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Innovations in the Assessment of Transplant Center Performance: Implications for Quality Improvement
Author(s) -
Axelrod D. A.,
Kalbfleisch J. D.,
Sun R. J.,
Guidinger M. K.,
Biswas P.,
Levine G. N.,
Arrington C. J.,
Merion R. M.
Publication year - 2009
Publication title -
american journal of transplantation
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.89
H-Index - 188
eISSN - 1600-6143
pISSN - 1600-6135
DOI - 10.1111/j.1600-6143.2009.02570.x
Subject(s) - cusum , medicine , organ procurement , quality management , transplantation , quality (philosophy) , data quality , medical physics , operations management , surgery , management system , philosophy , metric (unit) , epistemology , economics
Continuous quality improvement efforts have become a central focus of leading health care organizations. The transplant community has been a pioneer in periodic review of clinical outcomes to ensure the optimal use of limited donor organs. Through data collected from the Organ Procurement and Transplantation Network (OPTN) and analyzed by the Scientific Registry of Transplant Recipients (SRTR), transplantation professionals have intermittent access to specific, accurate and clinically relevant data that provides information to improve transplantation. Statistical process control techniques, including cumulative sum charts (CUSUM), are designed to provide continuous, real‐time assessment of clinical outcomes. Through the use of currently collected data, CUSUMs can be constructed that provide risk‐adjusted program‐specific data to inform quality improvement programs. When retrospectively compared to currently available data reporting, the CUSUM method was found to detect clinically significant changes in center performance more rapidly, which has the potential to inform center leadership and enhance quality improvement efforts.