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Binary decision-making algorithm improvements in heart attack care
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Using an algorithm as a decision-making framework to guide the care process for heart attack patients has been a highly successful approach within AMC client hospitals. Virtually 100% of the hospitals using this approach have improved – many of them have improved dramatically.
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The algorithm is the result of years of improvement experience and rooted in the peer reviewed medical literature. As an algorithm should, this decision-making framework has multiple points and intervals for potential measurement of the care process. While many data points are collected, improvement of a time dependent process with mission critical activities can be reduced to three forms of measurement: task specific metrics, time interval metrics, and cognitive metrics. Within this context, goals can be set. Metrics are reported as a composite percentage achievement of the goals.
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The Chest Pain RegistryTM (CPR) is the repository of the data. The CPR can be described as a longitudinal observational dataset. Containing 250,000 records since 1994, it is the largest and oldest heart attack database of its kind. In more recent years, an interactive analytic tool has been developed that AMC clients use in their improvement work: the Quality Improvement Interactive DashboardTM provides instantaneous answers to queries. For more information, contact: Tony Joseph, MD at Tony.Joseph@amcinc.us
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Cycle III Chest Pain Center Accreditation Preparation
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Cycle III preparation available:
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1.
Answer questions by phone. (Unlimited Calls)
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2.
Notebook review and answer questions by phone. (Unlimited Calls)
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3.
On-site notebook completion with walk-thru (one reviewer).
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4.
Mock site visit, notebook review, flow diagram development, AMC Wayfinding™, and signage presentation (two reviewers).
Let us help you prepare for Chest Pain Center Accreditation. [read more] |
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Cultural Change: Opportunity to Impact Healthcare in America
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We know that emergency physicians will care for over 120 million patients this year. We know the socioeconomic, political, and legal environment in which we work. We know others that show up day after day and join with us to meet the human needs of so many who come to us for help. We know we can do better – and want to. But how can we do better while we ourselves are bobbing up and down for air – treading water – as we try to make it through the week?
[read more]
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Chest Pain Center Accreditation - Cycle III
Quality Metric Requirements
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Meet your Chest Pain Center Accreditation quality metric needs with the Chest Pain Registry and the Quality Improvement Interactive Dashboard® (QIID®).
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Chest Pain Center Accreditation requires quality metrics in several of the Key Elements.
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The Chest Pain Registry and the Quality Improvement Interactive Dashboard® meet or exceed Chest Pain Center Accreditation quality metric requirements.
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About the Chest Pain Registry and the Quality Improvement Interactive Dashboard®…
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The Chest Pain Registry (CPR) is the oldest and largest symptom-based national registry. CPR includes not only acute coronary syndromes (STEMI, NSTEMI, and unstable angina) but also chest pain (not of cardiac origin). Started in 1994, CPR has been used by hundreds of hospitals to improve their clinical processes. Peer-reviewed articles from CPR have been published. Abstracts were presented at the 2008 annual meeting of the American College of Cardiology.
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Quality metric analysis just got easier with the Quality Improvement Interactive Dashboard®. QIID® provides 24/7 Internet based interactive analysis that is as fast as the blink of an eye. Additionally, control charts are a built-in automatic feature. You can literally slice and dice your data in nearly any way conceivable.
[read more] |
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