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  • Measure Summary
  • NQMC:008446
  • Mar 2011

Cardiac care: does the hospital's heart surgery unit have a registry that includes most of the specified indicators?

Quality indicators in critically ill patients. Madrid (Spain): Spanish Society of Intensive and Critical Care and Units Coronary (SEMICYUC); 2011. 185 p.

View the original measure documentation External Web Site Policy

This is the current release of the measure.

The measure developer reaffirmed the currency of this measure in May 2016.

Primary Measure Domain

Clinical Quality Measures: Structure

Secondary Measure Domain

Does not apply to this measure

Description

This measure is used to assess whether the hospital's heart surgery unit has a registry that includes the following indicators:

  • Number of re-examinations
  • Prolonged mechanical ventilation
  • Surgical wound infection
  • Perioperative cerebrovascular accident (CVA)
  • Perioperative acute myocardial infarction (AMI)
  • Postoperative renal failure
  • Risk-adjusted hospital mortality

Rationale

The aim of intensive care medicine is to provide critical patients with the healthcare that they need, ensuring the quality and safety of care. Intensive care medicine is one of the principal components of modern healthcare systems. There is an increasing demand for this resource, which involves high costs.

The quality of care has gradually come to be the central focus of healthcare, and in recent years patient safety has come to represent one of the key aspects of quality. In the case of intensive care medicine, this interest in quality is even more evident, not only because of its social and economic impact, but also because some of the dimensions involved in the quality of care of critical patients take on greater importance: critical patients are more vulnerable, access to critical care is more limited so efforts to distribute resources equitably are more important, scant scientific evidence is available, and the efficiency is limited.

Units with heart surgery are recommended to have a specific registry about some related indicators related to process and outcome to enable the quality of care to be assessed. Likewise, the registry enables benchmarking with other units.

Evidence for Rationale

Ferris TG, Torchiana DF. Public release of clinical outcomes data-online CABG report cards. N Engl J Med. 2010 Oct 21;363(17):1593-5. PubMed External Web Site Policy

Quality indicators in critically ill patients. Madrid (Spain): Spanish Society of Intensive and Critical Care and Units Coronary (SEMICYUC); 2011. 185 p.

Shahian DM, Edwards FH, Ferraris VA, Haan CK, Rich JB, Normand SL, DeLong ER, O'Brien SM, Shewan CM, Dokholyan RS, Peterson ED, Society of Thoracic Surgeons Quality Measurement Task Force. Quality measurement in adult cardiac surgery: part 1--Conceptual framework and measure selection. Ann Thorac Surg. 2007 Apr;83(4 Suppl):S3-12. PubMed External Web Site Policy

Shroyer AL, McDonald GO, Wagner BD, Johnson R, Schade LM, Bell MR, Grover FL. Improving quality of care in cardiac surgery: evaluating risk factors, processes of care, structures of care, and outcomes. Semin Cardiothorac Vasc Anesth. 2008 Sep;12(3):140-52. [25 references] PubMed External Web Site Policy

Primary Health Components

Cardiac care; heart surgery unit; registry

Denominator Description

This measure applies to hospitals (one hospital at a time) (see the related "Denominator Inclusions/Exclusions" field).

Numerator Description

The hospital's heart surgery unit has a registry that includes most of the specified indicators (see the related "Numerator Inclusions/Exclusions" field).

Type of Evidence Supporting the Criterion of Quality for the Measure

  • A formal consensus procedure, involving experts in relevant clinical, methodological, public health and organizational sciences
  • One or more research studies published in a National Library of Medicine (NLM) indexed, peer-reviewed journal

Additional Information Supporting Need for the Measure

Unspecified

Extent of Measure Testing

Unspecified

State of Use

Current routine use

Current Use

Internal quality improvement

Measurement Setting

Hospital Inpatient

Intensive Care Units

Professionals Involved in Delivery of Health Services

Physicians

Least Aggregated Level of Services Delivery Addressed

Single Health Care Delivery or Public Health Organizations

Statement of Acceptable Minimum Sample Size

Does not apply to this measure

Target Population Age

Does not apply to this measure

Target Population Gender

Does not apply to this measure

IOM Care Need

Not within an IOM Care Need

IOM Domain

Not within an IOM Domain

Case Finding Period

Does not apply to this measure

Denominator Sampling Frame

Health care or public health organization

Denominator (Index) Event or Characteristic

Does not apply to this measure

Denominator Time Window

Does not apply to this measure

Denominator Inclusions/Exclusions

Inclusions
This measure applies to hospitals (one hospital at a time).

