Development of Quality Metrics in Ambulatory Pediatric Cardiology.
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.
Cardiology Care For Children, Lancaster, Pennsylvania. Electronic address: dchowdhury@cardiologylancaster.com.
Devyani
D
Chowdhury
Department of Pediatrics, Harvard Medical School and Department of Cardiology, Boston Children's Hospital, Boston, Massachusetts.
Michelle
M
Gurvitz
McGill University Health Center, Montreal, Canada.
Ariane
A
Marelli
Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio.
Jeffrey
J
Anderson
University of Maryland School of Medicine, Baltimore, Maryland.
Carissa
C
Baker-Smith
Department of Pediatrics, Rush University Medical Center, Chicago, Illinois.
Karim A
KA
Diab
Nemours Children's Hospital, Orlando, Florida.
Thomas C
TC
Edwards
Children's National Heart Institute, Washington, DC.
Tom
T
Hougen
Valley Fetal and Pediatric Cardiology, Glendale, Arizona.
Roy
R
Jedeikin
Department of Pediatrics and Adolescent Medicine, Division of Pediatric Cardiology, Mayo Clinic Children's Center, Rochester, Minnesota.
Jonathan N
JN
Johnson
Children's Hospital of Michigan, Detroit, Michigan.
Peter
P
Karpawich
New York Presbyterian/Morgan Stanley Children's Hospital, New York, New York.
Wyman
W
Lai
Department of Pediatrics, University of Michigan Congenital Heart Center, Ann Arbor, Michigan.
Jimmy C
JC
Lu
American College of Cardiology, Washington, DC.
Stephanie
S
Mitchell
Department of Pediatrics, Harvard Medical School and Department of Cardiology, Boston Children's Hospital, Boston, Massachusetts.
Jane W
JW
Newburger
Texas Children's Hospital and Baylor College of Medicine, Houston, Texas.
Daniel J
DJ
Penny
Seattle Children's Hospital, Seattle, Washington.
Michael A
MA
Portman
Mattel Children's Hospital UCLA and David Geffen School of Medicine at UCLA, University of California, Los Angeles, California.
Gary
G
Satou
Department of Pediatrics, University of California-San Francisco, San Francisco, California.
David
D
Teitel
University of Kentucky, Lexington, Kentucky.
Juan
J
Villafane
Children's Hospital Los Angeles Heart Institute, Los Angeles, California.
Roberta
R
Williams
Department of Pediatrics, Harvard Medical School and Department of Cardiology, Boston Children's Hospital, Boston, Massachusetts.
Kathy
K
Jenkins
D000553:Ambulatory Care / Q000592:standards*; D002309:Cardiology / Q000592:standards*; D002637:Chest Pain / Q000175:diagnosis; D002648:Child; D006330:Heart Defects, Congenital / Q000175:diagnosis; D006801:Humans; D017053:Infection Control; D009080:Mucocutaneous Lymph Node Syndrome / Q000175:diagnosis; D010372:Pediatrics / Q000592:standards*; D013771:Tetralogy of Fallot / Q000175:diagnosis; D014188:Transposition of Great Vessels / Q000175:diagnosis
Kawasaki disease; chest pain; congenital heart disease; infection prevention; tetralogy of Fallot; transposition of the great arteries