Organization of outcome-based quality improvement in Dutch heart centres

Dennis Van Veghel, Edgar J Daeter, Matthijs Bax, Giovanni Amoroso, Yuri Blaauw, Cyril Camaro, Paul Cummins, Frank R Halfwerk, Inez J Wijdh-den Hamer, Jonas S S G De Jong, Wim Stooker, Philip J Van Der Wees, Paul B Van Der Nat*

*Corresponding author for this work

    Research output: Contribution to journalArticleAcademicpeer-review

    26 Downloads (Pure)

    Abstract

    Aims 
    Fourteen Dutch heart centres collected patient-relevant outcomes to support quality improvements in a value-based healthcare initiative that began in 2012. This study aimed to evaluate the current state of outcome-based quality improvement within six of these Dutch heart centres.

    Methods and results 
    Interviews and questionnaires among physicians and healthcare professionals in the heart centres were combined in a mixed-methods approach. The analysis indicates that the predominant focus of the heart centres is on the actual monitoring of outcomes. A systematic approach for the identification of improvement potential and the selection and implementation of improvement initiatives is lacking. The organizational context for outcome-based quality improvement is similar in the six heart centres.

    Conclusion 
    Although these heart centres in the Netherlands measure health outcomes for the majority of cardiac diseases, the actual use of these outcomes to improve quality of care remains limited. The main barriers are limitations regarding (i) data infrastructure, (ii) a systematic approach for the identification of improvement potential and the selection and implementation of improvement initiatives, (iii) governance in which roles and responsibilities of physicians regarding outcome improvement are formalized, and (iv) implementation of outcomes within hospital strategy, policy documents, and the planning and control cycle.
    Original languageEnglish
    Number of pages6
    JournalEuropean heart journal. Quality of care & clinical outcomes
    DOIs
    Publication statusE-pub ahead of print/First online - 26 Apr 2019

    Fingerprint

    Quality Improvement
    Organizations
    Delivery of Health Care
    Physician's Role
    Quality of Health Care
    Netherlands
    Heart Diseases
    Outcome Assessment (Health Care)
    Physicians
    Health

    Keywords

    • UT-Hybrid-D

    Cite this

    Van Veghel, Dennis ; Daeter, Edgar J ; Bax, Matthijs ; Amoroso, Giovanni ; Blaauw, Yuri ; Camaro, Cyril ; Cummins, Paul ; Halfwerk, Frank R ; Wijdh-den Hamer, Inez J ; De Jong, Jonas S S G ; Stooker, Wim ; Van Der Wees, Philip J ; Van Der Nat, Paul B. / Organization of outcome-based quality improvement in Dutch heart centres. In: European heart journal. Quality of care & clinical outcomes. 2019.
    @article{766bc0774b364bc98f740c163c8ab536,
    title = "Organization of outcome-based quality improvement in Dutch heart centres",
    abstract = "Aims Fourteen Dutch heart centres collected patient-relevant outcomes to support quality improvements in a value-based healthcare initiative that began in 2012. This study aimed to evaluate the current state of outcome-based quality improvement within six of these Dutch heart centres.Methods and results Interviews and questionnaires among physicians and healthcare professionals in the heart centres were combined in a mixed-methods approach. The analysis indicates that the predominant focus of the heart centres is on the actual monitoring of outcomes. A systematic approach for the identification of improvement potential and the selection and implementation of improvement initiatives is lacking. The organizational context for outcome-based quality improvement is similar in the six heart centres.Conclusion Although these heart centres in the Netherlands measure health outcomes for the majority of cardiac diseases, the actual use of these outcomes to improve quality of care remains limited. The main barriers are limitations regarding (i) data infrastructure, (ii) a systematic approach for the identification of improvement potential and the selection and implementation of improvement initiatives, (iii) governance in which roles and responsibilities of physicians regarding outcome improvement are formalized, and (iv) implementation of outcomes within hospital strategy, policy documents, and the planning and control cycle.",
    keywords = "UT-Hybrid-D",
    author = "{Van Veghel}, Dennis and Daeter, {Edgar J} and Matthijs Bax and Giovanni Amoroso and Yuri Blaauw and Cyril Camaro and Paul Cummins and Halfwerk, {Frank R} and {Wijdh-den Hamer}, {Inez J} and {De Jong}, {Jonas S S G} and Wim Stooker and {Van Der Wees}, {Philip J} and {Van Der Nat}, {Paul B}",
    note = "Oxford UP deal",
    year = "2019",
    month = "4",
    day = "26",
    doi = "10.1093/ehjqcco/qcz021",
    language = "English",
    journal = "European heart journal. Quality of care & clinical outcomes",
    issn = "2058-5225",
    publisher = "Oxford University Press",

