A Trusted Portfolio of Congenital and Pediatric Cardiology Quality Metrics
The ACPC Quality Network is built on various quality metrics aligned with:
- 2008 ACC/AHA Classification Care Metrics: Performance Measures and Quality Metrics
- 2025 ACC/AHA/HRS/ISACHD/SCAI Guideline for the Management of Adults With Congenital Heart Disease
Please select a category below to view all ACPC Quality Network Quality Metrics and their descriptions. To view metric specifications, please login to your NCDR account.
- #001 Complete Aortic Evaluation for Adults with Repaired COA: Proportion of adults, greater than or equal to 18 years of age, with repaired coarctation of the aorta (rCOA) who have undergone complete aortic evaluation.
- #021 Echocardiogram Performed as an Outpatient During the First Year of Life for ASO Patients: Proportion of patients, 3-18 years, with a BMI greater than 85% who received appropriate counseling.
- #022 Periodic Neurodevelopmental Assessment for ASO Patients: Proportion of patients, 3-18 years old, who had their BMI measured and BMI percentile calculated.
- #023 Assessment of ASO Patient Lipid Profile: Proportion of sedated echocardiograms associated with adverse events.
- #024 Transition Planning for ASO Patients: Proportion of days infants, less than or equal to 30 days of age with cardiac disease, had both feeding status and caloric intake documented.
- #002 Appropriate Counseling Among Pediatric Cardiac Patients with BMI Greater than 85%: Proportion of patients, 5-18 years old, with a chief complaint of chest pain who have documentation of a family history of early coronary artery disease, cardiomyopathy and sudden cardiac or unexplained death.
- #003 BMI Measurement in Ambulatory Pediatric Cardiac Patients: Proportion of patients, 5-18 years old, with a chief complaint of chest pain who completed an electrocardiogram (ECG).
- #035 Cardiac MRI (CMRI) study reporting for Lesion-specific CHD (TOF): Proportion of patients, 5-18 years old, with a history of exertional chest pain who had an echocardiogram.
- #007 Chest Pain – Documentation of Family History: Proportion of patients, less than 5 years old, with heterotaxy and asplenia and a documented recommendation for antibiotic prophylaxis.
- #008 Electrocardiogram for Chest Pain: Proportion of health care personnel (HCP) in a pediatric cardiology practice who receive timely influenza vaccination.
- #009 Echocardiogram for Exertional Chest Pain: Proportion of patients with documented recommendation for antibiotics for secondary prevention of rheumatic fever.
- #031: Diagnostic Accuracy of Fetal Echocardiography: Proportion of Kawasaki Disease (KD) patients with a recommendation for aspirin during the first 6 weeks after onset of disease.
- #032 Prenatal Detection of Severe Structural Congenital Heart Defects: Proportion of Kawasaki Disease (KD) patients who received an echocardiographic evaluation within 3 weeks of a hospital discharge.
- #033 Comprehensive Fetal Echocardiographic Examination: Proportion of Kawasaki Disease (KD) patients with documentation of the presence or absence of fever after discharge.
- #034 Initial Fetal Echocardiogram Image Quality Metric: Proportion of Kawasaki Disease (KD) patients with documentation to not restrict physical activities.
- #010 Infection Prevention: Recommendation for Antibiotic Prophylaxis in Patients with Heterotaxy and Asplenia: Proportion of Kawasaki Disease (KD) patients with a history of giant coronary artery aneurysms who have documentation of being educated regarding symptoms of angina and myocardial infarction.
- #011 Infection Prevention- Influenza Vaccinations Compliance of Health Care Personnel: Proportion of echocardiograms for Kawasaki Disease (KD) patients that include documentation of coronary artery measurements.
- #012 Infection Prevention: Adherence to Recommended Regimens of Secondary Prevention of Rheumatic Fever: Proportion of Tetralogy of Fallot (ToF) patients who received a test for 22q11.2 deletion.
