Author + information
- Lauren Hartwell,
- Annette Baker,
- Kathy Jenkins,
- Sarah de Ferranti and
- Susan Saleeb
The Quality Network (QNet) of the American College of Cardiology provides national level quality improvement (QI) and collaboration through vetted metrics, focused on outpatient pediatric cardiology. We describe our initial experience with QNet.
Quarterly de-identified data (2015-17) for metrics pertaining to chest pain, Kawasaki disease (KD), elevated body mass index (BMI) and tetralogy of Fallot (TOF) were submitted to QNet. Metrics on 22q11 deletion testing in TOF patients and counseling for elevated BMI were piloted for improvement through multidisciplinary working groups, educational materials, electronic health record advances, and data sharing. National means were derived if ≥ 6 centers participated in a metric.
Quarterly center performance and national means for some chest pain and KD metrics are shown in Figure 1. Testing for 22q11 deletion in our TOF patients climbed from 60% to 90% over time, compared to the national mean of 54-68%; testing rates increased with QI implementation. Counseling for elevated BMI was variable, 25-75% vs. 31-50% nationally; some improvement was seen with QI efforts.
QNet promotes meaningful QI in the outpatient setting. Our high performance for chest pain and KD is likely related to previous QI efforts in chest pain and a dedicated KD team. Recommendations for 22q11 testing in TOF were widely recognized and implemented. Uptake of BMI counseling remains variable, possibly due to numerous providers and varying engagement.
Poster Hall, Hall A/B
Saturday, March 10, 2018, 3:45 p.m.-4:30 p.m.
Session Title: Contemporary Issues in Pediatric Cardiology
Abstract Category: 10. Congenital Heart Disease: Pediatric
Presentation Number: 1163-364
- 2018 American College of Cardiology Foundation