What are the key elements of a Continuous Quality Improvement (CQI) initiative for Interventional Cardiology and the Cardiac Catheterization Laboratory? ‣ Michael A. Kutcher, MD, FSCAI ‣ Henry S. Jennings, III, MD, FSCAI

**The SCAI-Quality Improvement Toolkit was developed with founding support from Daiichi Sankyo, Inc., and Lilly USA, LLC., and support from AstraZeneca. The Society gratefully acknowledges this support while taking sole responsibility for all content developed and disseminated through this effort.

 Structure  Process  Outcomes Donabedian A. The quality of care. How can it be assessed? J Am Med Assoc 1988;260:1743–1748.

STRUCTURE  Hospital and cath lab structure  Credentialing criteria  CME requirements  Generated monthly-quarterly-annual reports More details in SCAI Quality Improvement Toolkit (QIT) slide set

PROCESS  Monitoring specific patient care processes  Direct patient care  System related  Guideline related  Cost and utilization More details in SCAI Quality Improvement Toolkit (QIT) slide set

OUTCOMES  Monitoring outcomes on a regular basis  Data sharing and reporting  Focus on quality improvement More details in SCAI Quality Improvement Toolkit (QIT) slide set

 Klein LW, Uretsky BF, Chambers C, et al. Quality assessment and improvement in interventional cardiology: A position statement of the Society of Cardiovascular Angiography and Interventions, Part I: Standards for quality assessment and improvement in interventional cardiology. Cathet Cardiovasc Intervent 2011; 77:  Klein LW, Ho KKL, Singh M, et al. Quality assessment and improvement in interventional cardiology: A position statement of the Society of Cardiovascular Angiography and Interventions, Part II: Public reporting and risk adjustment. Cathet Cardiovasc Intervent 2011; 78:  Weintraub WS, Karlsberg RP, Tcheng JE, et al. ACCF/AHA 2011 key data elements and definitions of a base cardiovascular vocabulary for electronic health records: A report of the American College of Cardiology Foundation/American Heart Association Task Force on Clinical Data Standards. J Am Coll Cardiol 2011; 58:

 Director of cath lab or designate  Representative interventional cardiologists  Administrative director of cath lab  Additional representatives:  Cath lab nursing staff  Cath lab radiology technician staff  Non-interventional cardiologist  Cardiac surgeon  Emergency room physician  Non-cardiology internist  Hospital Cardiovascular administration  Hospital Quality Assurance staff Modified from Klein LW et al, CCI 2011;77:927-3

 Regular structured meetings  Identification of quality indicators  Systematic data collection using standard definitions  Analysis of data with benchmarking  Detection of areas that require improvement  Develop a plan to correct deficiencies  Repeat data collection to assess effect of corrective action  Random case review  Mechanism for external review of program Modified from Klein LW et al, CCI 2011;77:927-3

If you have feedback, questions, or suggestions for current or future SCAI-QIT Tip of the Month topics, please submit them at or at the s listed below. ‣ Michael A. Kutcher, MD, FSCAI ‣ Henry S. Jennings, III, MD, FSCAI

Follow us Like Our Pages: Facebook.com/SCAI Facebook.com/SecondsCountorg Join our network: LinkedIn/SCAI