Development of a System to Measure and Improve Outcomes in Congenital Heart Disease: Heart Institute Safety, Quality, and Value Program Katherine Clarke-Myers,

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Development of a System to Measure and Improve Outcomes in Congenital Heart Disease: Heart Institute Safety, Quality, and Value Program Katherine Clarke-Myers, PhD, David S. Cooper, MD, MPH, Samuel P. Hanke, MD, MS, Jean Storey, MS, RN, Mark McDonald, MA, Thomas R. Kimball, MD, Jeffrey B. Anderson, MD, MPH, MBA Joint Commission Journal on Quality and Patient Safety Volume 45, Issue 7, Pages 495-501 (July 2019) DOI: 10.1016/j.jcjq.2019.04.003 Copyright © 2019 The Authors Terms and Conditions

Figure 1 This chart depicts the organizational structure for the SQV program during the first four years. Solid lines indicate a formal direct reporting relationship, and dotted lines indicate an indirect reporting relationship. SQV, Safety, Quality and Value; HI, Heart Institute; QI, quality improvement; AVP, assistant vice president. Joint Commission Journal on Quality and Patient Safety 2019 45, 495-501DOI: (10.1016/j.jcjq.2019.04.003) Copyright © 2019 The Authors Terms and Conditions

Figure 2 This diagram represents the framework that guided the HI’s approach to data transparency. Five distinct categories of data users were defined, and expectations about data sharing and transparency were defined for each group. The defined groups included individuals internal to the HI, leaders from within the broader organization, registries and learning network partners, patients and families, and the public at large. HI, Heart Institute; SQV, Safety, Quality and Value; CCHMC, Cincinnati Children’s Hospital Medical Center; STS, Society of Thoracic Surgeons; IMPACT, Improving Pediatric and Adult Congenital Treatments. Joint Commission Journal on Quality and Patient Safety 2019 45, 495-501DOI: (10.1016/j.jcjq.2019.04.003) Copyright © 2019 The Authors Terms and Conditions