Development of Quality Metrics in Ambulatory Pediatric Cardiology

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• 作者：Devyani Chowdhury ; MD^a ; ^{dchowdhury@cardiologylancaster.com} ; Michelle Gurvitz ; MD ; MS^b ; Ariane Marelli ; MD ; MPH^c ; Jeffrey Anderson ; MD ; MBA^d ; Carissa Baker-Smith ; MD ; MPH^e ; Karim A. Diab ; MD^f ; Thomas C. Edwards ; MD^g ; Tom Hougen ; MD^h ; Roy Jedeikin ; MDⁱ ; Jonathan N. Johnson ; MD^j ; Peter Karpawich ; MD^k ; Wyman Lai ; MD ; MPH^l ; Jimmy C. Lu ; MD^m ; Stephanie Mitchell ; BPhⁿ ; Jane W. Newburger ; MD ; MPH^b ; Daniel J. Penny ; MD ; PhD^o ; Michael A. Portman ; MD^p ; Gary Satou ; MD^q ; David Teitel ; MD^r ; Juan Villafane ; MD^s ; Roberta Williams ; MD^t ; Kathy Jenkins ; MD ; MPH^b ; on behalf of the American College of Cardiology&rsquo ; s Adult Congenital ; Pediatric Cardiology Section&rsquo ; s Ambulatory Pediatric Cardiology Quality Metrics Working GroupRoberta Williams ; MD ; MACC ; Kathy Jenkins ; MD ; MPH ; FACC ; Michelle Gurvitz ; MD ; FACC ; Ariane Marelli ; MD ; MPH ; FACC ; Robert Campbell ; MD ; FACC ; Devyani Chowdhury ; MD ; FACC ; Roy Jedeikin ; MD ; FACC ; Sarina Behera ; MD ; FACC ; John Hokanson ; MD ; FACC ; Jimmy Lu ; MD ; Bahram Kakavand ; MD ; FACC ; Jeff Boris ; MD ; FACC ; Brian Cardis ; MD ; FACC ; Manish Bansal ; MD ; Jeffrey Anderson ; MD ; FACC ; Amy Schultz ; MD ; FACC ; Matthew O'Connor ; MD ; Jeffrey M. Vinocur ; MD ; Nancy Halnon ; MD ; Jonathan Johnson ; MD ; Cindy Barrett ; MD ; Eric Graham ; MD ; FACC ; Catherine Krawczeski ; MD ; FACC ; Wayne Franklin ; MD ; FACC ; James McGovern ; MD ; FACC ; Brandy Hattendorf ; MD ; FACC ; David Teitel ; MD ; Timothy Cotts ; MD ; FACC ; Alex Davidson ; MD ; FACC ; Ashraf Harahsheh ; MD ; FACC ; Walter Johnson ; MD ; FACC ; Pei-Ni Jone ; MD ; Nicole Sutton ; MD ; FACC ; Lloyd Tani ; MD ; FACC ; Nagib Dahdah ; MD ; FACC ; Michael Portman ; MD ; Deborah Mensch ; MD ; FACC ; Jane Newburger ; MD ; MPH ; FACC ; Thomas Hougen ; MD ; FACC ; Russell Cross ; MD ; FACC ; Karim Diab ; MD ; FACC ; Peter Karpawich ; MD ; FACC ; Wyman Lai ; MD ; FACC ; Matthias Peuster ; MD ; FACC ; Russell Schiff ; MD ; FACC ; Elizabeth Saarel ; MD ; FACC ; Gary Satou ; MD ; Gerald Serwer ; MD ; FACC ; Juan Villafane ; MD ; FACC ; Tom Edwards ; MD ; FACC ; Daniel Penny ; MD ; FACC ; Karina Carlson ; MD ; K. Anitha Jayakumar ; MD ; Matthew Park ; MD ; FACC ; Nikola Tede ; MD ; FACC ; Karen Uzark ; MD ; Carissa Baker Smith ; MD ; Craig Fleishman ; MD ; FACC ; David Connuck ; MD ; FACC ; Jose Ettedgui ; MD ; FACC ; Maggie Likes ; MD ; Takeshi Tsuda ; MD ; FACC
• 关键词：chest pain ; congenital heart disease ; infection prevention ; Kawasaki disease ; tetralogy of Fallot ; transposition of the great arteries
• 刊名：Journal of the American College of Cardiology
• 出版年：2017
• 出版时间：7 February 2017
• 年：2017
• 卷：69
• 期：5
• 页码：541-555
• 全文大小：435 K
• 卷排序：69

文摘

The American College of Cardiology Adult Congenital and Pediatric Cardiology (ACPC) Section had attempted to create quality metrics (QM) for ambulatory pediatric practice, but limited evidence made the process difficult. The ACPC sought to develop QMs for ambulatory pediatric cardiology practice. Five areas of interest were identified, and QMs were developed in a 2-step review process. In the first step, an expert panel, using the modified RAND-UCLA methodology, rated each QM for feasibility and validity. The second step sought input from ACPC Section members; final approval was by a vote of the ACPC Council. Work groups proposed a total of 44 QMs. Thirty-one metrics passed the RAND process and, after the open comment period, the ACPC council approved 18 metrics. The project resulted in successful development of QMs in ambulatory pediatric cardiology for a range of ambulatory domains.