1. Quality Indicator Completion Rates for Adults with Tetralogy of Fallot
- Author
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Stephen Tsaur, Lacey P. Gleason, and Yuli Y. Kim
- Subjects
Adult ,Male ,medicine.medical_specialty ,Heart disease ,030204 cardiovascular system & hematology ,03 medical and health sciences ,0302 clinical medicine ,Cardiac magnetic resonance imaging ,Completion rate ,medicine ,Electronic Health Records ,Humans ,cardiovascular diseases ,030212 general & internal medicine ,Quality Indicators, Health Care ,Tetralogy of Fallot ,medicine.diagnostic_test ,business.industry ,Medical record ,Vascular surgery ,medicine.disease ,Cardiac surgery ,Infective endocarditis ,Pediatrics, Perinatology and Child Health ,Emergency medicine ,Female ,Guideline Adherence ,Cardiology and Cardiovascular Medicine ,business ,Delivery of Health Care - Abstract
Quality indicators for adult congenital heart disease (ACHD) were recently published due to a lack of consensus regarding delivery of care to adults with congenital heart disease (CHD). The objective of this study was to examine adherence to quality indicators for the care of patients with tetralogy of Fallot. Adults with tetralogy of Fallot seen in outpatient cardiology clinics at a tertiary care facility between July 2014 and June 2015 were included, and electronic medical records for each visit were reviewed. Completion rates for eight proposed quality indicator metrics were recorded and results for ACHD and non-ACHD cardiologists were compared. A total of 96 eligible patients completed 179 cardiology visits (134 ACHD and 45 non-ACHD). The quality indicator completion rates were over 80% for 7 of the 8 indicators. Metric 5 (cardiac magnetic resonance imaging every five years) had the lowest completion rate at 38.7%. Compared to non-ACHD cardiologists, ACHD cardiologists had higher completion rates for QRS assessment (88.1% vs. 75.6%, p = 0.04), echocardiogram by CHD expert (97.8% vs. 80.0%, p
- Published
- 2018
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