完整的心臟衰竭照護鏈應將流程緊密結合，整合組織內外具有關聯性的服務，並且提供持續性照顧。本院藉由疾病照護品質認證的三大架構，全面審視心衰竭照護實際運作狀況。在團隊推動下，主診斷心衰竭收縮分率≦40%之病人，死亡率由15.1%降低至13.0%；指引用藥RAS Blockade與Beta Blocker比率由28.5%上升至40.0%，MRA由60.0%上升至68.8%；接受復健比率自9.3%提升到18.60%，有顯著上升。本院透過評鑑過程改善流程，有助於臨床人員將心衰竭照護融入實際照護。

Comprehensive care for heart failure requires a close connection between each stage of the care process, integration of related services in and outside an institution, and continuous provision of care services. Under the three major frameworks established in the Disease-Specific Care Certification Program, this hospital conducted a comprehensive review of care provided to patients with heart failure. Through the heart failure care team’s effort in promoting care quality, the mortality rate among patients diagnosed with heart failure and an ejection fraction of ≤40% decreased from 15.1% to 13.0%. The percentage of patients instructed to use renin-angiotensin system blockade or beta-blockers increased from 28.5% to 40.0%; the percentage for mineralocorticoid receptor antagonists increased from 60.0% to 68.8%. The percentage of patients receiving cardiac rehabilitation also increased significantly, from 9.3% to 18.6%. These care process improvements, facilitated through accreditation, help clinicians to integrate heart failure care into actual care.