Atrial Fibrillation

SOP Atrio-esophageal Fistula

Care Pathways/CDS: Care pathway for clinicians to use when suspecting atrio-esophageal fistula in patients.

Suspected Atrial Fibrillation

Care Pathways/CDS: Clinical pathway for suspected atrial fibrillation.

AFC Scale and Growth

Presentations and Graphics: Infographic depicting considerations, challenges, and questions to address when managing AFib clinic growth.

RMH Atrial Fibrillation Clinic Protocol

Resource for developing AFib clinic protocol, including a chart with actionable steps and assigned responsible parties, general guidelines for treatment and testing, and follow-up instructions.

Example of OhioHealth ED –> AFC Referral Pathway

This clinic is intended to reduce hospitalization and observation stays for low risk atrial fibrillation patients presenting to the ED who may benefit from outpatient management. Patients will be seen by an Electrophysiology APP within 48 hours. Please contact the rounding/on call Electrophysiologist if telephone consultation desired to determine if patient meets criteria for outpatient management.

My Atrial Fibrillation Treatment Plan

Best Practices: Interactive worksheet to utilize with patients when discussing their individualized AFib treatment plan. Addresses stroke risk, procedure recommendations, rate and rhythm management, and risk factor modification.

Sample Proforma

The Heart & Vascular Department is requesting an investment of APP staff (1.0 FTE) to develop a newly established clinic dedicated to the outpatient management of atrial fibrillation (AF).

Example of OhioHealth Outpatient (Non-ED) –> AFC for Acute or Non Acute Referral

This clinic is intended to reduce hospitalization and observation stays for low risk atrial fibrillation patients presenting to outpatient departments who are appropriate for outpatient management. Patients will be seen by an Electrophysiology APP within 48 hours. Please contact the rounding/on call Electrophysiologist if telephone consultation desired to determine if patient meets criteria for outpatient management.

Confirmed AF Management Pathway

Care Pathways/CDS: Care pathway for management of confirmed AFib in patients. Includes information about underlying causes, treatment options, reducing stroke risk, and more.

Clinical Pathway for People with Atrial Fibrillation or At Risk of Atrial Fibrillation

This clinical pathway has been prepared to support providers, public health commissioners and NHS commissioners to develop services and improve clinical practice for people with, or at risk of, atrial fibrillation (AF). It is hoped that it will prove to be a practical guide that will help to encourage discussion and collaboration between different stakeholders and help to deliver clinically effective and coordinated holistic services for people with AF or at risk of AF across the full pathway of care. This pathway focuses on the standard of care that one would expect to receive if suspected of AF or following a diagnosis of atrial fibrillation. It is also designed to support those stakeholders interested in, and working towards, a reduction in AF-related strokes. It does not, however, comprehensively cover every single clinical anomaly that may arise in clinical practice.