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Canadian Cardiovascular Society Quality Indicators for Heart Failure

Robert S McKelvie1, George A Heckman2, Claudia Blais3

  • 1McMaster University, Hamilton, Ontario, Canada.

The Canadian Journal of Cardiology
|March 13, 2016
PubMed

Insights

Canadian Cardiovascular Society identified 6 quality indicators for heart failure care. A feasibility test revealed significant gaps in data infrastructure, limiting current measurement of most indicators across Canada.

Area of Science:

  • Cardiology
  • Health Services Research
  • Quality Improvement

Background:

  • The Canadian Cardiovascular Society (CCS) convened a working group in 2010 to establish quality indicators (QIs) for heart failure (HF) care.
  • A systematic methodology was employed to identify and rate potential QIs.

Purpose of the Study:

  • To identify and select a short-list of QIs for evaluating heart failure quality of care.
  • To assess the feasibility of implementing these QIs within the Canadian healthcare system.

Main Methods:

  • A long-list of 49 QIs was generated and rated using the CCS "Best Practices for Developing Cardiovascular Quality Indicators" methodology.
  • A short-list of 6 QIs was selected based on importance for quality assurance and potential for inpatient data capture.
  • A feasibility test was conducted to evaluate the ability to measure the selected QIs.

Main Results:

  • Six QIs were selected, focusing on daily blood chemistry, chest radiography, patient education, ACE inhibitor/ARB use, left ventricular function assessment, and 30-day readmission.
  • The feasibility test revealed significant gaps in knowledge infrastructure and information-tracking processes for measuring most QIs.
  • Only the 30-day hospital readmission QI is currently measurable comparatively across Canada; others require jurisdictional data and standardization.

Conclusions:

  • While 6 key quality indicators for heart failure care were identified, significant infrastructure challenges hinder their widespread implementation and measurement in Canada.
  • Standardization and enhancement of healthcare knowledge infrastructure are crucial for comprehensive evaluation of heart failure quality of care nationwide.

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