    }

    Van Veghel, D, Daeter, EJ, Bax, M, Amoroso, G, Blaauw, Y, Camaro, C, Cummins, P, Halfwerk, FR, Wijdh-den Hamer, IJ, De Jong, JSSG, Stooker, W, Van Der Wees, PJ & Van Der Nat, PB 2019, 'Organization of outcome-based quality improvement in Dutch heart centres', European heart journal. Quality of care & clinical outcomes. https://doi.org/10.1093/ehjqcco/qcz021

    Organization of outcome-based quality improvement in Dutch heart centres. / Van Veghel, Dennis; Daeter, Edgar J; Bax, Matthijs; Amoroso, Giovanni; Blaauw, Yuri; Camaro, Cyril; Cummins, Paul; Halfwerk, Frank R; Wijdh-den Hamer, Inez J; De Jong, Jonas S S G; Stooker, Wim; Van Der Wees, Philip J; Van Der Nat, Paul B.

    In: European heart journal. Quality of care & clinical outcomes, 26.04.2019.

    Research output: Contribution to journalArticleAcademicpeer-review

    TY - JOUR

    T1 - Organization of outcome-based quality improvement in Dutch heart centres

    AU - Van Veghel, Dennis

    AU - Daeter, Edgar J

    AU - Bax, Matthijs

    AU - Amoroso, Giovanni

    AU - Blaauw, Yuri

    AU - Camaro, Cyril

    AU - Cummins, Paul

    AU - Halfwerk, Frank R

    AU - Wijdh-den Hamer, Inez J

    AU - De Jong, Jonas S S G

    AU - Stooker, Wim

    AU - Van Der Wees, Philip J

    AU - Van Der Nat, Paul B

    N1 - Oxford UP deal

    PY - 2019/4/26

    Y1 - 2019/4/26

    N2 - Aims Fourteen Dutch heart centres collected patient-relevant outcomes to support quality improvements in a value-based healthcare initiative that began in 2012. This study aimed to evaluate the current state of outcome-based quality improvement within six of these Dutch heart centres.Methods and results Interviews and questionnaires among physicians and healthcare professionals in the heart centres were combined in a mixed-methods approach. The analysis indicates that the predominant focus of the heart centres is on the actual monitoring of outcomes. A systematic approach for the identification of improvement potential and the selection and implementation of improvement initiatives is lacking. The organizational context for outcome-based quality improvement is similar in the six heart centres.Conclusion Although these heart centres in the Netherlands measure health outcomes for the majority of cardiac diseases, the actual use of these outcomes to improve quality of care remains limited. The main barriers are limitations regarding (i) data infrastructure, (ii) a systematic approach for the identification of improvement potential and the selection and implementation of improvement initiatives, (iii) governance in which roles and responsibilities of physicians regarding outcome improvement are formalized, and (iv) implementation of outcomes within hospital strategy, policy documents, and the planning and control cycle.

    AB - Aims Fourteen Dutch heart centres collected patient-relevant outcomes to support quality improvements in a value-based healthcare initiative that began in 2012. This study aimed to evaluate the current state of outcome-based quality improvement within six of these Dutch heart centres.Methods and results Interviews and questionnaires among physicians and healthcare professionals in the heart centres were combined in a mixed-methods approach. The analysis indicates that the predominant focus of the heart centres is on the actual monitoring of outcomes. A systematic approach for the identification of improvement potential and the selection and implementation of improvement initiatives is lacking. The organizational context for outcome-based quality improvement is similar in the six heart centres.Conclusion Although these heart centres in the Netherlands measure health outcomes for the majority of cardiac diseases, the actual use of these outcomes to improve quality of care remains limited. The main barriers are limitations regarding (i) data infrastructure, (ii) a systematic approach for the identification of improvement potential and the selection and implementation of improvement initiatives, (iii) governance in which roles and responsibilities of physicians regarding outcome improvement are formalized, and (iv) implementation of outcomes within hospital strategy, policy documents, and the planning and control cycle.

    KW - UT-Hybrid-D

    U2 - 10.1093/ehjqcco/qcz021

    DO - 10.1093/ehjqcco/qcz021

    M3 - Article

    JO - European heart journal. Quality of care & clinical outcomes

    JF - European heart journal. Quality of care & clinical outcomes

    SN - 2058-5225

    ER -