On Demand: Best Practices for Using Blood Volume Analysis (BVA) to Reduce Heart Failure LOS, Readmissions, Mortality and Costs-Presentation Slides

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The document titled "Best Practices for Using Blood Volume Analysis (BVA) to Reduce Heart Failure LOS, Readmissions, Mortality, and Costs" outlines the benefits and implementation of BVA in managing heart failure patients. The document includes contributions from several experts in the field, including Dr. John Jefferies, Dr. Timothy Manzone, and James Kreiner.<br /><br />BVA is a technique used to measure and know the total blood volume of patients with heart failure. The document highlights the importance of measuring blood volume accurately, as anemia prevalence in heart failure is often under-detected and incorrectly defined by hematocrit (Hct) levels. The document emphasizes that anemia and red blood cell volume (RBCV) should be measured and expressed in relation to total blood volume (TBV) and plasma volume (PV) for better care management.<br /><br />The document explains the three-compartment model of blood volume (intravascular, interstitial, and intracellular) and the importance of maintaining optimal blood volume to avoid complications like tissue hypoperfusion, acute kidney injury, and hypotension. It also discusses the impact of blood volume derangement on heart failure outcomes, including mortality and readmissions.<br /><br />The document presents the utility and benefits of BVA, citing studies that demonstrate how BVA-guided management improves heart failure outcomes and reduces mortality and readmissions. It emphasizes that blood volume phenotypes vary across the heart failure spectrum and that tailored treatments based on BVA results are necessary.<br /><br />Included in the document are case studies from Prisma Health Richland Hospital, which show the successful implementation of BVA in reducing readmissions, improving outcomes, and saving costs. The document also provides resources and educational materials for onboarding and training healthcare professionals in using BVA.<br /><br />Overall, the document highlights the value of BVA in managing heart failure patients, improving outcomes, and reducing healthcare costs. It emphasizes the importance of accurate blood volume measurement and individualized treatment based on BVA results.

Keywords

Blood Volume Analysis

Heart Failure

LOS

Readmissions

Mortality

Costs

Anemia

Red Blood Cell Volume

Total Blood Volume

Plasma Volume