Transcript Slide 1

QI
ACTION Registry-Get With The
Guidelines
The Mission Lifeline Data
Solution
Kathleen O’Neill, MHA
Senior Director, Quality Initiatives
IL & SD
American Heart Association
9-1-09
QI
American Heart Association’s
Get With The Guidelines?
• Hospital performance improvement program for
CAD, Heart Failure & Stroke.
• Includes a clinical decision support tool-”PMT”
• Web based, real-time
• Class I Level A Guidelines are imbedded in the
tool
• Patient data is compared to the guidelines to
assess applicability
QI
Get With The
We are in a new
business, from
development of
guidelines to
implementation
of guidelines
sm
Guidelines
QI
QI
11 State AHA Midwest Affiliate
Get With The Guidelines Participation
• Over 400+ contracts in place in hospitals
throughout the affiliate and 1600+
nationwide
• Over 150,000+ patient records in Get With
The Guidelines in the Midwest and over
one million patients nationally.
QI
Get With The GuidelinesSM
Patient Management Tool
• Online, web-based, real-time data
collection
• De-identified patient data
• Data analysis for performance
improvement
• Long term clinical outcomes registry
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Role of the Patient Management Tool
4.
3.
Hospitals
implement new
protocols, often
using tools in
the PMT.
Use PMT Reports
to present need
for change in
targeted areas for
improvement.
1.
2.
Collect data on
adherence to AHA
guidelines with the
PMT data form.
PMT Reporting
tools allow for data
analysis to identify
areas for
improvement.
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AHA’s GWTG CAD Registry
+
ACC’s NCDR ACTION Registry
=
ACTION Registry® - GWTG
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ACTION Registry® - GWTG
Goals
• Largest, most comprehensive AMI database
• National surveillance database system for high-risk
AMI patients with STEMI/NSTEMI
• Optimize care & outcomes for all acute MI patients
• Assure the rights things are done right (safely &
timely)
• Site level, system level & ultimately state level
outcomes & performance improvement data
Participation Provides…
QI
Weekly key measures reports and risk-adjusted quarterly benchmark
reports that compare your institution’s performance with that of volumebased peer groups and the national experience
Standardized, evidence-based data elements and definitions
A complimentary online data collection tool; or a variety of certified thirdparty vendor software options
Complimentary access to Cardiosource®, the most authoritative and
comprehensive online resource in cardiovascular medicine
A wide range of other tools to advance QI initiatives in your facility
QI
ACTION-GWTG
What Are You Measuring?
• Compliance with AHA/ACC Clinical Guidelines
• Adverse Event Rates
• Transfer facility therapies & reperfusion
strategies
• Patient demographics, provider & facility
characteristics
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ACTION-Get With The Guidelines
Data Collection “Short Form”
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Demographics (10)
Admission (8)
Cardiac Status on First Medical Contact (12)
History & Risk Factors (4)
Medications (15)
Procedures & Tests (9)
Reperfusion Strategy (immediate) (4)
In-hospital clinical events (4)
Lab Results (4)
Discharge (10)
Optional Elements (AMI Core Measure Reporting Only) (2)
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Data Collection Recommendation
for Primary PCI Centers
• Submit 100% of STEMI & NSTEMI cases
using either full or reduced data set
• Encourage to participate in the full data set
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Data Collection Recommendation
for
Non-Primary PCI Centers
• Must submit 100% of STEMI cases using
either the full or reduced data set
• May choose to submit STEMI and
NSTEMI cases using either the full or
reduced data set
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South Dakota
ACTION-Get With The Guidelines
Hospitals
• Rapid City Regional Hospital*
• Sanford USD Medical Center
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South Dakota
CATH PCI
Hospitals
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Avera Heart Hospital
Avera St. Lukes
Prairie Lakes Healthcare
Rapid City Regional*
Sanford USD*
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ACTION-GWTG
Multi-Vendor Data Collection
Options
Free web based tool
OR
Certified third party vendor
Outcome Sciences, Inc. ($1810/yr)
Lumedx & Quantros
Additional Vendors-TBD
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Benefits of Participation
• Comprehensive database & QI program to drive
better treatment of STEMI/NSTEMI patients
• Measure & track risk adjusted performance
against national benchmarks
• Robust reporting capabilities & quality
consultation
• Network of hospitals for best practice sharing
• System level aggregate data to drive Mission
Lifeline & other quality initiatives
• Local & national recognition
• Aligned with TJC/CMS AMI core measures
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ACTION-Get With The Guidelines
Meets ABIM Diplomats MOC
Recertification Requirements
• Earn up to 80 points toward evaluation of
practice performance through self-directed PIM
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ACTION-Get With The Guidelines
Data Applications
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Performance Improvement
Healthcare Systems Change
Public Reporting
Publication
Policy recommendations
Reimbursement
Data collection for M;L
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Why is this important
to hospitals?
Public reporting
Reimbursement-Pay for Quality
Decreased Length of Stay = $
Community health status
Market share
Physician & employee relations
Hospital Magnet Status
Recognition for quality care
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Summary
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• Web based data collection using standardized data
elements
• Embedded data elements used for TJC/CMS reporting
• Quarterly comparative institutional outcome reports to
enable benchmarking with peers and nationally
• Access to clinically experienced support staff
• Comprehensive data quality programs that facilitate
data reliability
• Additional data quality support through a national data
audit program
• Participant training resources (workshops, webinars,
user group meetings)
Questions ?
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Additional Information
www.ncdr.com
Sample full data set tool
Sample hospital reports
OR
www.americanheart.org/getwiththeguidelines
[email protected]
312-476-6622