This article presents a collaborative model for hospital-based cardiovascular secondary prevention. The model employs a stake holder consortium to provide hospitals with a unified approach to improve care and conform to regulatory requirements. Hospital teams use a Web-based tool that embeds data collection in the process of care and supports rapid cycle improvement. Recognition of participation and achievement by the American Heart Association helps to obtain administrative support for the program.
Kenneth A. LaBresh, MD, FACC, is Clinical Associate Professor of Medicine, Brown University School of Medicine, Providence, Rhode Island and Associate Medical Director for Quality Improvement, MassPRO, Waltham, Massachusetts
Patricia A. Tyler, RN, CCRN, is Regional Director for Quality Improvement Initiatives, American Heart Association, Irvine, California.
The analyses upon which this article is based were performed under Contract Number 500-99-MA03, entitled “Utilization and Quality Control Peer Review Organization for the Commonwealth of Massachusetts,” sponsored by the Centers for Medicare & Medicaid Services, Department of Health and Human Services. The content of this publication does not necessarily reflect the views or policies of the Department of Health and Human Services, nor does mention of trade names, commercial products, or sorganizations imply endorsement by the U.S. Government.
The author(s) assume full responsibility for the accuracy and completeness of the ideas presented. This article is a direct result of the Health Care Quality Improvement Program initiated by the Centers for Medicare & Medicaid Services, which has encouraged identification of quality improvement projects derived from analysis of patterns of care, and therefore required no special funding on the part of the contractor. Ideas and contributions to the author concerning experience in engaging with issues presented are welcomed.