4. 4 What is Get With The Guidelines? It’s not a registry, it’s Continuous Quality Improvement The integration and translation of: –Evidence-based medicine –Technological based, decision support, data collection and feedback introduced at the point of care –A cultural system CHANGE within hospitals, market, state, & country to operate in an integrated seamless manner –Mechanisms to continuously improve and measure quality In essence, a paradigm shift for health care delivery

5. The Five GWTG Implementation Steps Assess Adherence Rates Analyze current adherence rates Measure Protocol/Process GWTG team tests and measures the adherence rates for the refined Process/Protocols Refine Process/Protocols GWTG team reviews PMT reports and hypothesize the “fix” Implement Refined Protocol/Process GWTG team Implements “fixed” Protocols/Process to all applicable areas Designate A Champion and Build Your Team

6. Get With The Guidelines Works! Hospitals Participating in GWTG Provide Higher Quality Care with Better Clinical Outcomes than Other Hospitals

8. Temporal Trends in Acute Stroke and TIA Care 2003-2009 Temporal trend P value is <0.0001 for each measure Fonarow GC et al. Circ Cardiovasc Qual Outcomes. 2010 epub Feb 22

9. Racial and Ethnic Differences in the Treatment of Acute Myocardial Infarction Findings From Get With The Guidelines ® -CAD Program Mauricio G. Cohen, MD; Gregg C. Fonarow, MD; Eric D. Peterson, MD, MPH; Mauro Moscucci, MD, MBA; David Dai, MHS ; Adrian F. Hernandez, MD, MHS; Robert O. Bonow, MD; Sidney C. Smith, Jr., MD Cohen et al. Circulation. ePub May 17, 2010

10. Defect-Free Care Cohen et al. Circulation. ePub May 17, 2010