Population: Critical care department.

Exclusions
Unspecified

Exclusions/Exceptions

Does not apply to this measure

Numerator Inclusions/Exclusions

Inclusions
The hospital's heart surgery unit has a registry that includes most of the following indicators:

  • Number of re-examinations
  • Prolonged mechanical ventilation
  • Surgical wound infection
  • Perioperative cerebrovascular accident (CVA)
  • Perioperative acute myocardial infarction (AMI)
  • Postoperative renal failure
  • Risk-adjusted hospital mortality

Note: Participation in the Spanish Society of Intensive and Critical Care and Units Coronary (SEMICYUC)'s RECCMI (Spanish heart surgery registry for intensive care) will fulfill the standard.

Exclusions
Unspecified

Numerator Search Strategy

Fixed time period or point in time

Data Source

Registry data

Type of Health State

Does not apply to this measure

Instruments Used and/or Associated with the Measure

Unspecified

Measure Specifies Disaggregation

Does not apply to this measure

Scoring

Dichotomous

Interpretation of Score

Desired value is presence of a characteristic

Allowance for Patient or Population Factors

Does not apply to this measure

Standard of Comparison

Internal time comparison

Prescriptive standard

Prescriptive Standard

Standard: Yes (100%)

Evidence for Prescriptive Standard

Quality indicators in critically ill patients. Madrid (Spain): Spanish Society of Intensive and Critical Care and Units Coronary (SEMICYUC); 2011. 185 p.

Original Title

Registry of quality indicators in heart surgery.

Measure Collection Name

Quality Indicators in Critically Ill Patients

Measure Set Name

Cardiac Care and Cardiopulmonary Resuscitation (CPR)

Submitter

Spanish Society of Intensive and Critical Care and Units Coronary - Clinical Specialty Collaboration

Developer

Spanish Society of Intensive and Critical Care and Units Coronary - Clinical Specialty Collaboration

Funding Source(s)

Boehringer Laboratories

Composition of the Group that Developed the Measure

Work Group for Cardiac Care and Cardiopulmonary Resuscitation (CPR)

  • Ma Paz Fuset Cabanes
  • Miguel Ruano Marco
  • Josep Ma Alcoverro Pedrola
  • Jaime Latour Pérez
  • José Cuñat de la Hoz
  • Frutos del Nogal Sáez
  • Francisco Felices Abad
  • Juan López Messa
  • Emilia Civeira Murillo
  • María Dolores Carrasco González
  • Antonio José Montón Rodríguez

Scientific Coordination:

  • Maria Cruz Martín Delgado
  • Jesús Blanco Varela
  • Lluís Cabré Pericas
  • Pedro Galdos Anuncibay
  • Federico Gordo Vidal

Financial Disclosures/Other Potential Conflicts of Interest

Unspecified

Adaptation

This measure was not adapted from another source.

Date of Most Current Version in NQMC

2011 Mar

Measure Maintenance

Unspecified

Date of Next Anticipated Revision

2016 Jul

Measure Status

This is the current release of the measure.

The measure developer reaffirmed the currency of this measure in May 2016.

Source(s)

Quality indicators in critically ill patients. Madrid (Spain): Spanish Society of Intensive and Critical Care and Units Coronary (SEMICYUC); 2011. 185 p.

Measure Availability

Source available in English External Web Site Policy and Spanish External Web Site Policy from the Spanish Society of Intensive and Critical Care and Units Coronary (SEMICYUC) Web site.

For more information, contact SEMICYUC at Paseo de la Reina Cristina, 36, 4o D, Madrid, Spain; Phone: +34-91-502-12-13; Fax: +34-91-502-12-14; Web site: www.semicyuc.org External Web Site Policy; E-mail: secretaria@semicyuc.org.

NQMC Status

This NQMC summary was completed by ECRI Institute on November 18, 2013. The information was verified by the measure developer on February 6, 2014.

The information was reaffirmed by the measure developer on May 10, 2016.

Copyright Statement

This NQMC summary is based on the original measure, which is subject to the measure developer's copyright restrictions.

The Quality Indicators in Critically Ill Patients update 2011 can be used by any private or public body only for the purposes of research, clinical management, teaching and education, and will not be used for any other purpose. In all cases, full credit to the Spanish Society of Intensive Care Medicine (SEMICYUC) will be granted. The commercial use of the Quality Indicators in Critically Ill Patients update 2011 is explicitly forbidden.

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