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Development of quality metrics for ambulatory pediatric cardiology: Transposition of the great arteries after arterial switch operation
dc.contributor.authorBaker‐smith, Carissa M.
dc.contributor.authorCarlson, Karina
dc.contributor.authorEttedgui, Jose
dc.contributor.authorTsuda, Takeshi
dc.contributor.authorJayakumar, K. Anitha
dc.contributor.authorPark, Matthew
dc.contributor.authorTede, Nikola
dc.contributor.authorUzark, Karen
dc.contributor.authorFleishman, Craig
dc.contributor.authorConnuck, David
dc.contributor.authorLikes, Maggie
dc.contributor.authorPenny, Daniel J.
dc.date.accessioned2018-02-05T22:13:27Z
dc.date.available2019-03-01T21:00:19Zen
dc.date.issued2018-01
dc.identifier.citationBaker‐smith, Carissa M. ; Carlson, Karina; Ettedgui, Jose; Tsuda, Takeshi; Jayakumar, K. Anitha; Park, Matthew; Tede, Nikola; Uzark, Karen; Fleishman, Craig; Connuck, David; Likes, Maggie; Penny, Daniel J. (2018). "Development of quality metrics for ambulatory pediatric cardiology: Transposition of the great arteries after arterial switch operation." Congenital Heart Disease 13(1): 52-58.
dc.identifier.issn1747-079X
dc.identifier.issn1747-0803
dc.identifier.urihttps://hdl.handle.net/2027.42/142334
dc.description.abstractObjectiveTo develop quality metrics (QMs) for the ambulatory care of patients with transposition of the great arteries following arterial switch operation (TGA/ASO).DesignUnder the auspices of the American College of Cardiology Adult Congenital and Pediatric Cardiology (ACPC) Steering committee, the TGA/ASO team generated candidate QMs related to TGA/ASO ambulatory care. Candidate QMs were submitted to the ACPC Steering Committee and were reviewed for validity and feasibility using individual expert panel member scoring according to the RANDâ UCLA methodology. QMs were then made available for review by the entire ACC ACPC during an â open comment period.â Final approval of each QM was provided by a vote of the ACC ACPC Council.PatientsPatients with TGA who had undergone an ASO were included. Patients with complex transposition were excluded.ResultsTwelve candidate QMs were generated. Seven metrics passed the RANDâ UCLA process. Four passed the â open comment periodâ and were ultimately approved by the Council. These included: (1) at least 1 echocardiogram performed during the first year of life reporting on the function, aortic dimension, degree of neoaortic valve insufficiency, the patency of the systemic and pulmonary outflows, the patency of the branch pulmonary arteries and coronary arteries, (2) neurodevelopmental (ND) assessment after ASO; (3) lipid profile by age 11 years; and (4) documentation of a transition of care plan to an adult congenital heart disease (CHD) provider by 18 years of age.ConclusionsApplication of the RANDâ UCLA methodology and linkage of this methodology to the ACPC approval process led to successful generation of 4 QMs relevant to the care of TGA/ASO pediatric patients in the ambulatory setting. These metrics have now been incorporated into the ACPC Quality Network providing guidance for the care of TGA/ASO patients across 30 CHD centers.
dc.publisherWiley Periodicals, Inc.
dc.publisherAgency for Healthcare Research and Policy
dc.subject.otherpediatrics
dc.subject.otherarterial switch operation
dc.subject.othertransposition
dc.subject.otherquality
dc.titleDevelopment of quality metrics for ambulatory pediatric cardiology: Transposition of the great arteries after arterial switch operation
dc.typeArticleen_US
dc.rights.robotsIndexNoFollow
dc.subject.hlbsecondlevelInternal Medicine and Specialties
dc.subject.hlbtoplevelHealth Sciences
dc.description.peerreviewedPeer Reviewed
dc.description.bitstreamurlhttps://deepblue.lib.umich.edu/bitstream/2027.42/142334/1/chd12540_am.pdf
dc.description.bitstreamurlhttps://deepblue.lib.umich.edu/bitstream/2027.42/142334/2/chd12540.pdf
dc.identifier.doi10.1111/chd.12540
dc.identifier.sourceCongenital Heart Disease
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dc.owningcollnameInterdisciplinary and Peer-Reviewed


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