Featured Research

from universities, journals, and other organizations

Quality Improvement Program Increases Hospitals' Adherence To Evidenced-based Care

Date:
October 27, 2009
Source:
American Heart Association
Summary:
The "Get With The Guidelines" quality improvement program significantly improves adherence to evidence-based care for hospitalized patients with coronary artery disease. This improvement in adherence to quality measures also diminishes gender- and age-related disparities in care.

Participation in the American Heart Association's Get With The Guidelines® quality improvement program significantly improves hospitals' adherence to evidence-based therapies and reduces gender- and age-related disparities in the care of coronary artery disease patients, according to research reported in Circulation: Cardiovascular Quality & Outcomes, a journal of the American Heart Association.

"It has been shown that, in many healthcare settings, evidence-based therapies for coronary artery disease are applied less to women than to men and less to elderly patients than to younger patients," said William R. Lewis, M.D., lead author of the study and chief of clinical cardiology at MetroHealth Medical Center and the Heart and Vascular Center in Cleveland, Ohio.

"We tested the hypothesis that participation in a quality improvement program, such as Get With The Guidelines, would improve care for all patients, therefore narrowing these known treatment gaps over time."

Lewis and colleagues analyzed the treatment of 237,225 coronary artery disease patients in 472 hospitals before and after the facilities implemented the Get With The Guidelines quality improvement initiative.

From 2002 to 2007 (the time of the study) the average adherence to quality measures in the program increased from 87.1 percent to 97.7 percent for patients younger than 75 years and from 83 percent to 95.1 percent in those 75 years and older, researchers said.

They found that gender data showed the average adherence to the guidelines increased from 86.5 percent to 97.4 percent in men and 84.8 percent to 96.2 percent in women.

"Specifically, we found that the gender gaps in care were more related to women younger than 75 years," said Lewis, who is also associate professor of medicine at Case Western Reserve University in Cleveland. "Elderly women were treated similarly to men. That trend continued over the study period and the gap narrowed to the point that it was clinically insignificant at the end of the study."

The study's results help to confirm that evidence-based quality improvement processes work, said Clyde W. Yancy, M.D., president of the American Heart Association and medical director at Baylor Heart and Vascular Institute in Dallas, Texas.

"At the start of the study, before Get With The Guidelines was in place, there was clear evidence of differences, based on gender and age, in the adequacy and quality of care for patients that presented with acute coronary syndrome," Yancy said. "The application of the quality improvement process improved outcomes for all patients -- young and elderly; male and female."

While this study did not measure outcomes, Yancy said it is reasonable to conclude that the sometimes dramatic improvements in guideline compliance in the care of coronary artery disease patients could lead to improved outcomes, including saved lives.

A limitation to the study is that it showed only what happens within the Get With The Guidelines program and was not randomized to compare hospitals in that specific initiative to hospitals that were not, Lewis said.

Coauthors of the study are A. Gray Ellrodt, M.D.; Eric Peterson, M.D., M.P.H; Adrian F. Hernandez, M.D.; Kenneth A. LaBresh, M.D.; Christopher P. Cannon, M.D.; Wenqin Pan, Ph.D.; and Gregg C. Fonarow, M.D.

 American Heart Association funded the study.


Story Source:

The above story is based on materials provided by American Heart Association. Note: Materials may be edited for content and length.


Cite This Page:

American Heart Association. "Quality Improvement Program Increases Hospitals' Adherence To Evidenced-based Care." ScienceDaily. ScienceDaily, 27 October 2009. <www.sciencedaily.com/releases/2009/10/091027161534.htm>.
American Heart Association. (2009, October 27). Quality Improvement Program Increases Hospitals' Adherence To Evidenced-based Care. ScienceDaily. Retrieved July 31, 2014 from www.sciencedaily.com/releases/2009/10/091027161534.htm
American Heart Association. "Quality Improvement Program Increases Hospitals' Adherence To Evidenced-based Care." ScienceDaily. www.sciencedaily.com/releases/2009/10/091027161534.htm (accessed July 31, 2014).

Share This




More Health & Medicine News

Thursday, July 31, 2014

Featured Research

from universities, journals, and other organizations


Featured Videos

from AP, Reuters, AFP, and other news services

House Republicans Vote to Sue Obama Over Healthcare Law

House Republicans Vote to Sue Obama Over Healthcare Law

Reuters - US Online Video (July 31, 2014) — The Republican-led House of Representatives votes to sue President Obama, accusing him of overstepping his executive authority in making changes to the Affordable Care Act. Mana Rabiee reports. Video provided by Reuters
Powered by NewsLook.com
Despite Health Questions, E-Cigs Are Beneficial: Study

Despite Health Questions, E-Cigs Are Beneficial: Study

Newsy (July 31, 2014) — Citing 81 previous studies, new research out of London suggests the benefits of smoking e-cigarettes instead of regular ones outweighs the risks. Video provided by Newsy
Powered by NewsLook.com
Dangerous Bacteria Kills One in Florida

Dangerous Bacteria Kills One in Florida

AP (July 31, 2014) — Sarasota County, Florida health officials have issued a warning against eating raw oysters and exposing open wounds to coastal and inland waters after a dangerous bacteria killed one person and made another sick. (July 31) Video provided by AP
Powered by NewsLook.com
Health Insurers' Profits Slide

Health Insurers' Profits Slide

Reuters - Business Video Online (July 30, 2014) — Obamacare-related costs were said to be behind the profit plunge at Wellpoint and Humana, but Wellpoint sees the new exchanges boosting its earnings for the full year. Fred Katayama reports. Video provided by Reuters
Powered by NewsLook.com

Search ScienceDaily

Number of stories in archives: 140,361

Find with keyword(s):
 
Enter a keyword or phrase to search ScienceDaily for related topics and research stories.

Save/Print:
Share:  

Breaking News:
from the past week

In Other News

... from NewsDaily.com

Science News

Health News

Environment News

Technology News



    Save/Print:
    Share:  

    Free Subscriptions


    Get the latest science news with ScienceDaily's free email newsletters, updated daily and weekly. Or view hourly updated newsfeeds in your RSS reader:

    Get Social & Mobile


    Keep up to date with the latest news from ScienceDaily via social networks and mobile apps:

    Have Feedback?


    Tell us what you think of ScienceDaily -- we welcome both positive and negative comments. Have any problems using the site? Questions?
    Mobile iPhone Android Web
    Follow Facebook Twitter Google+
    Subscribe RSS Feeds Email Newsletters
    Latest Headlines Health & Medicine Mind & Brain Space & Time Matter & Energy Computers & Math Plants & Animals Earth & Climate Fossils & Ruins