Performance achievement award program for Get With The Guidelines--Coronary Artery Disease is associated with global and sustained improvement in cardiac care for patients hospitalized with an acute myocardial infarction.

Published

Journal Article

BACKGROUND: Adherence to evidence-based guidelines for the treatment of coronary artery disease (CAD) is suboptimal. Our goal was to determine whether the performance achievement award program for Get With The Guidelines-Coronary Artery Disease (GWTG-CAD) was associated with global and sustained adherence to evidence-based guidelines for acute myocardial infarction. METHODS: Adherence to evidence-based guidelines was assessed in 170,061 hospitalized acute myocardial infarction patients from 418 US hospitals participating in GWTG-CAD from 2000 to 2008. Hospitals that received a performance achievement award by attaining 85% adherence with 6 GWTG performance measures for at least 12 consecutive months were compared with those that had enrolled in the GWTG-CAD and had not attained this level of adherence. The outcome measures were change in adherence for 6 GWTG performance measures, 9 GWTG quality measures, a composite score, and an all-or-none measure. Generalized estimating equations were used to provide valid inference accounting for the within site correlation. RESULTS: Hospitals that maintained 85% adherence with GWTG performance measures for at least 12 consecutive months had a higher composite score (94.78 +/- 15.99% vs. 89.72 +/- 21.37, P < 0.0001) and an all-or-none measure (87.17% vs. 75.15%, P < 0.0001) compared with hospitals that had not yet attained this level of adherence. Hospital adherence with performance and quality measures generally improved over time. CONCLUSIONS: In conclusion, the performance achievement award program for GWTG-CAD was associated with global and sustained adherence to evidence-based guidelines. Our data suggest that this tool is a useful component of a quality improvement initiative and should be considered for other similar programs.

Full Text

Cited Authors

  • Birtcher, KK; Pan, W; Labresh, KA; Cannon, CP; Fonarow, GC; Ellrodt, G

Published Date

  • September 2010

Published In

Volume / Issue

  • 9 / 3

Start / End Page

  • 103 - 112

PubMed ID

  • 20802262

Pubmed Central ID

  • 20802262

Electronic International Standard Serial Number (EISSN)

  • 1535-2811

International Standard Serial Number (ISSN)

  • 1535-282X

Digital Object Identifier (DOI)

  • 10.1097/hpc.0b013e3181ed763e

Language

  • eng