TEAMWORK for Your Heart...
The Snider Cardiovascular Institute is a patient-focused, evidence-based and quality-driven team of physicians that work to reduce door to balloon times across the state of Ohio. A board leads the Snider Cardiovascular Institute with a variety of representatives from the medical field involved in the delivery of cardiovascular services. Each board member leads a committee that has been assigned a specific quality goal for improvement.
Recent Accomplishments of the Institute Include:
- Establish a clinical research program
- Launch a renal access program
- Reduce the time between the first medical contact with a heart attack patient and balloon angioplasty
- Reduce hospital re-admissions within 30 days for congestive heart failure and heart attack patients
- Continuously improve staff satisfaction scores
- Implement evidence-based protocols for lipid management
- Implement evidence-based protocols for hypertension management
- Enhance protocol management for treatment of deep vein thrombosis and chest pain evaluation
Regular board and committee meetings are held to ensure that all physicians of the Snider Cardiovascular Institute are successfully working towards goal-based initiatives. Physicians receive annual incentives based on progress and quality improvement.
Quality Report Card:
Heart attacks often occur when blood clots cause blockages in blood vessels, depriving the heart of sufficient oxygen. Time is critical to save lives and prevent brain damage. To monitor care quality, hospitals nationwide measure the time between a patient reaching the hospital’s door and the time he or she receives a procedure to re-open the clogged artery. A common procedure used for these patients is angioplasty, which involves a balloon being inserted and expanded within the artery; hence the metric is named “Door to Balloon Time."
Hospitals also measure the overall care of heart attack patients by combining several metrics into a “Performance Composite” score, which encompasses both time-to-treatment and patient outcomes. The chart below shows the Performance Composite for both heart attack patients overall and those patients meeting door to balloon criteria.
*Quality data is provided by the National Cardiovascular Data Registry (NCDR), which is endorsed by the American College of Surgeons, American College of Emergency Physicians, Society of Chest Pain Centers, American Heart Association and the Society of Hospital Medicine.
**Data represents 2011 average.
***Data represents the 4th quarter of 2011.