Key result
A statewide collaborative initiative improved the total appropriate care measure for acute myocardial infarction and heart failure to 77% versus 60% in matched nonparticipating hospitals (P<0.0001).
Why the study?
Does a statewide collaborative quality improvement initiative improve adherence to discharge measures for acute myocardial infarction and heart failure?
Population
Hospitals treating patients with acute myocardial infarction and heart failure in Virginia
Comparison
Statewide collaborative quality improvement… vs Nonparticipating hospitals
Design
Cohort
Follow-up
2004 through second quarter of 2006
Authors
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May enhance AMI/HF discharge care quality; extends observational evidence on collaboratives but leaves causal effects open.
Observational (n=42)
Yes
Does a statewide collaborative quality improvement initiative improve adherence to discharge measures for acute myocardial infarction and heart failure?
Absolute Event Rate: 77% vs 60%
p-value: p=<0.0001
A statewide collaborative initiative improved composite quality of care measures for acute myocardial infarction and heart failure, though the effect appeared dependent on participation in a prior collaborative.
Brush et al. (2009) conducted an observational in Acute myocardial infarction and heart failure (n=42). Statewide collaborative initiative vs. Nonparticipating hospitals was evaluated on Total appropriate care measure (p=<0.0001). A statewide collaborative initiative improved the total appropriate care measure for acute myocardial infarction and heart failure to 77% versus 60% in matched nonparticipating hospitals (P<0.0001).
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