The Pediatric Cardiac Care Consortium: a physician-managed clinical review program.
A voluntary physician-initiated and physician-managed clinical review program for pediatric cardiology uses clinical practice data and expected outcome to influence physicians to change their clinical behavior. The program offers a model for clinical review in situations where disease incidence is relatively low and physician performance is difficult to assess and evaluate. The program's major accomplishment is a collective pooling of data across cardiac centers that allows for statistical analysis and comparison not routinely possible at a single center because of sample size; a forum for comparison of different practice styles; and feedback to participants of actual, in contrast to anecdotal, results. The principles, structure, and format of the program can be applied to other specialty areas.
Moller
J H
JH
University of Minnesota, Minneapolis.
Borbas
C
C
D002300:Cardiac Care Facilities / Q000592:standards*; D006348:Cardiac Surgical Procedures / Q000401:mortality; D002309:Cardiology / Q000592:standards*; D002648:Child; D003625:Data Collection / Q000379:methods; D006801:Humans; D010372:Pediatrics / Q000592:standards*; D010819:Physician's Role; D010818:Practice Patterns, Physicians' / Q000706:statistics & numerical data*; D015397:Program Evaluation / Q000379:methods*; D012041:Regional Medical Programs; D014481:United States / Q000453:epidemiology