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Quality Improvement at the National Level: Lessons From the Cooperative Cardiovascular Project

Most quality improvement projects address care delivered in one service of a hospital, such as the operating suite or the obstetrics service. Some projects are collaborative efforts involving groups of hospitals with similar interests. Few projects attempt to change care on a population basis (i.e.,...

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Bibliographic Details
Published in:Evaluation & the health professions 1998-12, Vol.21 (4), p.525-536
Main Authors: Marciniak, Thomas A., Mosedale, Linda, Ellerbeck, Edward F.
Format: Article
Language:English
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Summary:Most quality improvement projects address care delivered in one service of a hospital, such as the operating suite or the obstetrics service. Some projects are collaborative efforts involving groups of hospitals with similar interests. Few projects attempt to change care on a population basis (i.e., involving all providers in entire states or the nation as a whole.) The Cooperative Cardiovascular Project (CCP), sponsored by the Health Care Financing Administration, is attempting to improve carefor all Medicare patients suffering from acute myocardial infarctions nation-wide. The CCP has been active since 1993 and, in a pilot project, has demonstrated that care can be improved on a population basis (i.e., in four entire states). This article explores the lessons learned from the CCP pilot and from the evolving CCP national experience.
ISSN:0163-2787
1552-3918
DOI:10.1177/016327879802100410