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

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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

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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.
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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.",
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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

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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

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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.

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SN - 2058-5225

ER -