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- W3081441858 abstract "Quality improvement national registries provide structured, clinically relevant outcome and process-of-care data to practitioners—with regional meetings to disseminate best practices. However, whether a quality collaborative has an impact on processes of care is less clear. We examined the impact of a statewide hospital collaborative on adherence rates to best practice guidelines in vascular surgery. A large statewide retrospective quality improvement database was reviewed for years 2013 to 2019. Hospitals participating in the quality collaborative were required to submit adherence and outcome data and met semiannually, incentivized by a pay-for-participation model. Aggregate adherence rates among all hospitals were calculated and compared. Thirty-nine hospitals participated in the collaborative, with attendance of surgeon champions at face-to-face meetings of >85%. Statewide, hospital systems improved every year of participation in the collaborative across most best practice domains, including adherence to preoperative skin preparation recommendations (odds ratio [OR], 1.83; confidence interval [CI], 1.76-1.79; P < .001), intraoperative antibiotic redosing (OR, 1.09; CI, 1.02-1.17; P =0.018), statin use at discharge among appropriate patients (OR, 1.18; CI, 1.16-1.2; P < .001), and reducing transfusion for asymptomatic patients with hemoglobin level >8 mg/dL (OR, 0.66; CI, 0.66-0.66; P < .001). Antiplatelet therapy at discharge remained high and did not change significantly during the study period. Teaching hospital and urban or rural status did not have an impact on adherence. Adherence rates exceeded professional society mean rates for guideline adherence. The use of a statewide hospital collaborative with incentivized semiannual meetings resulted in significant improvements in adherence to best practice guidelines across a large, heterogeneous group of hospitals." @default.
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- W3081441858 date "2020-09-01" @default.
- W3081441858 modified "2023-09-29" @default.
- W3081441858 title "A Statewide Quality Collaborative Significantly Improves Quality Process and Physician Engagement in Vascular Surgery" @default.
- W3081441858 doi "https://doi.org/10.1016/j.jvs.2020.06.056" @default.
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