Improving Cardiovascular Quality Through Real-Time Data and Provider Engagement

BACKGROUND: Real-time access to cardiovascular quality metrics may improve compliance with guideline-directed care. PROJECT RATIONALE: At University of Florida Health at Leesburg and Spanish Plaines, variability in door-to-balloon time and discharge medication adherence, combined with delays in feedback and limited transparency, prompted the launch of a structured quality improvement initiative. PROJECT SUMMARY: The intervention used Q-Centrix's Q-Apps Exception Reporting, which identifies outliers and documentation gaps as data are collected, without waiting for registry submission. Cardiologist-specific scorecards, one-on-one cardiologist feedback loops, leadership review, and ongoing monitoring were incorporated to improve transparency and drive engagement. Outcomes assessed included compliance with door-to-balloon times, discharge medication offering, major adverse events, bleeding, mortality, and provider compliance scores. Metrics from 5 quarters preintervention (Q1 2023-Q1 2024) were compared with 5 quarters postintervention (Q2 2024-Q2 2025) using the Fisher exact test and the Skillings-Mack test. TAKE-HOME MESSAGE: Real-time feedback combined with structured cardiologist engagement improved adherence to American College of Cardiology quality metrics and physician compliance scores.