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

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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

    Keywords

    • UT-Hybrid-D

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