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European Society of Cardiology methodology for the development of quality indicators for the quantification of cardiovascular care and outcomes

Aktaa, Suleman ; Batra, Gorav ; Wallentin, Lars ; Baigent, Colin ; Erlinge, David LU orcid ; James, Stefan ; Ludman, Peter ; Maggioni, Aldo P. ; Price, Susanna and Weston, Clive , et al. (2022) In European Heart Journal - Quality of Care and Clinical Outcomes 8(1). p.4-13
Abstract

Aims: It is increasingly recognized that tools are required for assessing and benchmarking quality of care in order to improve it. The European Society of Cardiology (ESC) is developing a suite of quality indicators (QIs) to evaluate cardiovascular care and support the delivery of evidence-based care. This paper describes the methodology used for their development. Methods and results: We propose a four-step process for the development of the ESC QIs. For a specific clinical area with a gap in care delivery, the QI development process includes: (i) the identification of key domains of care by constructing a conceptual framework of care; (ii) the construction of candidate QIs by conducting a systematic review of the literature; (iii) the... (More)

Aims: It is increasingly recognized that tools are required for assessing and benchmarking quality of care in order to improve it. The European Society of Cardiology (ESC) is developing a suite of quality indicators (QIs) to evaluate cardiovascular care and support the delivery of evidence-based care. This paper describes the methodology used for their development. Methods and results: We propose a four-step process for the development of the ESC QIs. For a specific clinical area with a gap in care delivery, the QI development process includes: (i) the identification of key domains of care by constructing a conceptual framework of care; (ii) the construction of candidate QIs by conducting a systematic review of the literature; (iii) the selection of a final set of QIs by obtaining expert opinions using the modified Delphi method; and (iv) the undertaking of a feasibility assessment by evaluating different ways of defining the QI specifications for the proposed data collection source. For each of the four steps, key methodological areas need to be addressed to inform the implementation process and avoid misinterpretation of the measurement results. Conclusion: Detailing the methodology for the ESC QIs construction enables healthcare providers to develop valid and feasible metrics to measure and improve the quality of cardiovascular care. As such, high-quality evidence may be translated into clinical practice and the 'evidence-practice' gap closed.

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organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
Cardiovascular disease, Clinical practice guidelines, Quality improvement, Quality indicators
in
European Heart Journal - Quality of Care and Clinical Outcomes
volume
8
issue
1
pages
10 pages
publisher
Oxford University Press
external identifiers
  • pmid:32845314
  • scopus:85123323369
ISSN
2058-5225
DOI
10.1093/ehjqcco/qcaa069
language
English
LU publication?
yes
id
0259bab0-6d7c-4f43-ac63-05cb43fbe39c
date added to LUP
2022-03-21 13:33:29
date last changed
2024-04-24 03:47:06
@article{0259bab0-6d7c-4f43-ac63-05cb43fbe39c,
  abstract     = {{<p>Aims: It is increasingly recognized that tools are required for assessing and benchmarking quality of care in order to improve it. The European Society of Cardiology (ESC) is developing a suite of quality indicators (QIs) to evaluate cardiovascular care and support the delivery of evidence-based care. This paper describes the methodology used for their development. Methods and results: We propose a four-step process for the development of the ESC QIs. For a specific clinical area with a gap in care delivery, the QI development process includes: (i) the identification of key domains of care by constructing a conceptual framework of care; (ii) the construction of candidate QIs by conducting a systematic review of the literature; (iii) the selection of a final set of QIs by obtaining expert opinions using the modified Delphi method; and (iv) the undertaking of a feasibility assessment by evaluating different ways of defining the QI specifications for the proposed data collection source. For each of the four steps, key methodological areas need to be addressed to inform the implementation process and avoid misinterpretation of the measurement results. Conclusion: Detailing the methodology for the ESC QIs construction enables healthcare providers to develop valid and feasible metrics to measure and improve the quality of cardiovascular care. As such, high-quality evidence may be translated into clinical practice and the 'evidence-practice' gap closed. </p>}},
  author       = {{Aktaa, Suleman and Batra, Gorav and Wallentin, Lars and Baigent, Colin and Erlinge, David and James, Stefan and Ludman, Peter and Maggioni, Aldo P. and Price, Susanna and Weston, Clive and Casadei, Barbara and Gale, Chris P.}},
  issn         = {{2058-5225}},
  keywords     = {{Cardiovascular disease; Clinical practice guidelines; Quality improvement; Quality indicators}},
  language     = {{eng}},
  number       = {{1}},
  pages        = {{4--13}},
  publisher    = {{Oxford University Press}},
  series       = {{European Heart Journal - Quality of Care and Clinical Outcomes}},
  title        = {{European Society of Cardiology methodology for the development of quality indicators for the quantification of cardiovascular care and outcomes}},
  url          = {{http://dx.doi.org/10.1093/ehjqcco/qcaa069}},
  doi          = {{10.1093/ehjqcco/qcaa069}},
  volume       = {{8}},
  year         = {{2022}},
}