Feasibility of Assessing 2 Cardiac Rehabilitation Quality Indicators
Feasibility of Assessing 2 Cardiac Rehabilitation Quality Indicators
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DOI：
10.1097/hcr.0000000000000136
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发表时间：
2016-03-01
影响因子：
3.8
通讯作者：
Suskin, Neville
中科院分区：
文献类型：
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作者：
Grace, Sherry L.;Tan, Yongyao;Suskin, Neville
目的：加拿大心血管学会发起了一项泛加拿大进程，以开发心脏康复(CR)的质量指标(QI)。在实施之前，质量保证措施经过了试验性测试，以确保它们对于实地实施是可以接受和可行的。这项测试的目的是评估(1)测量QI的技术可行性；(2)测量QI所需的工作量；(3)测量QI的可接受性及其实施中的问题。方法：现场测试选择的2个指标是QI-1(符合条件的住院患者的百分比)和2b(从CR转诊接收到登记的中位等待时间)。该方法包括3个步骤：(1)提取数据以测试技术可行性；(2)完成工作量日记；(3)通过半结构访谈提供关于可接受性和执行问题的意见。结果：齐一号为51.0%~68.4%，齐2b号为27天(中位数)，另一个为22天(中位数)。CR计划评估所有可能符合CR条件的住院患者的CR转诊排除是不可行的。QI-1和QI-2b的汇编分别需要4.2小时和1.8小时。QI评估是项目可以接受的，但需要在每个地点改变实践才能实施QIS。结论：CR项目可能需要加强信息跟踪过程以实现QI测量。有人建议实施质量指标，但应进行小幅修改以增强可行性。
PURPOSE:The Canadian Cardiovascular Society initiated a pan-Canadian process for development of quality indicators (QIs) for cardiac rehabilitation (CR). Before implementation, the QIs underwent pilot testing to ensure they were acceptable and feasible for field implementation. The objectives of this test were to assess (1) the technical feasibility of measuring the QIs; (2) the workload required to measure the QIs; and (3) acceptability of measuring the QIs and issues with their implementation.METHODS:The 2 indicators chosen for field testing were QI-1 (% of eligible inpatients referred) and 2b (median wait time from CR referral receipt to enrollment). The approach consisted of 3 steps: (1) data extraction to test technical feasibility; (2) completing a workload diary; and (3) providing input through a semistructured interview regarding acceptability and implementation issues. Three academic CR sites were selected to undertake the field test.RESULTS:QI-1 ranged from 51.0% to 68.4%, and QI-2b was reported as 27 days (median) by one site, and 22 days (mean) by another. It was not considered feasible for CR programs to assess all potentially CR-eligible inpatients for CR referral exclusions. Compilation required 4.2 hours for QI-1 and 1.8 hours for QI-2b. QI assessment was acceptable to the programs, but changes in practice would be needed at each site to implement the QIs.CONCLUSIONS:CR programs may require enhancement of information-tracking processes to enable QI measurement. It was recommended that the QIs be implemented, but should undergo minor revisions to enhance feasibility.