- #013 Kawasaki Disease- Aspirin Therapy in Acute and Subacute Phases: Proportion of Arterial Switch Operation (ASO) patients, 3-12 months, with at least one echocardiogram that reports on left ventricular function, aortic root dimensions, the degree of aortic regurgitation, the patency of the systemic and pulmonary outflow tracts, the branch pulmonary arteries, and the coronary arteries.
- #014 Kawasaki Disease- Cardiac Evaluation: Proportion of Arterial Switch Operation (ASO) patients, 2-5 years old, who were recommended to have a neurodevelopmental evaluation.
- #015 Kawasaki Disease- Evaluation of Fever: Proportion of Arterial Switch Operation (ASO) patients, with documentation of a fasting lipid profile by age 11.
- #016 Kawasaki Disease- No Restriction on Physical Activities: Proportion of Arterial Switch Operation (ASO) patients, ≥ 18 years old, with documentation of transition planning within 2 years.
- #018 Kawasaki Disease- Appropriate Follow-Up for Patients with Giant Coronary Aneurysms: Proportion of potentially preventable and clinically important inaccurate diagnoses among congenital heart surgical patients.
- #019 Kawasaki Disease- Complete Echocardiogram Evaluation: Average image quality score, as measured by the Image Quality Assessment Worksheet (Appendix 1), for initial transthoracic echocardiograms designated as complete studies (either inpatient or outpatient) for patients with structurally normal hearts.
- #005 Non-Invasive Imaging- Adverse Events with Sedated Pediatric Echocardiography: Average completeness score, as measured by the Comprehensiveness Exam Assessment Worksheet (Appendix 1), of initial transthoracic echocardiograms designated as complete studies (either inpatient or outpatient) for patients with hearts interpreted as structurally normal.
- #006 Daily Documentation of Nutrition for Infant Cardiac Admissions: Proportion of initial outpatient transthoracic echocardiograms (TTEs) performed for indications rated Rarely Appropriate. Indications related to one of the following 4 categories based on the tables in the AUC document: 1. Palpitations and arrhythmias; 2. Syncope; 3. Chest pain; 4. Murmur.
- #025 Echocardiography Diagnostic Accuracy: Diagnostic discrepancies of pre-cardiac surgery transesophageal echocardiogram (TEE) assessment in congenital heart disease patients.
- #026 Initial Transthoracic Echocardiogram Image Quality: Transesophageal echocardiogram (TEE) with adverse events.
- #027 Comprehensive Echocardiographic Examination: Mechanism for fetal echocardiography laboratories to record and analyze diagnostic discrepancies between fetal and postnatal findings.
- #028 Application of the Pediatric Appropriate Use Criteria (AUC) to Initial Outpatient Echocardiogram Orders: Track and report rates of prenatal detection of severe structural congenital heart defects, defined as lesions requiring surgical or catheter intervention within first 28 days of life.
- #029 Quality Metric TEE 1: Accuracy of Pediatric Pre-Cardiac Surgery Transesophageal Echocardiogram: Average completeness score, as measured by the Comprehensiveness Fetal Echo Assessment Worksheet (Appendix 1) of initial fetal echocardiograms for fetuses with hearts interpreted as structurally normal.
- #030 Quality metric TEE 2: Transesophageal Echocardiogram Adverse Events: Average image quality score, as measured by the Fetal Echo Image Quality Assessment Tool, for initial fetal echocardiograms designated as complete studies for fetuses with structurally normal hearts.
- #036 QA Pediatric Exercise Lab Comprehensive Report (Treadmills): Evaluation of complete reporting of important anatomical and functional elements in complete CMRI for repaired TOF (rTOF), as measured by the Cardiac MR imaging Repaired Tetralogy of Fallot Quality Metric Worksheet.
- #037 QA Pediatric Exercise Lab Comprehensive Report (Bike Ergometers): Assess completeness of pediatric exercise reports of treadmill cardiopulmonary exercise test reports.
- #020 Genetic Testing in Tetralogy of Fallot: Assess completeness of pediatric exercise reports of bike ergometer exercise test reports.
