Hospitals that had consistently good performance for both acute myocardial infarction and heart failure care had significantly lower mortality than those with good performance in only one or neither of these, according to a study in the Journal of the American College of Cardiology.
The study examined data from January 2005 and April 2009 for hospitals submitting 10 or more patients to the Get with the Guidelines AMI or HF programs.
- The median adherence rate for AMI core measure was 93.2%.
- The median adherence rate for HF core measures was 92.1%.
- Top performing hospitals had a risk-adjusted mortality rate of 3.3%, compared with 4.2% for those that were not top performers in both.
- Top performing hospitals tended to be large teaching hospitals
The authors conclude that a single scoring system to assess global, rather than condition-specific, quality of cardiovascular care should be examined.