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Cooperative Cardiovascular Project (CCP) quality improvement in Maine, New Hampshire, and Vermont

L D Ramunno1, T A Dodds, N D Traven

  • 1Northeast Health Care Quality Foundation.

Evaluation & the Health Professions
|June 3, 1999
PubMed

Insights

The Cooperative Cardiovascular Project (CCP) improved acute myocardial infarction (AMI) care in Medicare patients through quality indicator feedback. Key treatments like aspirin and beta-blockers saw significant performance gains post-intervention.

Area of Science:

  • Cardiovascular Medicine
  • Healthcare Quality Improvement
  • Public Health

Background:

  • The Cooperative Cardiovascular Project (CCP) is a nationwide initiative focused on improving care for Medicare patients experiencing acute myocardial infarction (AMI).
  • Quality improvement projects utilize measurement, feedback, and remeasurement to drive healthcare enhancements.

Purpose of the Study:

  • To assess the impact of the CCP's quality improvement cycle on AMI patient care in Maine, New Hampshire, and Vermont.
  • To evaluate changes in adherence to specific quality indicators following intervention.

Main Methods:

  • Data from 3,472 baseline AMI patient records were collected from 76 hospitals (Jan 1994-Feb 1995).
  • Following feedback, 2,270 remeasurement records were collected (Oct 1996-May 1997).
  • Performance on quality indicators was compared between baseline and remeasurement phases.

Main Results:

  • Significant improvements were observed in aspirin administration during hospitalization (88% to 93%) and at discharge (83% to 90%).
  • Use of discharge beta-blockers increased significantly (69% to 82%).
  • Thrombolytic timing and calcium channel blocker avoidance also showed significant improvements.

Conclusions:

  • Evidence-based indicators, combined with national data collection and local interventions, can significantly enhance acute myocardial infarction care.
  • The CCP demonstrates a successful model for quality improvement in cardiovascular medicine.

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