Quality-Based Competition

Executive Summary

• 1. Preamble: The Quest for Quality in Cardiovascular Services
  • Driver 1 - Public Quality Reporting in CV Services
  • Driver 2 - Cardiac Services a Likely Target for Increased Scrutiny of Quality Performance
  • Driver 3 - Rising Numbers of Evaluators Reporting on Quality
  • Driver 4 - Pay for Performance Forcing Hospitals to Focus on Quality Reporting
• 2. Cardiovascular Roundtable Special Report: Pay-for-Performance - 2006 Update
• 3. Securing Physician Participation in Enhancing Cardiovascular Documentation
  • Peer Documentation Champion to Improve Cardiologist Quality Reporting Compliance
  • Adding Transparency to Cardiovascular Quality Evaluator Methods
  • Cardiology Coding Support Program to Enhance Physician Participation in CV Quality Initiatives
• 4. Streamlining Workflow to Reduce Cardiologist Time Commitment for Documentation
  • Mapping Charting to Cardiovascular Core Measures to Save Time
  • Automatic Evidence-Based Alerts to Improve CV Physician Documentation Compliance
  • “Jump Start” Toolkit to Inspire Collaboration Around Complex Cardiovascular Care Measures
• 5. Tracking Physician Compliance with Cardiovascular Quality Metrics
  • Real-Time Feedback for Cardiovascular Physicians on Care and Documentation
  • Individualized Physician Profiling to Monitor Cardiovascular Quality Compliance
  • Daily Care Rounds to Improve Compliance with CV Core Measures
  • Outlier Physician Action Plan to Correct Non-Compliance with Cardiovascular Quality Metrics
• 6. Ensuring Ample Oversight of Cardiovascular Quality Performance
  • Designating a Clinical Resource Coordinator to Manage Cardiovascular Quality Reporting
  • Proactive Metric Management to Ensure Positive Public Reporting
• 7. Communicating the Cardiovascular Quality Message
  • Physician-Targeted Outcomes Report to Drive Cardiovascular Referrals
  • Consumer-Friendly Cardiovascular Clinical Quality Advertising
  • Care Selection Guidelines to Assist Consumers in Choosing High-Quality Cardiovascular Providers
• 8. Coda: Creating a Culture of Quality
• 9. Quality-Based Competition Toolkit
  • Tool #I: Pre-Operative Cardiac Risk Assesment Tool
  • Tool #II: Cardiovascular Surgery Pocket Documentation Card
  • Tool #III: Metric-Mapped Chart for AMI Admissions
  • Tool #IV: Time-to-PCI Tracking Sheet
  • Tool #V: Clinical Resource Coordinator Roles and Responsibilities
  • Tool #VI: Physician Confidentiality Agreement for Release of Cardiac Data
• 10. Quality-Based Competition: Appendix