Panel working to 'raise the bar' for quality of healthcare being provided to heart and stroke patients

March 26, 2000

DALLAS, March 28 -- No one doubts the importance of measuring the quality of healthcare delivered to heart patients. Yet doing so is a complex challenge that will require extensive research and rigorous new standards before the nation can accurately gauge just how well these patients are faring and improve their care and outcome, says a new report in today's Circulation: Journal of the American Heart Association.

"There is evidence of great variation in care," says Harlan M. Krumholz, M.D., associate professor of medicine at Yale School of Medicine. "Similar patients can be treated very differently in different towns and regions of the country. We need to be able to measure what we do in order to ensure that all patients get the very best care."

The American Heart Association and the American College of Cardiology have taken a leadership role in responding to challenges set forth by a variety of governmental bodies and special interest groups to look at how the delivery of cardiovascular care can be measured and what improvements are needed. The two organizations convened a panel of experts last May. Findings from the First Scientific Forum on Assessment of Healthcare Quality in Cardiovascular Disease and Stroke provide a detailed road map to follow in devising reliable performance standards.

"There have been a lot of concerns expressed lately about gaps and inadequacies in the healthcare system," says Krumholz, who chaired the forum. "This report represents an important effort by physicians and researchers to address some of these concerns by developing a way we can actually measure the quality of care that is being delivered."

Krumholz says that ultimately these performance measures will help save lives.

The panel issued strong warnings against the use of simplistic methods to measure the quality of care being provided by physicians and hospitals. The panel adds that many of the so-called "report cards" published by a number of organizations are not valid and rely more on administrative claims data than on actual patient care information.

Even more disconcerting to the panel was the proliferation of healthcare rankings available on the Internet. "Ranking hospitals and healthcare providers is an incredibly difficult task with complex methodology. Although many of the organizations that issue rankings and report cards don't provide an explanation of their ranking methods, those that do often put a strong emphasis on financial performance rather than the elements of healthcare that are of most concern to patients and physicians," Krumholz says.

The panelists were divided into three work groups to look at ways to measure quality of care for the three most common types of cardiovascular disease: acute myocardial infarction (heart attack) congestive heart failure and stroke.

All three work groups determined that hospitals and physicians can achieve excellence in patient care by following the practice guidelines already set forth by the American Heart Association and the American College of Cardiology. "Physicians and other healthcare providers can ask themselves whether patients are getting what they are supposed to be getting in terms of medication and procedures, and are they getting it in a timely manner, according to existing guidelines," says Krumholz.

"The medical community has reached the point where it needs to accept greater accountability for the quality of care it delivers," he says. "We believe it is critical to begin this process by generating the information needed to measure the quality of care," he says.

The second scientific forum will meet in April 2000 to focus on quality and performance measures for specific cardiovascular procedures, such as bypass surgery.

In addition to the report in the March 28 issue of Circulation, a detailed paper on the findings of the congestive heart failure work group can be found in the online edition of the journal. Expanded reports from the other two work groups will be published online in the coming months.

Other organizations involved in the scientific forum were The Veterans Affairs Health System, The Robert Wood Johnson Foundation and Bristol-Meyers Squibb.

American Heart Association guidelines can be found on the Internet at

American Heart Association

Related Cardiovascular Disease Articles from Brightsurf:

Changes by income level in cardiovascular disease in US
Researchers examined changes in how common cardiovascular disease was in the highest-income earners compared with the rest of the population in the United States between 1999 and 2016.

Fighting cardiovascular disease with acne drug
Researchers from the European Molecular Biology Laboratory (EMBL) in Heidelberg and Stanford University have found the cause of dilated cardiomyopathy - a leading cause of heart failure - and identified a potential treatment for it: a drug already used to treat acne.

A talk with your GP may prevent cardiovascular disease
Having a general practitioner (GP) who is trained in motivational interviewing may reduce your risk of getting cardiovascular disease.

Dilemma of COVID-19, aging and cardiovascular disease
Whether individuals should continue to take angiotensin-converting enzyme inhibitors and angiotensin receptor blockers in the context of coronavirus disease 2019 (COVID-19) is discussed in this article.

Air pollution linked to dementia and cardiovascular disease
People continuously exposed to air pollution are at increased risk of dementia, especially if they also suffer from cardiovascular diseases, according to a study at Karolinska Institutet in Sweden published in the journal JAMA Neurology.

New insights into the effect of aging on cardiovascular disease
Aging adults are more likely to have - and die from - cardiovascular disease than their younger counterparts.

Premature death from cardiovascular disease
National data were used to examine changes from 2000 to 2015 in premature death (ages 25 to 64) from cardiovascular disease in the United States.

Ultrasound: The potential power for cardiovascular disease therapy
In the current issue of Cardiovascular Innovations and Applications volume 4, issue 2, pp.

Despite the ACA, millions of Americans with cardiovascular disease still can't get care
Cardiovascular disease (CVD) is the leading cause of death for Americans, yet millions with CVD or cardiovascular risk factors (CVRF) still can't access the care they need, even years after the implementation of the Affordable Care Act (ACA).

Excess weight and body fat cause cardiovascular disease
In the first Mendelian randomization study to look at this, researchers have found evidence that excess weight and body fat cause a range of heart and blood vessel diseases (rather than just being associated with it).

Read More: Cardiovascular Disease News and Cardiovascular Disease Current Events is a participant in the Amazon Services LLC Associates Program, an affiliate advertising program designed to provide a means for sites to earn advertising fees by advertising and linking to