ArticleJACC. Case reports2025
Improving Cardiovascular Quality Through Real-Time Data and Provider Engagement.
Article in JACC. Case reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundReal-time access to cardiovascular quality metrics may improve compliance with guideline-directed care. PROJECT RATIONALE: At University of Florida Health at Leesburg and Spanish Plaines, variability in door-to-balloon time and discharge medication adherence, combined with delays in feedback and limited transparency, prompted the launch of a structured quality improvement initiative. PROJECT SUMMARY: The intervention used Q-Centrix's Q-Apps Exception Reporting, which identifies outliers and documentation gaps as data are collected, without waiting for registry submission. Cardiologist-specific scorecards, one-on-one cardiologist feedback loops, leadership review, and ongoing monitoring were incorporated to improve transparency and drive engagement. Outcomes assessed included compliance with door-to-balloon times, discharge medication offering, major adverse events, bleeding, mortality, and provider compliance scores. Metrics from 5 quarters preintervention (Q1 2023-Q1 2024) were compared with 5 quarters postintervention (Q2 2024-Q2 2025) using the Fisher exact test and the Skillings-Mack test. TAKE-HOME MESSAGE: Real-time feedback combined with structured cardiologist engagement improved adherence to American College of Cardiology quality metrics and physician compliance scores.
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