Publications by authors named "George Augustine Koromia"

This document describes performance measures for heart failure that are appropriate for public reporting or pay-for-performance programs and is meant to serve as a focused update of the "2020 ACC/AHA Clinical Performance and Quality Measures for Adults With Heart Failure: A Report of the American College of Cardiology/American Heart Association Task Force on Performance Measures." The new performance measures are taken from the "2022 AHA/ACC/HFSA Guideline for the Management of Heart Failure: A Report of the American College of Cardiology/American Heart Association Joint Committee on Clinical Practice Guidelines" and are selected from the strongest recommendations (Class 1 or Class 3). In contrast, quality measures may not have as much evidence base and generally comprise metrics that might be useful for clinicians and health care organizations for quality improvement but are not yet appropriate for public reporting or pay-for-performance programs.

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Article Synopsis
  • - This document updates performance measures for heart failure, suitable for public reporting and pay-for-performance systems, based on the "2022 AHA/ACC/HFSA Guideline for Management of Heart Failure" and focusing on strong recommendations.
  • - New performance measures include managing blood pressure in patients with preserved ejection fraction, using specific medications for those with reduced ejection fraction, and ensuring proper medical therapy for hospitalized patients.
  • - The quality measures cover broader aspects, such as medication use, patient counseling on health risks related to heart failure, and the importance of screenings for related conditions, but aren't yet ready for public reporting.
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Introduction There is a high prevalence of hypertensive crisis with myocardial injury, as evidenced by elevation in cardiac troponin levels. The risk factors predisposing patients to developing a myocardial injury, detectable troponin, and increase in serial troponin in this population are not known. Methods A retrospective study was designed to include all patients, presenting to the emergency room, diagnosed with hypertensive crisis, using International Classification of Diseases, 10 revision, Clinical Modification (ICD-10-CM) codes between 2016-2018 (n=467).

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This study assesses the association of infective endocarditis with mortality from 1999 to 2016 among people who inject drugs in the United States.

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Objective: Develop and evaluate a foundational oncology-specific standard for the communication and coordination of care throughout the cancer journey, with early-stage breast cancer as the use case.

Materials And Methods: Owing to broad uptake of the Health Level Seven (HL7) Consolidated Clinical Document Architecture (C-CDA) by health information exchanges and large provider organizations, we developed an implementation guide in congruence with C-CDA. The resultant product was balloted through the HL7 process and subsequently implemented by two groups: the Health Story Project (Health Story) and the Athena Breast Health Network (Athena).

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