title: American College of Cardiology (ACC)'s PINNACLE India Quality Improvement Program (PIQIP)-Inception, progress and future direction: A report from the PIQIP Investigators.
abstract: Cardiovascular diseases have surpassed infectious disorders to become the leading cause of morbidity and mortality in India.1A national-level registry comprehensively documenting the current-day prevalence of cardiovascular risk factors and disease burden among patients seeking care in the outpatient setting in India is currently non-existent. With a burgeoning urban population, the cardiovascular disease burden in India is set to skyrocket, with an estimated 18 million productive years of life lost by 2030.2While there are limited quality improvement registries in India, for example, the Kerala acute coronary syndrome and Trivandrum heart failure registries, their focus is on in-patient care quality improvement, while the vast majority of patients with cardiovascular diseases worldwide, including India, interact with the health care system in the outpatient setting.3,4Recognizing this unmet need, the American College of Cardiology partnered with local stakeholders in India to establish India's first outpatient cardiovascular disease performance measurement initiative in 2011, the PINNACLE (Practice Innovation and Clinical Excellence) India Quality Improvement Program (PIQIP).5This manuscript discusses the inception of the PIQIP registry, the progress it has made and challenges thus far, and its future direction and the promise it holds for cardiovascular care quality improvement in India.
authors.affiliation: Division of Cardiology, Department of Medicine, Kalra Hospital SRCNC (Sri Ram Cardio-Thoracic and Neurosciences Centre) Pvt. Ltd., New Delhi, India; Houston Methodist DeBakey Heart and Vascular Center, Houston Methodist Hospital, Houston, TX, United States; Weill Cornell Medical College, New York, NY, United States; Safety, Quality, Informatics and Leadership, 2016-17, Harvard Medical School, Boston, MA, United States. Electronic address: kalramd.ankur@gmail.com.
authors.forename: Ankur
authors.initials: A
authors.lastname: Kalra
authors.affiliation: American College of Cardiology, Washington, DC, United States.
authors.forename: Nathan
authors.initials: N
authors.lastname: Glusenkamp
authors.affiliation: American College of Cardiology, Washington, DC, United States.
authors.forename: Karen
authors.initials: K
authors.lastname: Anderson
authors.affiliation: Division of Cardiology, Department of Medicine, Kalra Hospital SRCNC (Sri Ram Cardio-Thoracic and Neurosciences Centre) Pvt. Ltd., New Delhi, India.
authors.forename: Ram N
authors.initials: RN
authors.lastname: Kalra
authors.affiliation: King Edward VII Memorial Hospital and Seth GS Medical College, Mumbai, India; Asian Heart Institute and Research Center, Mumbai, India.
authors.forename: Prafulla G
authors.initials: PG
authors.lastname: Kerkar
authors.affiliation: LH Hiranandani Hospital, Mumbai, India.
authors.forename: Ganesh
authors.initials: G
authors.lastname: Kumar
authors.affiliation: Veterans Affairs Eastern Colorado Health Care System, Denver, CO, United States; University of Colorado School of Medicine, Denver, CO, United States; Colorado Cardiovascular Outcomes Research Consortium, Denver, CO, United States.
authors.forename: Thomas M
authors.initials: TM
authors.lastname: Maddox
authors.affiliation: American College of Cardiology, Washington, DC, United States.
authors.forename: William J
authors.initials: WJ
authors.lastname: Oetgen
authors.affiliation: Houston Methodist DeBakey Heart and Vascular Center, Houston Methodist Hospital, Houston, TX, United States; Health Policy, Quality & Informatics Program, Michael E. DeBakey Veterans Affairs Medical Center Health Services Research and Development Center for Innovations, United States; Section of Cardiovascular Research, Department of Medicine, Baylor College of Medicine, Houston, TX, United States.
authors.forename: Salim S
authors.initials: SS
authors.lastname: Virani
mesh_terms: D002309:Cardiology / Q000592:standards*; D002318:Cardiovascular Diseases / Q000628:therapy*; D006801:Humans; D007194:India; D058996:Quality Improvement; D012042:Registries; D012108:Research Personnel / Q000592:standards*; D014481:United States
keywords: American College of Cardiology; Cardiovascular quality improvement; India; PINNACLE; PIQIP