title: Evaluation of Health Care Quality in Adults with Congenital Heart Disease.
abstract: Providing medical care for adults with congenital heart disease (CHD) is a complex endeavor requiring an understanding of all aspects of the health system. Adult patients with CHD often have multiple medical issues related to the underlying CHD, the sequelae of surgical or catheter interventions, and the addition of typical conditions of adulthood superimposed on the CHD. In this article, the authors first frame the assessment of quality in the health care system as a whole and then focus on CHD and the unique approach required in the care of the adult with CHD.
authors.affiliation: Department of Cardiology, Boston Children's Hospital, 300 Longwood Avenue, Boston, MA 02115, USA; Department of Cardiology, Brigham and Women's Hospital, 75 Francis street, Boston, MA 02115, USA; Harvard Medical School, 25 Shattuck street, Boston, MA 02115, USA.
authors.forename: Keri
authors.initials: K
authors.lastname: Shafer
authors.affiliation: Department of Cardiology, Boston Children's Hospital, 300 Longwood Avenue, Boston, MA 02115, USA; Department of Cardiology, Brigham and Women's Hospital, 75 Francis street, Boston, MA 02115, USA; Harvard Medical School, 25 Shattuck street, Boston, MA 02115, USA. Electronic address: Michelle.Gurvitz@cardio.chboston.org.
authors.forename: Michelle
authors.initials: M
authors.lastname: Gurvitz
mesh_terms: D000328:Adult; D006330:Heart Defects, Congenital / Q000628:therapy*; D006801:Humans; D011785:Quality Assurance, Health Care; D058996:Quality Improvement
keywords: Adult congenital heart disease; Quality improvement; Quality of care