Chest Pain Center Accreditation Is Associated With Better Performance of Centers for Medicare and Medicaid Services Core Measures for Acute Myocardial Infarction

Ross, Michael A.; Amsterdam, Ezra A.; Peacock, W. Frank; Graff, Louis; Fesmire, Francis M.; Garvey, J. Lee; Kelly, Sue; Holmes, Katherine A.; Karunaratne, H B; Toth, Margaret; Dadkhah, Shahriar; McCord, James

doi:10.1016/j.amjcard.2008.03.028

Cited by 41 publications

(26 citation statements)

References 11 publications

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“…Only 28 studies involved comparisons of accredited and non-accredited health services or health service units. Examples of positive findings concerning the relationship between accreditation and organisational performance levels include: a trend between accreditation outcomes and clinical indicator performance in hospitals;6 an association between chest pain centre accreditation and compliance with quality measures regarding acute myocardial infarction;70 and a relationship between accreditation and hospital performance on publicly reported evidence-based processes of care measures 51. Negative findings were also identified, including a study which found that accreditation of health plans was positively associated with some measures of Health Plan and Employer Data Information Set quality, but did not assure a minimal level of performance 118…”

Section: Resultsmentioning

confidence: 99%

Narrative synthesis of health service accreditation literature

et al. 2012

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Due to the limitations of the literature, it is not prudent to make strong claims about the effectiveness of health service accreditation. Nonetheless, several critical issues and knowledge-gaps were identified that may help stimulate and inform discussion among healthcare stakeholders. Ongoing effort is required to build upon the accreditation evidence-base by using high quality experimental study designs to examine the processes, effectiveness and financial value of accreditation programmes and their critical components in different healthcare domains.

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Section: Resultsmentioning

confidence: 99%

Narrative synthesis of health service accreditation literature

et al. 2012

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“…15,16 The SCPC has partnered with the National Cardiovascular Data Registry's ACTION Registry GWTG, an initiative of the American College of Cardiology and the American Heart Association. 5 This quality improvement data instrument focuses on high-risk STEMI and non-STEMI myocardial infarction patients.…”

Section: Current Status Of Accredited Cpcs In the United Statesmentioning

confidence: 99%

Chest Pain Centers

Breuckmann

Burt

Melching

et al. 2015

Critical Pathways in Cardiology: A Journal of Evidence-Based Medicine

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“…Furthermore, chest pain units, employing accelerated diagnostic strategies have improved care and provided a more uniform approach to chest pain patients. 4 Clinical risk stratification is an important initial approach, often using risk indices such as TIMI 5 and GRACE. 6 However, these indices rely primarily on serial ECG and troponin determination, often requiring extending periods of observation, and although the development of high sensitivities troponin assays have improved the time to diagnosis, 6-8 hours of monitoring are still mandated.…”

Section: Introductionmentioning

confidence: 99%