Improving the Quality of Care for Medicare Patients with Acute Myocardial Infarction: Results from the Cooperative Cardiovascular Project
Why the study?
Does a quality improvement program using data feedback by peer review organizations improve guideline adherence and mortality in Medicare patients with acute myocardial infarction?
Population
Medicare patients discharged with principal diagnoses of acute myocardial infarctions in the United States…
Comparison
Quality improvement program consisting of data… vs Preintervention baseline period and a concurrent…
Design
Cohort
Follow-up
1 year
Authors
Discussion
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Member takes
Implication
May support data-feedback QI programs for AMI; extends observational evidence but leaves causal effects open for RCTs.
Structured PICO
Does a quality improvement program using data feedback by peer review organizations improve guideline adherence and mortality in Medicare patients with acute myocardial infarction?
P
Population
Medicare patients discharged with principal diagnoses of acute myocardial infarctions in the United States, including pilot states (Alabama, Connecticut, Iowa, Wisconsin) and a national comparison sample.
I
Intervention
Quality improvement program consisting of data feedback by peer review organizations.
C
Comparator
Preintervention baseline period and a concurrent random sample of Medicare patients in the rest of the nation.
O
Outcome
Quality indicators derived from clinical practice guidelines, length of stay, and mortality (30-day and 1-year).hard clinical
A quality improvement program utilizing data feedback by peer review organizations significantly improved adherence to clinical guidelines and reduced mortality in Medicare patients with acute myocardial infarction.
Cite This Study
Marciniak et al. (1999) studied this question.