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Graupe M, Tignor A, Veneziale K, Jensen M, Khadr L, Beckstrom H, Gister M, Hendricks K, NL M, Roberts F, Youngberg S, Schachtner S. Accelerating Improvement: The Pediatric Acute Care Cardiology Collaborative (PAC3) Data Timeliness Project. Int J Qual Health Care 2022; 34:6771334. [DOI: 10.1093/intqhc/mzac086] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/08/2022] [Revised: 08/11/2022] [Accepted: 10/24/2022] [Indexed: 11/13/2022] Open
Abstract
Abstract
Background
The Pediatric Acute Care Cardiology Collaborative (PAC3) is a learning network focused on improving acute care cardiology patient outcomes. Data submission timeliness is a vulnerability for PAC3 and most clinical registries, directly affecting collaborative benchmarking, quality improvement (QI) and research projects.
Methods
PAC3 conducted a collaborative-wide QI project addressing data timeliness and efficiency. Data analysis of submitted cases from September 2019 – February 2020 revealed nine “High Performer” centers who submitted cases within 67 days of hospital dicharge (the limit for timeliness) >90% of the time, and eight “High Potential” sites who submitted timely cases <75% of the time. The SMART aim was to increase case submission timeliness in “High Potential” centers from 41% to 80% by December 2020. A secondary aim was for “High Performer” site timeliness to be maintained. During the intervention phase (March-December 2020), PDSA cycles included webinars, facilitated exploratory conversations, data review, and development of a best practice guide (“Getting Started Toolkit”). Onboarded “New Centers” starting in 2020 were also invited to test intervention effectiveness. Balancing measures included data collector job satisfaction and stress, and resubmission rates.
Results
“High Performer” and “High Potential” centers submitted 11,358 cases from November 2019-December 2020. Timely submission rates for “High Potential” centers improved from 40.6% to 74.6% and were maintained at >90% for “High Performer” centers. “New Centers” averaged 92.6% timely case submissions during their first six months. Data collector job satisfaction and stress were not impacted, and resubmission rates did not increase.
Conclusions
PAC3’s multi-center QI project increased data submission timeliness in a large pediatric subspecialty registry. The lessons learned and the Toolkit developed can be applied in other registries to improve data submission efficiency, with resultant improvement in benchmarking, QI, research, length of stay and outcomes.
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Affiliation(s)
- M Graupe
- Heart Center Administration, Children’s Health , Dallas, Texas, USA
| | - A Tignor
- James M Anderson Center of Excellence, Cincinnati Children’s Hospital , Cincinnati, Ohio, USA
| | - K Veneziale
- Children’s Hospital of Philadelphia and the University of Pennsylvania Perelman School of Medicine , Philadelphia, Pennsylvania, USA
| | - M Jensen
- Children’s Mercy Hospital Department of Pediatric Cardiovascular Surgery , Kansas City, Missouri, USA
| | - L Khadr
- University of Michigan Congenital Heart Center, C.S. Mott Children’s Hospital , Ann Arbor, Michigan, USA
| | - H Beckstrom
- Children’s Heart Center, Ann & Robert H. Lurie Children’s Hospital of Chicago , Chicago, Illinois, USA
| | - M Gister
- Heart Center Administration, Children’s Health , Dallas, Texas, USA
| | - K Hendricks
- Heart Center Administration, Children’s Health , Dallas, Texas, USA
| | - Madsen NL
- Division of Cardiology, Department of Pediatrics, University of Texas Southwestern Medical Center , Dallas, Texas, USA
| | - F Roberts
- Heart Vascular Institute, UPMC Children’s Hospital of Pittsburgh , Pittsburgh, Pennsylvania USA
| | - S Youngberg
- Intermountain Primary Children’s Hospital , Salt Lake City, Utah, USA
| | - S Schachtner
- Children’s Hospital of Philadelphia and the University of Pennsylvania Perelman School of Medicine , Philadelphia, Pennsylvania, USA
- Department of Pediatrics, Division of Pediatric Cardiology, Cincinnati Children’s Hospital , Cincinnati, Ohio, USA
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