Performance Improvement Initiatives Optimizing Data from Two NCDR Registries - 2024 Quality Summit Presentation (Non-CE)-Performance Improvement Initiatives Optimizing Data from Two NCDR Registries

Video Transcription

Video Summary

The session, "Performance Improvement Initiative Optimizing Data from Two NCDR Registries," focused on leveraging data from the NCDR Chest Pain MI and Cath PCI registries for performance improvements. Hosted by Maria Ava Andrew from Houston Methodist Hospital and Dr. Leslie Davis of the University of North Carolina, the session emphasized data integrity and patient drill-down analyses.<br /><br />During the session, it was discussed that systematic validation of STEMI cases across registries is vital. An initial goal was to perform internal audits (IRR) for the NCDR registries, comparing metrics like PCI within 90 minutes and first medical contact to device time. The results showed significant discrepancies with only a 62% match rate. The audit revealed issues like inconsistent data entries, especially concerning STEMI diagnosis variations between registries.<br /><br />The second phase involved deeper patient-level analysis to identify performance improvement opportunities, focusing on delays such as ED to cath lab transit time. Furthermore, an internal STEMI activation team's data was compared to registry data, revealing the need for enhanced benchmarks in patient care times.<br /><br />Maria Eva Andrew outlined their methodical approach: rotating assessments across registries, team collaboration, and iterative data dictionary development. They discovered a need for benchmarking beyond internal guidelines, aligning more closely with NCDR standards.<br /><br />The session concluded with a Q&A, discussing the importance of accurate discharge data, the need for automated data entry systems, and how the findings led to broader performance initiatives at Houston Methodist Hospital. This comprehensive analysis exemplifies the critical role of high-quality data in improving cardiovascular care outcomes.

Keywords

Performance Improvement

NCDR Registries

Data Integrity

STEMI Cases

Internal Audits

Patient Drill-down

Benchmarking

Data Entry Automation

Cardiovascular Care

Houston Methodist Hospital