National heart failure (HF) program

Description

The purpose of training HF patients is to provide them and their family members with special knowledge about HF disease, its course and care methods, and recommendations for the formation of lifestyle and self-care skills. Consultations are provided based on a referral from a cardiologist, family doctor, or internal medicine doctor. A patient with HF may have access to up to four consultations within a 12-month period. It"s advisable for patients to receive the first consultation within 30 days after being discharged from hospital or upon receiving a referral for these consultations from their doctor. Consultations are provided only after active treatment of a chronic disease has been provided, in the following indications: - patients after treatment in hospital for exacerbation of HF, patients with HF of functional class I--IV (according to the New York Heart Association (NYHA) functional capacity class), who have been diagnosed with primary or concomitant diseases, designated by codes I50, I11.0, I13.0, except for patients whose diagnosed underlying disease is designated by ICD-10-AM codes I21--I22 or I60--I69 and who were provided with inpatient care and supportive treatment during one calendar year. - patients after the provision of active chronic disease treatment by a cardiologist due to the first-time diagnosis of heart failure (I50) due to established cardiovascular diseases, designated according to ICD-10-AM codes I20.1, I20.0, I25.5, I11.0, I13.0, I13.2, I42, or when a heart transplant is indicated for the patient, except for patients who inpatient care and supportive treatment were provided during a period of one calendar year.

Program launch date

26th October 2015

Responsible entity

National Health Fund / Ministry of Health (free for the patient)

Available results and quality metrics

In Lithuania, it is estimated that over 120,000 people have HF. 1-year data: -incidence of HF (number of newly diagnosed patients) -- 15.077; -incidence of HF (number of patients) -- 86,817; -incidence of hypertensive heart disease with heart failure (congestive) (number of patients) -- 101.334; -15.5% of patients with HF die within one year; -14.1% of patients with HF are treated in hospital more than once during the year.

Limitations / comments

Not all patients complete the training program.