Chronic Heart Failure Treatment Optimization

American College of Cardiology (ACC) and American Heart Association (AHA) recommendations for optimizing care1

In order to optimize care, the Task Force recommends the use of guideline-directed quality of care measures.

Commonly used performance measures for heart failure can be divided into 2 separate categories: process measures and outcome measures

  • Process measures are based on definitive guideline recommendations (eg, class I and III) and focus on patient care aspects (eg, the prescription of a particular drug such as an angiotensin-converting enzyme inhibitor [ACEI])
  • Common outcome measures include parameters such as chronic heart failure mortality rate and heart failure 30-day risk-standardized readmission rate

These measures apply to practitioners and team members and cover inpatient and outpatient heart failure care as well as transition of care.

The ACC and AHA also recommend participation in quality improvement programs and patient registries to enhance the quality of heart failure care. See ACC/AHA Guidelines and 2016 update.


  1. Yancy CW, Jessup M, Bozkurt B, et al. 2013 ACCF/AHA guideline for the management of heart failure: a report of the American College of Cardiology Foundation/American Heart Association Task Force on Practice Guidelines. Circulation. 3;128(16):e240-e327.