TY - JOUR
T1 - A National Survey of Patient Data Capture, Management, Reporting Practice in Australian Cardiac Rehabilitation Programs
AU - Gallagher, Robyn
AU - Cartledge, Susie
AU - Zwack, Clara
AU - Hollings, Matthew
AU - Zhang, Ling
AU - Gauci, Sarah
AU - Gordon, Nicole
AU - Zecchin, Robert
AU - O'Neil, Adrienne
AU - Tirimacco, Rosy
AU - Phillips, Samara
AU - Astley, Carolyn
AU - Briffa, Tom
AU - Hyun, Karice
AU - Chaseling, Georgia K.
AU - Candelaria, Dion
AU - Redfern, Julie
PY - 2023/11
Y1 - 2023/11
N2 - Background: Lack of service data for cardiac rehabilitation limits understanding of program delivery, benchmarking and quality improvement. This study aimed to describe current practices, management, utilisation and engagement with quality indicators in Australian programs. Method: Cardiac rehabilitation programs (n=396) were identified from national directories and networks. Program coordinators were surveyed on service data capture, management systems and adoption of published national quality indicators. Text responses were coded and classified. Logistic regression determined independent associates of the use of data for quality improvement. Results: A total of 319 (81%) coordinators completed the survey. Annual patient enrolments/programs were >200 (31.0%), 51−200 (46%) and ≤50 (23%). Most (79%) programs used an electronic system, alongside paper (63%) and/or another electronic system (19%), with 21% completely paper. While 84% knew of the national quality indicators, only 52% used them. Supplementary to patient care, data were used for reports to managers (57%) and funders (41%), to improve quality (56%), support funding (43%) and research (31%). Using data for quality improvement was more likely when enrolments where >200 (Odds ratio [OR] 3.83, 95% Confidence Interval [CI] 1.76−8.34) and less likely in Victoria (OR 0.24 95%, CI 0.08−0.77), New South Wales (OR 0.25 95%, CI 0.08−0.76) and Western Australia (OR 0.16 95%, CI 0.05−0.57). Conclusions: The collection of service data for cardiac rehabilitation patient data and its justification is diverse, limiting our capacity to benchmark and drive clinical practice. The findings strengthen the case for a national low-burden approach to data capture for quality care.
AB - Background: Lack of service data for cardiac rehabilitation limits understanding of program delivery, benchmarking and quality improvement. This study aimed to describe current practices, management, utilisation and engagement with quality indicators in Australian programs. Method: Cardiac rehabilitation programs (n=396) were identified from national directories and networks. Program coordinators were surveyed on service data capture, management systems and adoption of published national quality indicators. Text responses were coded and classified. Logistic regression determined independent associates of the use of data for quality improvement. Results: A total of 319 (81%) coordinators completed the survey. Annual patient enrolments/programs were >200 (31.0%), 51−200 (46%) and ≤50 (23%). Most (79%) programs used an electronic system, alongside paper (63%) and/or another electronic system (19%), with 21% completely paper. While 84% knew of the national quality indicators, only 52% used them. Supplementary to patient care, data were used for reports to managers (57%) and funders (41%), to improve quality (56%), support funding (43%) and research (31%). Using data for quality improvement was more likely when enrolments where >200 (Odds ratio [OR] 3.83, 95% Confidence Interval [CI] 1.76−8.34) and less likely in Victoria (OR 0.24 95%, CI 0.08−0.77), New South Wales (OR 0.25 95%, CI 0.08−0.76) and Western Australia (OR 0.16 95%, CI 0.05−0.57). Conclusions: The collection of service data for cardiac rehabilitation patient data and its justification is diverse, limiting our capacity to benchmark and drive clinical practice. The findings strengthen the case for a national low-burden approach to data capture for quality care.
KW - Cardiac rehabilitation
KW - Computerised Medical record system
KW - Data
KW - Electronic records
KW - Informatics
KW - Quality improvement
UR - http://www.scopus.com/inward/record.url?scp=85174747871&partnerID=8YFLogxK
U2 - 10.1016/j.hlc.2023.09.013
DO - 10.1016/j.hlc.2023.09.013
M3 - Article
C2 - 37891145
AN - SCOPUS:85174747871
SN - 1443-9506
VL - 32
SP - 1361
EP - 1368
JO - Heart Lung and Circulation
JF - Heart Lung and Circulation
IS - 11
ER -