Effects of a statewide physician-led quality-improvement program on the quality of cardiac care

American Heart Journal
J Richard GossClinical Outcomes Assessment Program

Abstract

Several states have implemented mandatory public reporting of outcomes of cardiac revascularization procedures. Washington is the first to develop a nonmandatory, physician-led reporting program with public accountability and universal hospital participation. The purpose of this study was to determine whether quality improvement interventions resulted in the correction of data deficiencies and performance outliers for cardiac revascularization procedures. From 1999 through 2003, there were 18 hospitals with coronary bypass surgery and interventional cardiology programs and 12 with only the latter. All patients > or =18 years undergoing 24372 isolated coronary bypass surgeries and 59,656 percutaneous coronary interventions were included. After 1999 to 2001 data were analyzed in early 2002, the Clinical Outcomes Assessment Program implemented a 6-step quality-improvement intervention to measure and remeasure data quality, process compliance, and performance. In 2003, 4 of the 18 surgery programs had 1 statistical outlier with respect to 4 performance measures, whereas 2 of 30 coronary intervention programs were mortality outliers. For bypass surgery, all programs maintained full compliance with program standards by adhering to ti...Continue Reading

References

Jan 5, 1989·The New England Journal of Medicine·D M Berwick
Mar 9, 1994·JAMA : the Journal of the American Medical Association·E L HannanM R Chassin
Feb 5, 1997·JAMA : the Journal of the American Medical Association·W A GhaliM A Moskowitz
Oct 13, 1998·Journal of the American College of Cardiology·E D PetersonD B Mark
Oct 30, 1999·The Annals of Thoracic Surgery·J H BurackJ N Cunningham
Oct 4, 2000·The Annals of Thoracic Surgery·J R GossJ P LoGerfo
Jun 30, 2001·JAMA : the Journal of the American Medical Association·W L HolmanUNKNOWN Alabama CABG Study Group
Jan 16, 2002·The Annals of Thoracic Surgery·D M ShahianP I Dreyer
Mar 12, 2002·JAMA : the Journal of the American Medical Association·Harlan M KrumholzMartha J Radford
Jul 3, 2003·JAMA : the Journal of the American Medical Association·T Bruce FergusonUNKNOWN Society of Thoracic Surgeons and the National Cardiac Database

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Citations

Mar 11, 2015·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·Lucas Lodi-JunqueiraAntônio L P Ribeiro
Mar 25, 2015·Journal of Cardiothoracic and Vascular Anesthesia·Nita KhandelwalMiriam M Treggiari
Nov 22, 2013·American Journal of Medical Quality : the Official Journal of the American College of Medical Quality·Marcia F NelsonJulie Martin
Nov 11, 2011·The Cochrane Database of Systematic Reviews·Nicole A B M KetelaarMartin P Eccles
May 10, 2012·Circulation. Cardiovascular Quality and Outcomes·Steven M BradleyChris L Bryson
Sep 16, 2008·Critical Pathways in Cardiology·Joan Censullo, David Chiu
Feb 6, 2020·Anesthesiology·Peter DunbarOsama Naji

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