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A Framework for Building an Inclusive Quality Program in a Pediatric Heart Center
Judson A Moore1, Jennifer Marietta2, Adam L Ware1
1From the Division of Pediatric Cardiology, Department of Pediatrics, University of Utah, Salt Lake City, Utah.
Pediatric Quality & Safety
|June 8, 2026
Summary
Developing an inclusive quality improvement (QI) program in pediatric heart centers fosters continuous improvement. This structured approach enhances outcomes and provides a sustainable model for healthcare institutions.
Area of Science:
- Healthcare Management
- Quality Improvement Science
- Pediatric Cardiology
Background:
- Pediatric heart centers utilize registries and collaboratives for quality improvement (QI).
- Internal, sustainable QI programs tailored to local needs are crucial for institutions.
- Developing a structured framework for continuous improvement is essential.
Purpose of the Study:
- To outline the experience of developing an inclusive QI program in a pediatric heart center.
- To provide a structured framework for driving continuous improvement.
- To demonstrate the value of multidisciplinary collaboration and strategic resource use.
Main Methods:
- Implemented a 5-step approach: cultivating change readiness, optimizing opportunity identification, building support systems, promoting work, and sustaining improvements.
- Engaged diverse stakeholders, streamlined data, reduced participation barriers, and applied structured project management.
- Ensured equitable support through rigorous proposal review.
Main Results:
- Supported 17 subgroups across cardiology, surgery, anesthesia, and critical care from 2021-2025, with 60% of projects led by nonphysicians.
- Facilitated 21 QI consults, 13 publications, and over 30 national presentations, enhancing leadership and team expertise.
- Achieved system-level outcome improvements, including reduced surgical mortality and enhanced US News & World Report rankings.
Conclusions:
- An inclusive QI program significantly enhances patient outcomes in pediatric heart centers.
- The developed framework highlights the importance of multidisciplinary collaboration and strategic resource allocation.
- This model offers a scalable solution for institutions aiming to build robust QI infrastructure.
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