Assessing Performance and Quality After Non-ST Segment Elevation Acute Coronary Syndromes
H Vernon Anderson1, Robin Jacob2
1Cardiology Division, University of Texas Health Science Center, McGovern Medical School, Memorial Hermann Heart & Vascular Institute, 6431 Fannin, MSB-1.246, Houston, TX, 77030, USA. h.v.anderson@uth.tmc.edu.
Current Cardiology Reports
|October 13, 2018
Summary
This review examines performance and quality measures for non-ST segment elevation acute coronary syndromes (NSTE-ACS) care. Adhering to these validated measures improves patient outcomes and standardizes treatment.
Area of Science:
- Cardiology
- Healthcare Quality Improvement
Background:
- Professional societies in the USA and Europe have developed performance and quality measures for non-ST segment elevation acute coronary syndromes (NSTE-ACS).
- These measures are periodically reviewed and updated to incorporate the latest evidence from medical literature.
Purpose of the Study:
- To summarize and discuss the evidence supporting current performance and quality measures for NSTE-ACS patient care in institutions.
- To highlight the role of these measures in assessing and improving institutional performance.
Main Methods:
- Review of performance and quality measures developed by major professional societies (ACC/AHA, ESC).
- Analysis of studies demonstrating that adherence to guidelines improves clinical outcomes.
- Examination of quantitative methodologies for assessing program performance.
Main Results:
- The 2017 AHA/ACC and ESC Quality Indicators provide frameworks for assessing NSTE-ACS care.
- Adherence to validated performance measures enhances guideline compliance, standardizes care, and reduces morbidity and mortality.
- Performance measures are crucial for objective patient care assessment by various stakeholders and for value-based payment programs.
Conclusions:
- Validated performance and quality measures are essential for fair and effective institutional assessment and comparison.
- Focusing on these measures can lead to significant improvements in the care of patients with NSTE-ACS.
- These measures play a critical role in the evolving landscape of value-based healthcare.
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