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Peter Hesslein, MD, John Cushing (Children’s HeartLink) Presentation

At the 2nd International Cardiac Outreach Conference

March 20, 2004

Washington, DC

 

Quality Assurance:

 

Achieving a measurably high-level of cardiac services in collaboration with a site.

 

In carrying out medical missions, quality assurance is dependent on:

  1. Proper patient selection and scheduling
  2. Sticking to realistic goals
  3. Meaningful involvement of site team
  4. Appropriate type and level of learning – relevant and demonstrable
  5. Level and extent of care
    a. Complexity
    b. Use of resources
  6. Making commitments that can be accomplished
  7. Honest feedback and information exchange

Therefore, an organized approach to quality assurance is essential

 

1. Pre-trip preparations

      a. Define Objectives
            i.   Agreed upon patient focus
            ii.  Relevance to what site is currently doing
b. Visiting team orientation
            i.   Level of services currently provided – review of Partner Site statistics data / last visit
            ii.  Cultural sensitivities
            iii. Resources available

2. Pre-treatment

a. Review of program over the last year with particular focus on progress made since the last visit

b. Review objectives for the visit

c. Selection of patients in collaboration with the site team

             i. Site work up – decide on need for further testing

             ii. Scheduling – start up and end of visit cases

d. Modeling team approach – patient work up/treatment

e. Data collection – patient profile and preoperative checklist

 

3.  Treatment – Operative/Interventional Cath

a. Case review before and after treatment

b. Site team involvement/collaboration – observation of site team providing treatment

c. Use of available resources versus bringing in medical supplies

d. Data collection – treatment provided and outcome

 

Pediatric Cardiac Care Consortium

         Founded 1979, now 47 centers;

         Centralized data acquisition;

         Developed uniform coding and classification system, plus severity adjustment methodology;

         Analyzes data, maintaining patient and center anonymity;

         Disseminates results, aggregate and center-specific, to participants;

         Publishes scholarly papers and books detailing lesion-specific results and standards.

 

4.  Post-operative treatment

a. ICU Care – assured 24-hour consistency

b. Family interaction – information and access to patient

 

5.  Mission - End of week -   Wrap-up session involving both teams

a. Review of the week – how things went

b. Identify and discuss – additional needs and what can be done

 

6. Post-trip

       a. Debriefing of team members– Mission Debriefing Report

       b. Report back to site

 

To view Power Point Presentation in pdf (Adobe Acrobat) format, click here.