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Impact of Society of Cardiovascular Patient Care accreditation on quality: an ACTION Registry®-Get With The

W Frank Peacock1, Michael C Kontos, Ezra Amsterdam

  • 1Baylor College of Medicine, Ben Taub Hospital, 1504 Taub Loop, Houston, TX 77030, USA. Frankpeacock@gmail.com

Critical Pathways in Cardiology
|July 30, 2013
PubMed

Insights

Hospital accreditation for acute coronary syndrome (ACS) management did not significantly impact overall acute myocardial infarction (AMI) performance composite scores. Both accredited and non-accredited hospitals improved quality metrics, ending with similar compliance rates.

Area of Science:

  • Cardiology
  • Healthcare Quality Improvement
  • Hospital Accreditation

Background:

  • The Society of Cardiovascular Patient Care (SCPC) accredits hospitals for acute coronary syndrome (ACS) management.
  • The impact of SCPC accreditation on acute myocardial infarction (AMI) patient care quality metrics was previously unknown.
  • The ACTION Registry-GWTG program collects self-reported AMI quality metrics from 487 US hospitals.

Purpose of the Study:

  • To determine the association between SCPC accreditation and hospital quality metric performance in AMI patients.
  • To compare quality metric changes in accredited versus non-accredited hospitals before and after accreditation.

Main Methods:

  • A 1-to-2 matched pairs analysis of urban, nonacademic hospital data from January 2007 to June 2010.
  • Comparison of quality metric changes between the year preceding and the year following SCPC accreditation.
  • Inclusion of 14 SCPC-accredited and 28 non-accredited hospitals from the ACTION Registry-GWTG.

Main Results:

  • All hospitals demonstrated improved quality metric compliance over the study period.
  • Non-accredited hospitals showed greater improvement in specific metrics like left ventricular function evaluation, smoking cessation advice, and cardiac rehabilitation referral.
  • Accredited hospitals showed greater improvement in discharge ACE inhibitor/ARB use for left ventricular systolic dysfunction.

Conclusions:

  • Hospitals, regardless of SCPC accreditation status, achieved high rates of quality metric compliance.
  • Overall AMI performance composite scores were similar between accredited and non-accredited hospitals after one year.
Abstract

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