Guideline implementation
Conditions
Interventions
We will carry out a multifaceted guideline implementation intervention, consisting of three elements:
1. A CCDS system at the point of care based on the most recent guidelines for CR
2. Quarterly feedback on quality indicators for CR, and
3. Educational outreach visits using an online tool to set up a quality improvement plan together with a local quality improvement team.
The first element is particularly directed at internal barrier
clinics in arm B will receive the intervention directed at improving concordance for the exercise therapy and the relaxation and stress management training.
For each participating clinic the study pe
Sponsors
Academic Medical Centre (AMC) (Netherlands) (Principal Investigator Niels Peek)
Eligibility
Inclusion criteria
Inclusion criteria: Clinical level: All cardiac rehabilitation clinics that electronically collect the items of the minimal dataset and are willing to dispose their data for research are eligible to participate in the study. Patient level: All cardiac patients who go through the needs assessment procedure and actual start a CR programme during the study period will be included in the analyses.
Exclusion criteria
Exclusion criteria: Non; all patients are eligible to be enrolled in the system, as the CR guidelines apply to all CR patients.
Design outcomes
Secondary
| Measure | Time frame |
|---|---|
| Improvent on quality indicators in the field of cardiac rehabilitation. The quality indicators include a) process variables (e.g. frequency with which clinical measurement instruments are employed), b) outcome variables (e.g. changes in patient health status after rehabilitation), and c) structure variables (e.g. presence of precondition to be adherent to CR guidelines). | — |
Primary
| Measure | Time frame |
|---|---|
| Guideline adherence in the field of cardiac rehabilitation. Based on the scores on the different developed quality indicators it will be indicated whether the needs assessment and the therapy indication procedure were carried out in adherence with the guidelines. We defined adherence at the level of the patient; it implied treating patients who should have been treated and not treating patients who should have been untreated, according to the guideline. | — |
Contacts
Public ContactMariette M. Engen-Verheul, van
Academic Medical Center Department of Medical Informatics Room number J1b-113-2 P.O. 22660
Outcome results
None listed