title: Quality of Care for Transcatheter Aortic Valve Implantation: Development of Canadian Cardiovascular Society Quality Indicators.
abstract: Transcatheter aortic valve implantation (TAVI) is a relatively new procedure to treat aortic stenosis in patients at high surgical risk, and it is becoming increasingly available in Canada. Variation exists in the clinical care, program coordination, evaluation, and funding across provinces and centres. As a part of the Canadian Cardiovascular Society (CCS) quality initiative, the TAVI Quality Indicator (QI) Working Group was established in 2014 to develop a set of indicators to measure quality of care for Canadians undergoing TAVI for aortic stenosis. The TAVI QI Working Group is composed of expert clinical and government agency representatives. The group developed consensus agreements for the selection of the first iteration of measurable structure, process, and outcome indicators reflective of the quality of care for patients undergoing TAVI. The objectives of the project are to develop quality indicators with the eventual goal of standardizing TAVI quality reports across Canada and to support local and national quality assurance, as well as engage multiple stakeholders to build a national strategy for the evaluation of quality of care.
authors.affiliation: Institut de Cardiologie de Montréal, Universite de Montréal, Montréal, Quebec, Canada. Electronic address: anita.asgar@umontreal.ca.
authors.forename: Anita W
authors.initials: AW
authors.lastname: Asgar
authors.affiliation: BC Cardiac Services, Vancouver, British Columbia, Canada.
authors.forename: Sandra
authors.initials: S
authors.lastname: Lauck
authors.affiliation: Sunnybrook Hospital, Institute for Clinical Evaluative Sciences (ICES), Toronto, Ontario, Canada.
authors.forename: Dennis
authors.initials: D
authors.lastname: Ko
authors.affiliation: Foothills Hospital, University of Calgary, Calgary, Alberta, Canada.
authors.forename: Faisal
authors.initials: F
authors.lastname: Alqoofi
authors.affiliation: Sunnybrook Hospital, Toronto, Ontario, Canada.
authors.forename: Eric
authors.initials: E
authors.lastname: Cohen
authors.affiliation: Cardiac Care Network of Ontario, Toronto, Ontario, Canada.
authors.forename: Anne
authors.initials: A
authors.lastname: Forsey
authors.affiliation: Institut National d'Excellence en Sante et en Services Sociaux (INESSS), Montréal, Quebec, Canada.
authors.forename: Laurie J
authors.initials: LJ
authors.lastname: Lambert
authors.affiliation: Cardiac Care Network of Ontario, Toronto, Ontario, Canada.
authors.forename: Garth H
authors.initials: GH
authors.lastname: Oakes
authors.affiliation: New Brunswick Heart Center, Saint John, New Brunswick, Canada.
authors.forename: Marc
authors.initials: M
authors.lastname: Pelletier
authors.affiliation: St. Paul's Hospital, Centre for Heart Valve Innovation, University of British Columbia, Vancouver, British Columbia, Canada.
authors.forename: John G
authors.initials: JG
authors.lastname: Webb
mesh_terms: D001024:Aortic Valve Stenosis / Q000601:surgery; D002170:Canada; D006297:Health Services Accessibility; D017052:Hospital Mortality; D006801:Humans; D010043:Outcome and Process Assessment, Health Care / Q000592:standards*; D010348:Patient Care Team; D010359:Patient Readmission; D018802:Patient-Centered Care; D011183:Postoperative Complications / Q000517:prevention & control; D019984:Quality Indicators, Health Care; D011787:Quality of Health Care / Q000592:standards*; D011788:Quality of Life; D020521:Stroke / Q000517:prevention & control; D061665:Time-to-Treatment; D065467:Transcatheter Aortic Valve Replacement / Q000592:standards*; D014850:Waiting Lists