Development of Quality Metrics in Ambulatory Pediatric Cardiology

Chowdhury, Devyani; Gurvitz, Michelle; Marelli, Ariane J.; Anderson, Jeffrey B.; Baker‐Smith, Carissa M.; Edwards, Tim; Hougen, Tom; Jedeikin, Roy; Karpawich, Peter P.; Lai, Wyman W.; Mitchell, Stephanie; Satou, Gary; Teitel, David; Villafañe, Juan; Williams, Roberta G.; Jenkins, Kathy J.; Campbell, Robert M.; Behera, Sarina K.; Hokanson, John S.; Lu, Jimmy C.; Kakavand, Bahram; Boris, Jeff; Cardis, Brian M.; Bansal, Manish; Schultz, Amy H.; O’Connor, Matthew J.; Vinocur, Jeffrey M.; Halnon, Nancy; Johnson, Jonathan N.; Barrett, Cindy; Graham, Eric M.; Krawczeski, Catherine D.; Franklin, Wayne H.; McGovern, James J.; Hattendorf, Brandy; Cotts, Timothy B.; Davidson, Alex; Harahsheh, Ashraf S.; Johnson, Walter H.; Jone, Pei Ni; Sutton, Nicole; Tani, Lloyd Y.; Dahdah, Nagib; Portman, Michael A.; Mensch, Deborah; Hougen, Thomas J.; Cross, Russell; Diab, Karim; Peuster, Matthias; Schiff, Robert; Saarel, Elizabeth V.; Serwer, Gerald A.; Edwards, T. Bradley; Penny, Daniel J.; Carlson, Karina M.; Jayakumar, K.; Park, Matthew; Tede, Nikola; Uzark, Karen; Smith, Carissa Baker; Fleishman, Craig E.; Connuck, David; Ettedgui, Jose A.; Likes, Maggie; Tsuda, Takeshi

doi:10.1016/j.jacc.2016.11.043

Cited by 18 publications

(30 citation statements)

References 120 publications

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“…After the RAND process, two history‐based metrics (history of fever and history of Kawasaki disease) did not pass due to inadequate validity. Validity and feasibility scores were previously reported …”

Section: Resultsmentioning

confidence: 99%

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Development of quality metrics for ambulatory pediatric cardiology: Chest pain

Bansal

Behera

et al. 2017

Congenital Heart Disease

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Section: Resultsmentioning

confidence: 99%

“…The American College of Cardiology (ACC) Adult Congenital and Pediatric Cardiology Council (ACPC) recognized the need to develop quality metrics (QMs) in 5 key areas of pediatric and congenital heart disease . The Chest Pain subcommittee aimed to develop QMs for evaluation of chest pain in children.…”

Section: Introductionmentioning

confidence: 99%

Development of quality metrics for ambulatory pediatric cardiology: Chest pain

Bansal

Behera

et al. 2017

Congenital Heart Disease

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“…With regard to ambulatory services, we referred to the list of 18 measures established by Chowdhury and colleagues and included in the larger list of ambulatory measures currently endorsed by the ACC's ACPC Quality Network . A fundamental principle of the metric development work conducted by the ACPC Ambulatory Pediatric Cardiology Group was that metrics should target areas of practice in which the metrics could be supported by evidence‐based guidelines or widespread consensus.…”

Section: Methodsmentioning

confidence: 99%

“…Important quality measures have been developed through professional societies or national quality improvement collaboratives. As an example, quality in ambulatory pediatric cardiac care has been the focus of the American College of Cardiology's Adult Congenital and Pediatric Cardiology (ACPC) Quality Network, whose endorsed metrics form the basis of a web‐based data collection and reporting platform . Examples of established cardiac procedure‐based registries include the Society for Thoracic Surgery (STS) National Database and the IMproving Pediatric and Adult Congenital Treatments (IMPACT) catheterization Registry .…”

Section: Introductionmentioning

confidence: 99%

Alternative approach to pediatric cardiac quality assessment for low‐volume centers

Delaney

Dadlez

Marshall

2019

Congenital Heart Disease

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Background In pediatric cardiac care, many centers participate in multiple, national, domain‐specific registries, as a major component of their quality assessment and improvement efforts. Small cardiac programs, whose clinical activities and scale may not be well‐suited to this approach, need alternative methods to assess and track quality. Methods We conceived of and piloted a rapid‐approach cardiac quality assessment, intended to encompass multiple aspects of the service line, in a low‐volume program. The assessment incorporated previously identified measures, drawn from multiple sources, and ultimately relied on retrospective chart review. Results A collaborative, multidisciplinary team formed and came to consensus on quality metrics pertaining to 3 chosen areas of clinical activity in the program. Despite the use of multiple different data sources and the need for manual chart review in data collection, a rich assessment of these program components was completed for presentation in 6 weeks. Conclusions While small programs may not participate in the spectrum of cardiac care registries available, these same centers can benefit from them by adapting some of their validated metrics for use in internal, self‐maintained quality reports. Our pilot of this alternative approach revealed opportunities for improved quality assessment practices; the product can serve as a baseline for future prospective assessment and reporting, as well as longitudinal internal benchmarking.

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“…The council chose the following five areas on which to focus their efforts; chest pain, Kawasaki disease, tetralogy of Fallot, transposition of the great arteries after arterial switch, and infection prevention. The initial results of the overall effort were published earlier this year by Chowdhury et al The Infection Prevention Committee focused on areas in outpatient pediatric cardiac care where infection prevention may play a significant role. Surgical outcomes and related infectious concerns, while initially considered by the committee, were not addressed in order to focus on outpatient pediatric cardiology practice.…”

Section: Introductionmentioning

confidence: 99%