Evidence of disparity in the application of quality improvement efforts for the treatment of acute myocardial infarction: The American College of Cardiology's Guidelines Applied in Practice Initiative in Michigan

Olomu, Adesuwa; Grzybowski, Mary; Ramanath, Vijay S.; Rogers, Adam M.; Vautaw, Bonnie Motyka; Chen, Benrong; Roychoudhury, Canopy; Jackson, Elizabeth A.; Eagle, Kim A.

doi:10.1016/j.ahj.2009.12.014

Cited by 28 publications

(20 citation statements)

References 21 publications

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“…For example, improving health care access, as occurs in Medicare and as expected with health care reform implementation, might reduce some racial and ethnic health care differences but is not solely sufficient to eliminate disparate care (26,27). By definition, differences in health outcomes that persist when access and patient clinical factors are controlled are defined as "disparities," reflecting institutional barriers; individual provider issues such as language barriers, cultural insensitivity, bias, or frank racism; and patient issues such as health literacy, cultural beliefs, adherence, and trust (Fig.…”

Section: Reducing Health Care Disparities: Evidence and Trendsmentioning

confidence: 98%

The Coalition to Reduce Racial and Ethnic Disparities in Cardiovascular Disease Outcomes (credo)

Yancy

Wang

Ventura

et al. 2011

Journal of the American College of Cardiology

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This report reviews the rationale for the American College of Cardiology's Coalition to Reduce Racial and Ethnic Disparities in Cardiovascular Disease Outcomes (credo) and the tools that will be made available to cardiologists and others treating cardiovascular disease (CVD) to better meet the needs of their diverse patient populations. Even as the patient population with CVD grows increasingly diverse in terms of race, ethnicity, age, and sex, many cardiologists and other health care providers are unaware of the negative influence of disparate care on CVD outcomes and do not have the tools needed to improve care and outcomes for patients from different demographic and socioeconomic backgrounds. Reviewed published reports assessed the need for redressing CVD disparities and the evidence concerning interventions that can assist cardiology care providers in improving care and outcomes for diverse CVD patient populations. Evidence points to the effectiveness of performance measure-based quality improvement, provider cultural competency training, team-based care, and patient education as strategies to promote the elimination of disparate CVD care and in turn might lead to better outcomes. credo has launched several initiatives built on these evidence-based principles and will be expanding these tools along with research. credo will provide the CVD treatment community with greater awareness of disparities and tools to help close the gap in care and outcomes for all patient subpopulations.

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Section: Reducing Health Care Disparities: Evidence and Trendsmentioning

confidence: 98%

The Coalition to Reduce Racial and Ethnic Disparities in Cardiovascular Disease Outcomes (credo)

Yancy

Wang

Ventura

et al. 2011

Journal of the American College of Cardiology

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“…Research is only starting to address barriers to implementation of guidelines and resulting disparities in the delivery of health care. [33][34][35][36] In addition to the recent availability of AAD guidelines compatible with mobile devices, the CGRC has proposed the development of several guideline derivative products (Table V) including reference guides, slide sets, and documents related to performance measures or reimbursement. These resources are designed to provide more userfriendly distillations of guideline text and recommendations, and provide supporting information for members and patients about the wider implications of the clinical guideline.…”

Section: Challenge: Need For Improved Dissemination and Use Of Guidelmentioning

confidence: 99%

American Academy of Dermatology evidence-based guideline development process: Responding to new challenges and establishing transparency

Begolka

Elston

Beutner

2011

Journal of the American Academy of Dermatology

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“…33 The incorporation of quality improvement initiatives into such ambulatory surveillance systems have been used to narrow care-gaps elsewhere. 34,35,36 We advocate for further research which evaluates the effectiveness and cost-effectiveness of implementing case-management strategies among patients referred to cardiac rehabilitation following hospitalization.…”

Section: Discussionmentioning

confidence: 99%

Ambulatory Surveillance of Patients Referred for Cardiac Rehabilitation Following Cardiac Hospitalization: A Feasibility Study

Alter

Habot

Grace

et al. 2012

Canadian Journal of Cardiology

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Purpose-To examine the feasibility of implementing an ambulatory surveillance system for the monitoring of patients referred to cardiac rehabilitation following cardiac hospitalizations.Methods-This study consists of 1208 consecutive referrals to cardiac rehabilitation between October 2007 and April 2008. Patient attendance to cardiac rehabilitation, waiting-times for cardiac rehabilitation, and adverse events while waiting for cardiac rehabilitation were tracked by telephone surveillance by a nurse.Results-Among the 1208 consecutive patients referred, only 44.7% of referred patients attended cardiac rehabilitation; 36.4% of referred patients were known not to have attended any cardiac rehabilitation, while an additional 25.8% of referred patients were lost to follow-up. Among the 456 referred patients who attended the cardiac rehabilitation program, 19 (4.2%) experienced an adverse event while in the queue (13 of which were for cardiovascular hospitalizations with no deaths) with mean waiting times of 20 days and 24 days among those without and with adverse events, respectively. Among the 440 referred patients who were known not to have attended any cardiac rehabilitation program 114 (25.9%) had adverse clinical events while in the queue; 46 (10.4%) of these events required cardiac hospitalization and 8 (2%) patients died.Conclusions-Ambulatory surveillance for cardiac rehabilitation referrals is feasible. The high adverse event rates in the queue, particularly among patients who are referred but who do not attend cardiac rehabilitation programs underscores the importance of ambulatory referral surveillance systems for cardiac rehabilitation following cardiac hospitalizations.

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Evidence of disparity in the application of quality improvement efforts for the treatment of acute myocardial infarction: The American College of Cardiology's Guidelines Applied in Practice Initiative in Michigan

Cited by 28 publications

References 21 publications

The Coalition to Reduce Racial and Ethnic Disparities in Cardiovascular Disease Outcomes (credo)

The Coalition to Reduce Racial and Ethnic Disparities in Cardiovascular Disease Outcomes (credo)

American Academy of Dermatology evidence-based guideline development process: Responding to new challenges and establishing transparency

Ambulatory Surveillance of Patients Referred for Cardiac Rehabilitation Following Cardiac Hospitalization: A Feasibility Study

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