Abstract 11797: Evaluation of Progress Made in a Learning Network by Early Performance Level

• Published in: Circulation (New York, N.Y.) N.Y.), 2018-11, Vol.138 (Suppl_1 Suppl 1), p.A11797-A11797
• Main Authors: Hill, Garick D, Bingler, Michael, McCoy, Allison B, Oster, Matt, Pitcher, Taylor, Uzark, Karen, Bates, Katherine E
• Format: Article
• Language: English
• ISSN: 0009-7322; 1524-4539

IntroductionThe National Pediatric Cardiology Quality Improvement Collaborative (NPC-QIC) is a learning network that has demonstrated a reduction in interstage mortality and growth failure after stage 1 palliation for hypoplastic left heart syndrome and variants. It remains unclear which centers have contributed to these reductions. We sought to compare center-level outcomes based on early performance level for participants in the NPC-QIC.MethodsNPC-QIC centers with ≥10 patients in the early time period (1/2008-6/2013) were divided into tertiles based on early performance for mortality and separately for growth. These groups were evaluated for improvement from the early to late (7/2013-8/2016) time period and compared with the other groups in the late time period.ResultsMortality was 13/346 (3.8%), 22/290 (7.6%) and 34/236 (14.4%) for the high, medium and low-performing groups, respectively, in the early period. Growth failure occurred in 37/266 (13.9%), 69/315 (21.9%) and 66/201 (32.8%) for the high, medium and low-performing groups, respectively, in the early period. The high and medium-performing groups showed no significant change in mortality or growth failure between periods while the low-performing group had a significant decrease in mortality (14.4% to 4.5%, p