Interventional Catheterization Program | Quality Improvement

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Contact the Interventional Catheterization Program

The use of cardiac catheterization procedures for children with congenital heart disease (CHD) has increased in recent decades, and technological advances have expanded the scope of the field into more complex procedures. Because these procedures are still relatively new, their use has not been standardized, which makes it difficult to compare outcomes across institutions.

The Congenital Cardiac Catheterization Project on Outcomes (C3PO) was created in 2007 to address this issue by prospectively collecting data on catheterizations from multiple institutions via a web-based tool. The collaborative project yielded the first risk adjustment method (CHARM) to allow equitable comparisons of outcomes among institutions, endorsed by the National Quality Forum, and to date the only nationally endorsed quality metric in congenital catheterization.

By 2013, enough data had been amassed for analysis, and a quality improvement initiative was launched. This program, called C3PO-QI, aims to establish standardized, comparable metrics for cardiac catheterization procedures in children.

C3PO-QI’s first initiative was to reduce radiation exposure in the cath lab. Going forward, the program is uniquely poised to deliver a wide range of fast-paced quality improvements in the field. C3PO-QI’s intimate network allows for rapid user feedback, which is particularly helpful during the implementation stage of new initiatives.

Fifteen institutions across the United States are currently participating in the collaboration, and five more are joining in 2016.

Over the next decade, the standardization practices driven by C3PO-QI and other registries will continue to advance patient-centered care and risk reduction measures.

Read more about C3PO-QI in Heart Murmurs.

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