Expecting Success:Excellence in Cardiac

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EXPECTING SUCCESS:

Quality, Measurement and DisparitiesFebruary 6, 2006

Bruce Siegel MD MPH

Expecting Success:Excellence in Cardiac

CareWhat is Expecting Success?• Multi-hospital collaborative Learning Network designed to

improve cardiac care for Blacks and Latinos

– Using quality improvement and evidence-based practice for inpatient and outpatient MI and HF care

– Monthly standardized reporting of 23 performance measures by race, ethnicity, language; surveys of patient experience at 3 points

– Runs 29 months, with seven in-person meetings, monthly conference calls

– Designed to provide “real-time” lessons to industry, with external evaluation by NYU

Expecting Success:Excellence in Cardiac

CareExpecting Success Centers

Duke University Hospital

Durham, NC

Mount Sinai HospitalChicago, IL

Sinai-Grace HospitalDetroit, MI

Montefiore Medical CenterNew York, NY

Memorial Regional Hospital

Hollywood, FL

University of Mississippi Medical CenterJackson, MSDelta Regional Medical Center

Greenville, MS

University Health SystemSan Antonio, TX

Del Sol Medical CenterEl Paso, TX

Washington Hospital CenterWashington, DC

Expecting Success:Excellence in Cardiac

Care

Expecting Success:Excellence in Cardiac

Care

Expecting Success:Excellence in Cardiac

CareImplications for Policy

• Can we mandate and standardize the collection of race, ethnicity and language data?

• What are the implications for:– Public Reporting?– Pay for Performance?

• Can we craft legal “safe harbors” for providers to encourage work on disparities?