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Review
. 2017 Feb 7;69(5):541-555.
doi: 10.1016/j.jacc.2016.11.043.

Development of Quality Metrics in Ambulatory Pediatric Cardiology

Devyani Chowdhury  1 , Michelle Gurvitz  2 , Ariane Marelli  3 , Jeffrey Anderson  4 , Carissa Baker-Smith  5 , Karim A Diab  6 , Thomas C Edwards  7 , Tom Hougen  8 , Roy Jedeikin  9 , Jonathan N Johnson  10 , Peter Karpawich  11 , Wyman Lai  12 , Jimmy C Lu  13 , Stephanie Mitchell  14 , Jane W Newburger  2 , Daniel J Penny  15 , Michael A Portman  16 , Gary Satou  17 , David Teitel  18 , Juan Villafane  19 , Roberta Williams  20 , Kathy Jenkins  2 ; American College of Cardiology’s Adult Congenital and Pediatric Cardiology Section’s Ambulatory Pediatric Cardiology Quality Metrics Working Group
Collaborators, Affiliations
Free article
Review

Development of Quality Metrics in Ambulatory Pediatric Cardiology

Devyani Chowdhury et al. J Am Coll Cardiol. .
Free article

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.

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