The Role of National Registries in Improving Quality of Care and Outcomes for Cardiovascular Disease. [Review]

MedStar author(s):
Citation: Methodist DeBakey cardiovascular journal. 16(3):205-211, 2020 Jul-Sep.PMID: 33133356Institution: MedStar Heart & Vascular InstituteForm of publication: Journal ArticleMedline article type(s): Journal Article | ReviewSubject headings: *Cardiology/st [Standards] | *Cardiovascular Diseases/th [Therapy] | *Outcome and Process Assessment, Health Care/st [Standards] | *Quality Improvement/st [Standards] | *Quality Indicators, Health Care/st [Standards] | *Registries/st [Standards] | Big Data | Cardiovascular Diseases/di [Diagnosis] | Humans | Public Reporting of Healthcare Data | Treatment OutcomeYear: 2020ISSN:
  • 1947-6108
Name of journal: Methodist DeBakey cardiovascular journalAbstract: Cardiovascular registries play an integral role in providing real-world data on a number of cardiovascular conditions and allowing measurement of quality metrics across a large cohort of patients. Over the past 35 years, the number of cardiovascular registries has skyrocketed, and their use will only continue to grow as data on novel procedures and devices will need to be collected and analyzed. The American College of Cardiology and Society of Thoracic Surgeons Transcatheter Valve Therapy Registry is just one example of a modern registry that plays a crucial role in collecting data on patients undergoing transcatheter valvular procedures. Through public reporting registries, data can be shared on a hospital and provider level for many quality performance measures. There remains much work to be done on allowing automated data extraction from the electronic medical record directly into registries. No matter how sophisticated and complete a registry is, it can never overcome the problem of treatment selection bias that is inherent in observational data. This review discusses the growth, benefits, and limitations of national registries and their role in developing evidence for best clinical practice, measuring outcomes, providing feedback to clinicians, and improving quality of care. Copyright (c) 2020 Houston Methodist Hospital Houston, Texas.All authors: Meltzer SN, Weintraub WSOriginally published: Methodist DeBakey cardiovascular journal. 16(3):205-211, 2020 Jul-Sep.Fiscal year: FY2021Digital Object Identifier: Date added to catalog: 2020-12-29
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Journal Article MedStar Authors Catalog Article 33133356 Available 33133356

Cardiovascular registries play an integral role in providing real-world data on a number of cardiovascular conditions and allowing measurement of quality metrics across a large cohort of patients. Over the past 35 years, the number of cardiovascular registries has skyrocketed, and their use will only continue to grow as data on novel procedures and devices will need to be collected and analyzed. The American College of Cardiology and Society of Thoracic Surgeons Transcatheter Valve Therapy Registry is just one example of a modern registry that plays a crucial role in collecting data on patients undergoing transcatheter valvular procedures. Through public reporting registries, data can be shared on a hospital and provider level for many quality performance measures. There remains much work to be done on allowing automated data extraction from the electronic medical record directly into registries. No matter how sophisticated and complete a registry is, it can never overcome the problem of treatment selection bias that is inherent in observational data. This review discusses the growth, benefits, and limitations of national registries and their role in developing evidence for best clinical practice, measuring outcomes, providing feedback to clinicians, and improving quality of care. Copyright (c) 2020 Houston Methodist Hospital Houston, Texas.

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