About 2.4 million Canadians have heart disease. It is the second leading cause of death in Canada. CIHI collects and publicly releases data on the quality of cardiac care to support improvements in care and ultimately in the health of Canadians.
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The 2017 Cardiac Care Quality Indicators Report provides pan-Canadian comparable information on mortality and readmission outcomes related to selected cardiac interventions:
- Percutaneous coronary intervention (PCI)
- Coronary artery bypass graft (CABG)
- Aortic valve replacement (AVR)
It looks at 6 indicators that the Canadian Cardiovascular Society (CCS) considers essential for examining quality in cardiac care (see the CCS Quality Project for more information), as well as 1 volume measure:
- 30-Day In-Hospital Mortality After PCI
- 30-Day In-Hospital Mortality After Isolated CABG
- 30-Day In-Hospital Mortality After Isolated AVR
- 30-Day In-Hospital Mortality After CABG and AVR
- 30-Day Readmission Rate After PCI
- 30-Day Readmission Rate After Isolated CABG
- PCI Volume by Centre (measure, not risk-adjusted)
Reporting is at the Canadian, provincial and cardiac care centre levels.
Results are based on 3 fiscal years of pooled data: 2013–2014, 2014–2015 and 2015–2016.
Cardiac care is delivered by many different health care professionals. The report’s results reflect the care provided by the health care system as a whole rather than being attributable to a particular physician within a centre.
The goals of the report are to
- Increase transparency related to performance of the cardiac health system
- Make data more accessible to a variety of audiences, including physicians, to support quality improvement
- Encourage collaboration and contribute to the sharing of best practices in the Canadian cardiac care community
To accelerate improvements in the quality of cardiac care through the use of nationally comparable indicators, CIHI and the CCS collaborate to
- Review and refine existing Cardiac Care quality indicators to ensure they are of high quality and meaningful to the Canadian cardiac care community
- Pursue capacity-building initiatives that accelerate the use of indicators for quality improvement
- Publicly report on Cardiac Care quality indicators
The work is guided by an expert advisory group. Members include cardiac physicians and hospital administrators, as well as representatives from the CCS and key cardiac and research organizations across Canada, including the Canadian Association of Interventional Cardiology (CAIC) and the Canadian Society of Cardiac Surgeons (CSCS). Expertise is provided to inform indicator development from relevance to case selection and risk adjustment, as well as methodological enhancements over time.