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Quality Improvement Topics
EP News – QI and Outcomes – FEB 2020 Center-Specific Quality Improvement (LaPageFreeman)
Journal Articles: In this EP News, we focus on the concept of center-specific quality improvement (QI). Large multicenter trials, observational studies, and practice guidelines provide us with the evidence and expert recommendations to standardize care delivery, inform QI initiatives, and improve outcomes across care delivery systems. However, at its core, QI is a continuous process and not simply the achievement of a specific threshold goal or the ability to define a center’s care as “high quality.” Center-specific QI projects are developed and implemented at individual centers. They may target a range of systems from hospital-wide to individual provider practices, and they are tailored to the strengths, challenges, and needs of a particular health care environment. The smaller scale of center-specific QI allows for continuous iteration and evolution of QI efforts in a process that is nimble and dynamic.
EP News – QI and Outcomes – FEB 2019 – Introduction (VarosyPiccini)
Journal Articles: In this issue of Heart Rhythm, we present a new quarterly feature highlighting quality improvement in the delivery of heart rhythm care. These quarterly features will summarize key publications of relevance to the electrophysiology community and provide a forum for recognizing the growing importance of measuring, reporting, and improving the quality of heart rhythm care.
EP News – QI and Outcomes – AUG 2020 COVID Challenges (Piccini)
Journal Articles: In this issue of Heart Rhythm, we continue this quarterly feature highlighting developments and advances in quality improvement in the delivery of heart rhythm care. The current issue focuses on quality improvement surrounding the challenges created for heart rhythm care during the coronavirus disease 2019 (COVID-19) pandemic.
EP News – QI and Outcomes – AUG 2019 Clinical Decision Support and Shared Decision Making (WrightVarosy)
Journal Articles: In this issue of Heart Rhythm, we present recent publications relevant to quality of care and outcomes, particularly in relation to clinical decision support and shared decision making.
EP News – QI and Outcomes – APR 2021 AF Quality Indicators (Sandhu)
Journal Articles: Understanding the quality of atrial fibrillation (AF) care delivery is critically important for identifying care gaps, targeting improvement efforts, and guiding resource allocation. In this effort, several professional societies have defined a series of AF quality indicators (QIs) that can be used to monitor adherence to evidence-based processes and AF-related outcomes. In Canada, this effort has been led by the Canadian Cardiovascular Society (CCS). On behalf of the CCS AF QI Working Group, in this issue of Heart Rhythm Journal, we summarize our process for defining and measuring AF QIs, present 2 recent publications reporting national data on key AF Qis, and discuss challenges encountered and future directions.
AHA’s Get With The Guidelines® – AFIB Registry Tool
Guidelines/Clinical Documents: AHA’s Get With The Guidelines® – AFIB Registry Tool
AnticoagEvaluator App
Tools: Use the updated AnticoagEvaluator to make informed decisions on initiation of antithrombotic therapy for patients with atrial fibrillation (AF) who do not have moderate to severe mitral stenosis or a mechanical heart valve. App updates include expanded advice from the 2019 Focused Update to the 2014 ACC/AHA/HRS Guideline for the Management of Patients with AF.
Stanford Guide to AFib Stroke Prevention: AFib Demos for Clinicians
Shared Decision-Making: Video demonstrations to support in-person conversations between clinicians and their AFib patients. Includes explanation of normal rhythm vs. AFib, stroke risk, blood thinners, and the WATCHMAN device.
Stanford Guide to AFib Stroke Prevention
Shared Decision-Making: Interactive guide to help patients understand how to reduce the risk of stroke due to AFib and live a better life.
CHA₂DS₂-VASc Score for Atrial Fibrillation Stroke Risk
Education – Clinical: Calculates stroke risk for patients with atrial fibrillation, possibly better than the CHADS₂ Score.