale for the treatments AND the uniform requirement for all patients to receive these interventions. The process was built into standard care. Naturally, some patients may not have been appropriate to receive certain therapies. In these cases the protocol would be modified. The default, however, was to follow the protocol. After introduction of the protocol there was significant increase in use of all four therapies. Reference: Fonarow GC, et al. Improved Treatment of Coronary Heart Disease by Implementation of a Cardiac Hospitalization Atherosclerosis Management Program (CHAMP). Am J Cardiol 2001;87:819\u2013 % 12% 6% 4% 0% Pre-CHAMP. Post-CHAMP. Aspirin. Beta-blocker. Statin. ACE Inhibitor. Fonarow GC, et al. Am J Cardiol 2001;87:819\u2013822.", "Image XResolution": "37", "Image YResolution": "37", "Image ResolutionUnit": "Pixels/Centimeter", "Image Software": "SlidePlayer", "Image YCbCrPositioning": "Centered"}