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J Am Coll Cardiol. 2017 Feb 7;69(5):541-555. doi: 10.1016/j.jacc.2016.11.043.

Development of Quality Metrics in Ambulatory Pediatric Cardiology.

Author information

1
Cardiology Care For Children, Lancaster, Pennsylvania. Electronic address: dchowdhury@cardiologylancaster.com.
2
Department of Pediatrics, Harvard Medical School and Department of Cardiology, Boston Children's Hospital, Boston, Massachusetts.
3
McGill University Health Center, Montreal, Canada.
4
Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio.
5
University of Maryland School of Medicine, Baltimore, Maryland.
6
Department of Pediatrics, Rush University Medical Center, Chicago, Illinois.
7
Nemours Children's Hospital, Orlando, Florida.
8
Children's National Heart Institute, Washington, DC.
9
Valley Fetal and Pediatric Cardiology, Glendale, Arizona.
10
Department of Pediatrics and Adolescent Medicine, Division of Pediatric Cardiology, Mayo Clinic Children's Center, Rochester, Minnesota.
11
Children's Hospital of Michigan, Detroit, Michigan.
12
New York Presbyterian/Morgan Stanley Children's Hospital, New York, New York.
13
Department of Pediatrics, University of Michigan Congenital Heart Center, Ann Arbor, Michigan.
14
American College of Cardiology, Washington, DC.
15
Texas Children's Hospital and Baylor College of Medicine, Houston, Texas.
16
Seattle Children's Hospital, Seattle, Washington.
17
Mattel Children's Hospital UCLA and David Geffen School of Medicine at UCLA, University of California, Los Angeles, California.
18
Department of Pediatrics, University of California-San Francisco, San Francisco, California.
19
University of Kentucky, Lexington, Kentucky.
20
Children's Hospital Los Angeles Heart Institute, Los Angeles, California.

Abstract

The American College of Cardiology Adult Congenital and Pediatric Cardiology (ACPC) Section had attempted to create quality metrics (QM) for ambulatory pediatric practice, but limited evidence made the process difficult. The ACPC sought to develop QMs for ambulatory pediatric cardiology practice. Five areas of interest were identified, and QMs were developed in a 2-step review process. In the first step, an expert panel, using the modified RAND-UCLA methodology, rated each QM for feasibility and validity. The second step sought input from ACPC Section members; final approval was by a vote of the ACPC Council. Work groups proposed a total of 44 QMs. Thirty-one metrics passed the RAND process and, after the open comment period, the ACPC council approved 18 metrics. The project resulted in successful development of QMs in ambulatory pediatric cardiology for a range of ambulatory domains.

KEYWORDS:

Kawasaki disease; chest pain; congenital heart disease; infection prevention; tetralogy of Fallot; transposition of the great arteries

PMID:
28153110
DOI:
10.1016/j.jacc.2016.11.043
[Indexed for MEDLINE]
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