Quality indicators in cardiovascular care: The case for cardiac rehabilitation

Randal J. Thomas, Brandi J. Witt, Francisco Lopez-Jimenez, Marjorie L. King, Ray W. Squires

Research output: Contribution to journalArticle

13 Citations (Scopus)

Abstract

The drive to improve the quality of healthcare is gaining in momentum. Increasingly, third party payors and other national healthcare organizations are driving this trend by publishing evidence-based practice guidelines, selecting quality of care indicators based on standard criteria, and tracking quality of care "report cards" that compare performance by medical care providers. While referral of patients to a CR program is included in published practice guidelines for the care of persons with CAD, current panels of performance measures do not include CR. However, based on the relevance, soundness, and feasibility of the evidence described in this article, the use of CR services should be included as a standard quality of care indicator for appropriate patients with CAD. The case for such action is presently strong and could be strengthened further by: (1) increasing the level of evidence for CR even further with more multicentered, randomized, controlled trials of CR, particularly in understudied subgroups (women, minorities, the elderly, and in persons undergoing percutaneous intervention or valve surgery), (2) developing feasible methods for assessing the referral and enrollment "bridge" between hospitalization and outpatient CR programs, and (3) continuing to define, promote, and certify standards for the scope and quality of care provided by CR programs. Further work is needed to define the most appropriate performance measure for CR utilization based on currently available evidence.

Original languageEnglish (US)
Pages (from-to)249-256
Number of pages8
JournalJournal of Cardiopulmonary Rehabilitation
Volume25
Issue number5
DOIs
StatePublished - Sep 2005

Fingerprint

Quality of Health Care
Practice Guidelines
Referral and Consultation
Health Insurance Reimbursement
Evidence-Based Practice
Standard of Care
Hospitalization
Outpatients
Randomized Controlled Trials
Cardiac Rehabilitation
Organizations
Delivery of Health Care

ASJC Scopus subject areas

  • Rehabilitation

Cite this

Quality indicators in cardiovascular care : The case for cardiac rehabilitation. / Thomas, Randal J.; Witt, Brandi J.; Lopez-Jimenez, Francisco; King, Marjorie L.; Squires, Ray W.

In: Journal of Cardiopulmonary Rehabilitation, Vol. 25, No. 5, 09.2005, p. 249-256.

Research output: Contribution to journalArticle

Thomas, Randal J. ; Witt, Brandi J. ; Lopez-Jimenez, Francisco ; King, Marjorie L. ; Squires, Ray W. / Quality indicators in cardiovascular care : The case for cardiac rehabilitation. In: Journal of Cardiopulmonary Rehabilitation. 2005 ; Vol. 25, No. 5. pp. 249-256.
@article{942f517409204b0794901ebb62cdd3b4,
title = "Quality indicators in cardiovascular care: The case for cardiac rehabilitation",
abstract = "The drive to improve the quality of healthcare is gaining in momentum. Increasingly, third party payors and other national healthcare organizations are driving this trend by publishing evidence-based practice guidelines, selecting quality of care indicators based on standard criteria, and tracking quality of care {"}report cards{"} that compare performance by medical care providers. While referral of patients to a CR program is included in published practice guidelines for the care of persons with CAD, current panels of performance measures do not include CR. However, based on the relevance, soundness, and feasibility of the evidence described in this article, the use of CR services should be included as a standard quality of care indicator for appropriate patients with CAD. The case for such action is presently strong and could be strengthened further by: (1) increasing the level of evidence for CR even further with more multicentered, randomized, controlled trials of CR, particularly in understudied subgroups (women, minorities, the elderly, and in persons undergoing percutaneous intervention or valve surgery), (2) developing feasible methods for assessing the referral and enrollment {"}bridge{"} between hospitalization and outpatient CR programs, and (3) continuing to define, promote, and certify standards for the scope and quality of care provided by CR programs. Further work is needed to define the most appropriate performance measure for CR utilization based on currently available evidence.",
author = "Thomas, {Randal J.} and Witt, {Brandi J.} and Francisco Lopez-Jimenez and King, {Marjorie L.} and Squires, {Ray W.}",
year = "2005",
month = "9",
doi = "10.1097/00008483-200509000-00003",
language = "English (US)",
volume = "25",
pages = "249--256",
journal = "Journal of Cardiopulmonary Rehabilitation and Prevention",
issn = "1932-7501",
publisher = "Lippincott Williams and Wilkins",
number = "5",

}

TY - JOUR

T1 - Quality indicators in cardiovascular care

T2 - The case for cardiac rehabilitation

AU - Thomas, Randal J.

AU - Witt, Brandi J.

AU - Lopez-Jimenez, Francisco

AU - King, Marjorie L.

AU - Squires, Ray W.

PY - 2005/9

Y1 - 2005/9

N2 - The drive to improve the quality of healthcare is gaining in momentum. Increasingly, third party payors and other national healthcare organizations are driving this trend by publishing evidence-based practice guidelines, selecting quality of care indicators based on standard criteria, and tracking quality of care "report cards" that compare performance by medical care providers. While referral of patients to a CR program is included in published practice guidelines for the care of persons with CAD, current panels of performance measures do not include CR. However, based on the relevance, soundness, and feasibility of the evidence described in this article, the use of CR services should be included as a standard quality of care indicator for appropriate patients with CAD. The case for such action is presently strong and could be strengthened further by: (1) increasing the level of evidence for CR even further with more multicentered, randomized, controlled trials of CR, particularly in understudied subgroups (women, minorities, the elderly, and in persons undergoing percutaneous intervention or valve surgery), (2) developing feasible methods for assessing the referral and enrollment "bridge" between hospitalization and outpatient CR programs, and (3) continuing to define, promote, and certify standards for the scope and quality of care provided by CR programs. Further work is needed to define the most appropriate performance measure for CR utilization based on currently available evidence.

AB - The drive to improve the quality of healthcare is gaining in momentum. Increasingly, third party payors and other national healthcare organizations are driving this trend by publishing evidence-based practice guidelines, selecting quality of care indicators based on standard criteria, and tracking quality of care "report cards" that compare performance by medical care providers. While referral of patients to a CR program is included in published practice guidelines for the care of persons with CAD, current panels of performance measures do not include CR. However, based on the relevance, soundness, and feasibility of the evidence described in this article, the use of CR services should be included as a standard quality of care indicator for appropriate patients with CAD. The case for such action is presently strong and could be strengthened further by: (1) increasing the level of evidence for CR even further with more multicentered, randomized, controlled trials of CR, particularly in understudied subgroups (women, minorities, the elderly, and in persons undergoing percutaneous intervention or valve surgery), (2) developing feasible methods for assessing the referral and enrollment "bridge" between hospitalization and outpatient CR programs, and (3) continuing to define, promote, and certify standards for the scope and quality of care provided by CR programs. Further work is needed to define the most appropriate performance measure for CR utilization based on currently available evidence.

UR - http://www.scopus.com/inward/record.url?scp=26244466189&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=26244466189&partnerID=8YFLogxK

U2 - 10.1097/00008483-200509000-00003

DO - 10.1097/00008483-200509000-00003

M3 - Article

C2 - 16217225

AN - SCOPUS:26244466189

VL - 25

SP - 249

EP - 256

JO - Journal of Cardiopulmonary Rehabilitation and Prevention

JF - Journal of Cardiopulmonary Rehabilitation and Prevention

SN - 1932-7501

IS - 5

ER -