Innovación y Calidad en el Sistema Nacional de Salud Miércoles, 25 de Junio de 2014 17:00h http://debateSEC.secardiologia.es Proyecto INCARDIO Dr. José Luis López-Sendón Hentschel Coordinador del proyecto SEC: INCARDIO

1. Título
Autor
José López-Sendón
Hospital U. La Paz. Madrid
IdiPaz

2. Definir y seleccionar indicadores mínimos
de calidad en cardiología
OBJETIVO

3. Quality of Care Clusters
Results
Quality
controls
Local
protocols
Staff
expertise
Research
& CME
Guideline
adherence
Accreditation
Institution
Technology
Unique
Programs
Hospital
volume
Delivery of
care
Budget
Attitude
Profesionalism
Patient

4. Quality of Care Result
ResultsCost control
Accreditation
Patient
satisfaction
Guideline
compliance
Efficiency
Stroke
Mortality
Hospitalization
Heart failure
Arrhythmia
Open artery
Iatrogenia
Medical errors
Results

5. Grading Relevance Difficulty Auditable Evidence
1
Mayor
outcomes
Data available
in all hospitals
by law
Data public,
avaliable on file
Self evident
Class I, Level A in
ESC / AHA / ACC
guidelines
2
Outcome
surrogates
Class I in
guidelines
Data available
in hospitals
Voluntary
disclosures
< Class I, Level A in
ESC / AHA / ACC
guidelines
3
Outcome
surrogates
Class < I in
guidelines
Easy data, not
in all hospitals
Data on file but
difficult
Level C in guidelines
4 Opinion
Need of an
organized registry
Data
impossible
Opinion surveys
Grading of Quality Markers / Metrics

6. Grading Relevance Difficulty Auditable Evidence
1
Mayor
outcomes
Data available
in all hospitals
by law
Data public,
avaliable on file
Self evident
Class I, Level A in
ESC / AHA / ACC
guidelines
2
Outcome
surrogates
Class I in
guidelines
Data available
in hospitals
Voluntary
disclosures
< Class I, Level A in
ESC / AHA / ACC
guidelines
3
Outcome
surrogates
Class < I in
guidelines
Easy data, not
in all hospitals
Data on file but
difficult
Level C in guidelines
4 Opinion
Need of an
organized registry
Data
impossible
Opinion surveys
Grading of Quality Markers / Metrics

7. José López-Sendón
José R. G. Juanatey
Arritmias Esteban Torrecilla
Cirugía Cardiaca José Luis Pomar
Clínica Jose Zamorano
C Intens. Cardiológicos Alexandro Sionis
Hemodinámica Juan R. López Minguez
Imagen Alicia Maceira
Insuficiencia cardiaca Domingo Pascual
Prevención Regina Dalmau

8. • Definir y seleccionar indicadores mínimos de calidad
• Revisión y aprobación por secciones SEC y organismos
oficiales, incluido Ministerio de Sanidad Consumo e Igualdad
• Revisión AHA-ACC / ESC
• Publicación / presentacion congreso SEC 2014
• Obtención de datos en hospitales, comunidades, nacional
• Datos auditables y públicos
• Otras acciones
OBJETIVO