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Current Cardiology Reports

, 20:133 | Cite as

Assessing Performance and Quality After Non-ST Segment Elevation Acute Coronary Syndromes

  • H. Vernon Anderson
  • Robin Jacob
Management of Acute Coronary Syndromes (H Jneid, Section Editor)
  • 20 Downloads
Part of the following topical collections:
  1. Topical Collection on Management of Acute Coronary Syndromes

Abstract

Purpose of Review

This review summarizes and discusses the evidence base supporting current performance and quality measures used in assessing institutions in their care of patients with non-ST segment elevation acute coronary syndromes (NSTE-ACS).

Recent Findings

Professional societies in the USA and Europe have developed performance and quality measures for NSTE-ACS. These measures are reviewed and updated periodically to reflect the most important evidence from the literature. In the USA, the ACC/AHA Task Force on Performance Measures published the updated 2017 AHA/ACC Clinical Performance and Quality Measures for Adults With ST-Elevation and Non-ST-Elevation Myocardial Infarction. In Europe, the ESC Acute Cardiac Care Association published the 2017 Quality Indicators for acute myocardial infarction. These documents build on guidelines previously developed and published by the two organizations. They include detailed reviews of current and past studies establishing that adherence with guidelines improves clinical outcomes. Both measure sets provide quantitative methodologies to assess program performance. Institutional programs that focus on these validated measures can increase guideline adherence, streamline and standardize care processes, and reduce morbidity and mortality.

Summary

Performance and quality measures have become a critical part of healthcare today, allowing patients, providers, administrators, and payors to assess patient care objectively. They are also becoming an important component of value-based payment programs. To be fair, and useful, for internal institutional assessment, in comparing different institutions, and for value-based payments, only validated performance measures such as these should be employed.

Keywords

Quality measures Performance measures Non-ST segment elevation acute coronary syndromes 

Abbreviations

ACC

American College of Cardiology

ACC//AHA-TFPM

ACC/AHA Task Force on Performance Measures

ACEI

Ace-inhibitor

ACS

Acute coronary syndrome

AHA

American Heart Association

AMI

Acute myocardial infarction

ARB

Angiotensin receptor blocker

CABG

Coronary artery bypass surgery

DAPT

Dual antiplatelet therapy

ESC

European Society of Cardiology

GWTG-CAD

Get with the Guidelines-Coronary Artery Disease Program

LVSD

Left ventricular systolic dysfunction

NCDR

National Cardiovascular Data Registries

NSTE-ACS

Non-ST segment elevation-acute coronary syndrome

NSTEMI

Non-ST segment elevation myocardial infarction

PCI

Percutaneous coronary intervention

PM

Performance measures

QM

Quality measures

STEMI

ST segment elevation myocardial infarction

UA

Unstable angina

Notes

Compliance with Ethical Standards

Conflict of Interest

H. Vernon Anderson and Robin Jacob declare that they have no conflicts of interest.

Human and Animal Rights and Informed Consent

This article does not contain any studies with human or animal subjects performed by the authors.

References

Papers of particular interest, published recently, have been highlighted as: • Of importance •• Of major importance

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Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature 2018

Authors and Affiliations

  1. 1.Cardiology DivisionUniversity of Texas Health Science Center, McGovern Medical School, Memorial Hermann Heart & Vascular InstituteHoustonUSA

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