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Pan-Canadian cardiovascular data definitions and quality indicators: a status update
David E Johnstone1, Christopher E Buller,
1Mazankowski Alberta Heart Institute, University of Alberta, Edmonton, Alberta, Canada. david.johnstone@albertahealthservices.ca
The Canadian Journal of Cardiology
|May 4, 2012
Summary
Canadian cardiovascular care quality is now comparable nationwide. Standardized data definitions and quality indicators were developed, enabling national comparisons of cardiovascular disease incidence, care quality, and patient outcomes.
Area of Science:
- Cardiovascular Medicine
- Health Services Research
- Health Informatics
Background:
- A need existed to standardize cardiovascular care data in Canada post-2009.
- Inconsistent data hindered comparisons of cardiovascular care quality across the nation.
Purpose of the Study:
- To develop standardized cardiovascular data definitions and quality indicators.
- To enable national comparisons of cardiovascular care quality and outcomes.
Main Methods:
- Collaboration between multiple Canadian health organizations and regional registries.
- Formation of committees to develop standardized data definitions and quality indicators.
- Achieving national consensus on 55 patient, disease, and therapeutic variables.
Main Results:
- National consensus achieved on 55 core and optional cardiovascular data definitions.
- Development of quality indicator catalogues for heart failure and atrial fibrillation.
- Standardized indicators will be integrated into clinical practice guidelines.
Conclusions:
- A standardized methodology for developing cardiovascular quality indicators was established.
- This consensus-building approach demonstrates capacity for inter-organizational agreement.
- The initiative has the potential to improve cardiovascular care and patient outcomes in Canada.
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