Where are we now? VCOR.

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Presentation transcript:

Where are we now? VCOR

Background Early Epidemiology 1930s Business management principles Cardiology as medical specialty Journal articles and lobbying Australian Commission on Safety and Quality in Healthcare 2011 VCOR approval 2013 VCOR start

Victorian Cardiac Outcomes Registry Support appropriateness of care, effectiveness of care & to support ongoing improvement of health care Coordination Funding Governance Opt-out consent Public annual report http://www.vcor.org.au/annual-reports

2 Bendigo, 2 Ballarat, 3 Geelong

Since Jan 2013…… 79% of Victorian PCI hospitals participated in VCOR in 2015 100 interventional cardiologists 28,500 completed cases Each hospital download own data for internal reporting Cohort for benchmarking 3 hospitals not contributing will commence in 2017 to end Sep 2016

Since Jan 2013… Conference Presentations - CSANZ 2016, ANZSCTS Annual Meeting, Alfred Health Research Week, NHMRC Symposium on Research Translation First publication Journal of International Cardiology Prevalence and outcomes of trans -radial access for percutaneous coronary intervention in contemporary practice Muhammad Asrar ul Haq, It Meng Tsay, Diem T. Dinh, Angela Brennan, David Clark, Nicholas Cox, Richard Harper, Voltaire Nadurata, Nick Andrianopoulos, Christopher Reid, Stephen J. Duffy, Jeffrey Lefkovits and William J. van Gaal

International Public Reporting NICOR – National Institute for Cardiovascular Outcomes Research Hospitals identified Sweden – Swedeheart Angio, CTCA, surgery

Unadjusted Mortality % 1.6 VCOR 2015 Sweden 2015 UK 2014 Age (mean) 65 66 Age > 80yrs % 11 15 n/a Female % 23 27 25 Diabetes Medication % 21 ACS % 53 70 64 Acute STEMI % 18 20 Radial Approach % 45 83 86 DES % 77 98 Unadjusted Mortality % 1.6 STEMI Mortality % 5.6 7 5.3 Door-to-Device <90min % 90 VIC radial an increase 8% from 2014. STEMI Mortality 7.4% in 2014

Other VCOR Projects STEMI module regional centres Linkage STEMI and PCI modules Heart Failure snapshot Linkage with Ambulance Vic and (VAED) Victorian Admitted Episodes Database underway Linkage to ANZSCTS Implantable device module

Summary Valuable performance measure for PCI safety & quality in Victoria Insight into trends in treatment patterns All inclusive by 2017 Annual Public report