Healthcare Delivery Innovation Center, Minneapolis Heart Institute, MN (S.M.B., P.R., C.E.S.).
Center for Healthcare Innovation, Hospital of the University of Pennsylvania, Philadelphia (S.A.).
Circ Cardiovasc Qual Outcomes. 2021 Jan;14(1):e006753. doi: 10.1161/CIRCOUTCOMES.120.006753. Epub 2021 Jan 12.
Despite decades of improvement in the quality and outcomes of cardiovascular care, significant gaps remain. Existing quality improvement strategies are often limited in scope to specific clinical conditions and episodic care. Health services and outcomes research is essential to inform gaps in care but rarely results in the development and implementation of care delivery solutions. Although individual health systems are engaged in projects to improve the quality of care delivery, these efforts often lack a robust study design or implementation evaluation that can inform generalizability and further dissemination. Aligning the work of health care systems and health services and outcomes researchers could serve as a strategy to overcome persisting gaps in cardiovascular quality and outcomes. We describe the inception of the Cardiovascular Quality Improvement and Care Innovation Consortium that seeks to rapidly improve cardiovascular care by (1) developing, implementing, and evaluating multicenter quality improvement projects using innovative care designs; (2) serving as a resource for quality improvement and care innovation partners; and (3) establishing a presence within existing quality improvement and care innovation structures. Success of the collaborative will be defined by projects that result in changes to care delivery with demonstrable impacts on the quality and outcomes of care across multiple health systems. Furthermore, insights gained from implementation of these projects across sites in Cardiovascular Quality Improvement and Care Innovation Consortium will inform and promote broad dissemination for greater impact.
尽管心血管护理的质量和结果在过去几十年中得到了改善,但仍存在显著差距。现有的质量改进策略通常局限于特定的临床情况和偶发性护理。卫生服务和结果研究对于了解护理差距至关重要,但很少能制定和实施护理提供解决方案。尽管各个卫生系统都在参与改善护理提供质量的项目,但这些努力往往缺乏稳健的研究设计或实施评估,无法告知推广性和进一步传播。使医疗保健系统和卫生服务与结果研究人员的工作保持一致,可以作为一种策略,克服心血管质量和结果方面持续存在的差距。我们描述了心血管质量改进和护理创新联盟的成立,该联盟旨在通过以下方式快速改进心血管护理:(1)使用创新的护理设计开发、实施和评估多中心质量改进项目;(2)为质量改进和护理创新伙伴提供资源;(3)在现有的质量改进和护理创新结构中建立存在。该合作的成功将通过导致护理提供方式发生变化的项目来定义,这些变化对多个卫生系统的护理质量和结果产生了可证明的影响。此外,从心血管质量改进和护理创新联盟中各个站点实施这些项目中获得的见解将为更广泛的传播提供信息并促进传播,以产生更大的影响。