National Heart, Lung, and Blood Institute 5K23HL144910-05

Implementation and Sustainment of Team-Based Practice Transformation to Improve Heart Failure Care and Outcomes

This award funds a research project at the University of Washington to study the implementation and sustainment of the Structured Interprofessional Bedside Rounds (SIBR) model to improve heart failure care and patient outcomes. The project involves a prospective cohort study to evaluate the fidelity of the SIBR model and its impact on clinical and patient-centered outcomes.

Description

Heart failure (HF) is a costly and complex health condition affecting millions of Americans. HF care is often fragmented which negatively affects quality, safety, and patient-centered outcomes. Structured Interprofessional Bedside Rounds (SIBR) is a model of care developed to bring interprofessional team members together with patients and families using a structured format to collaboratively arrive at a daily care plan. The SIBR model is characterized by four core components: an interprofessional approach, utilization of a rounding structure, intentional patient and family engagement, and development of a shared daily care plan. Evidence suggests SIBR implementation improves team and patient outcomes, hypothesizing that higher fidelity to the model correlates with better outcomes. Research objectives include identifying associations between SIBR fidelity and patient outcomes, determining how SIBR fidelity predicts time to initiation and completion of an evidence-based “Advanced HF Work-Up Pathway”, and examining patient and family experiences of care quality and safety in relation to SIBR fidelity. The study design is a prospective cohort study leveraging a standard of care SIBR model at the University of Washington Medical Center, where the model has been in use for over 4 years.

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