Improved screening for 22q11 deletion in patients with Tetralogy of Fallot

Metric #020 / Proportion of Tetralogy of Fallot (ToF) patients who received or had an order for 22q11.2 deletion testing

Project Leads: Susan Saleeb, MD, FACC; Elizabeth Saarel, MD, FACC; Rukmini Komarlu, MD, FACC

Project Requirements

• Only centers/clinics participating in the ACPC Quality Network are eligible
• Center to confirm collecting/submitting data on the TOF genetic screening metric
• Physician to declare participation on the center's ToF team
• Participate in design and implementation of change strategies to increase the percentage of eligible patients who received or referred for 22q11 genetic testing
• Participate in reviewing reports for two PDSA cycles (i.e. two consecutive quarters/six months)
• Participate in at least two QI team meetings
• Complete one QI science training (e.g. the Model for Improvement; PDSA cycles) and tools to assist with data analysis and implementation of this QI project
• Complete the ToF QI project orientation session
• Participate in at least one quarterly collaborative QI webinar, ACPC Quality Workgroup meeting addressing the TOF project, OR a specific Learning Session for the project

BMI measured, percentile calculated, and appropriate follow-up/counseling

Metric #002 / Proportion of patients, 3-18 years old, with a BMI greater than 85% who received appropriate counseling

Metric #003 / Proportion of patients, 3-18 years old, who had their BMI measured and BMI percentile calculated

Project Leads: Devyani Chowdhury, MBBS, FACC; Ashraf Harahsheh, MD, FACC; Arash Sabati, MD, FACC

Project Requirements

• Only centers/clinics participating in the ACPC Quality Network are eligible
• Center to confirm collecting/submitting data for each BMI metric (#002 & #003)
• Physician to declare participation on the center's BMI team
• Participate in design and implementation of change strategies to increase the percentage of patients with elevated BMI who received appropriate follow-up/counseling
• Participate in reviewing reports for two PDSA cycles (i.e. two consecutive quarters/six months)
• Participate in at least two QI team meetings
• Complete one QI science training (e.g. the Model for Improvement; PDSA cycles) and tools to assist with data analysis and implementation of this QI project
• Participate in at least one quarterly collaborative QI webinar, ACPC Quality Workgroup meeting addressing the BMI project, OR a specific Learning Session for the project

Part 1: Appropriate Use and Evaluation of Children Using Echocardiogram

Metric #025 / Echocardiography Diagnostic Accuracy

Metric #026 / Initial Transthoracic Echocardiogram Image Quality

Metric #027 / Comprehensive Echocardiographic Examination

Project Leads: Shubhika Srivastava, MBBS; Ritu Sachdeva, MD

Project Requirements

• Only centers/clinics participating in the ACPC Quality Network are eligible
• Center to confirm collecting/submitting data on the Non-Invasive Imaging (NII) metrics
• Physician to declare participation on the center's NII team
• Participate in the design and implementation of change strategies to increase compliance on key aspects of care in children
• Participate in reviewing reports for two PDSA cycles (one baseline quarter and 2 subsequent quarters of data)
• Participate in at least two QI team meetings
• Complete one QI science training (e.g. the Model for Improvement; PDSA cycles) and tools to assist with data analysis and implementation of this QI project
• Participate in at least one quarterly collaborative QI webinar, ACPC Quality Workgroup meeting addressing the BMI project, OR a specific Learning Session for the project

Part 2: Appropriate Use and Evaluation of Children Using Echocardiogram

Metric #028 / Application of the Pediatric Appropriate Use Criteria (AUC) To Initial Outpatient Echocardiogram Orders

Metric #029 / TEE 1: Accuracy of Pediatric Pre-Cardiac Surgery Transesophageal Echocardiogram

Metric #030 / TEE 2: Transesophageal Echocardiogram Adverse Events

Project Leads: Shubhika Srivastava, MBBS; Ritu Sachdeva, MD

Project Requirements

• Only centers/clinics participating in the ACPC Quality Network are eligible
• Center to confirm collecting/submitting data on the Non-Invasive Imaging (NII) metrics
• Physician to declare participation on the center's NII team
• Participate in the design and implementation of change strategies to increase compliance on key aspects of care in children
• Participate in reviewing reports for two PDSA cycles (one baseline quarter and 2 subsequent quarters of data)
• Participate in at least two QI team meetings
• Complete one QI science training (e.g. the Model for Improvement; PDSA cycles) and tools to assist with data analysis and implementation of this QI project
• Participate in at least one collaborative QI webinar, ACPC Quality Workgroup meeting addressing the NII project, or a specific Learning Session for the project

Appropriate Use and Evaluation of Children with Chest Pain

Metric #007 / Chest Pain – Documentation of Family History

Metric #008 / Electrocardiogram for Chest Pain

Metric #009 / Echocardiogram for Exertional Chest Pain

Project Leads: Ritu Sachdeva, MD; Sarah Chambers Gurson, MD; Susan Saleeb, MD

Project Requirements

• Only centers/clinics participating in the ACPC Quality Network are eligible
• Center to confirm collecting/submitting data on the OECP metrics
• Physician to declare participation on the center's OECP team
• Participate in the design and implementation of change strategies to increase compliance on key aspects of care in children
• Participate in reviewing reports for two PDSA cycles (one baseline quarter and 2 subsequent quarters of data)
• Participate in at least two QI team meetings
• Complete one QI science training (e.g. the Model for Improvement; PDSA cycles) and tools to assist with data analysis and implementation of this QI project
• Participate in at least one collaborative QI webinar, ACPC Quality Workgroup meeting addressing the OECP project, or a specific Learning Session for the project