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Implementation of Methodology for Quality Improvement in Pediatric Cardiac Catheterization: A Multi-center Initiative by the Congenital Cardiac Catheterization Project on Outcomes-Quality Improvement (C3PO-QI). Pediatr Cardiol 2016 Dec;37(8):1436-1445 PMID: 27502109

Pubmed ID



The Congenital Cardiac Catheterization Project on Outcomes (C3PO) launched in 2007 as a multi-center collaborative to establish standardized and comparable metrics for pediatric cardiac catheterization procedures. The limitations of larger registries at the time led to the development of the next phase in 2013, C3PO-Quality Improvement (C3PO-QI), focusing on instituting QI initiatives within the field. The objective of this manuscript is to provide a detailed overview of C3PO-QI and report data on case characteristics and outcome metrics being explored. C3PO-QI was designed to cultivate institutional collaboration during implementation of its initiatives. A database and website were developed to support data entry and on-demand reporting. The registry prospectively captures pediatric cardiac catheterization data among 15 hospitals. The present study includes case demographic data (n) and quality metric reporting by case type, age, and radiation dose variables. This dataset includes 13,135 cases entered into the database between 1/1/2014 and 12/31/2015. Interventional cases make up the highest percentage by case mix distribution (48 %), and patients <1 years make up the highest percentage by age distribution (26 %). The ratio of diagnostic and interventional procedures performed changes by age group. Application of QI metric shows all procedure types surpassing metric goals. Large volume data collection, such as in C3PO-QI, allows for meaningful interpretation of data. C3PO-QI is uniquely poised to deliver fast-paced changes in the field. Although the project initiatives are specific to pediatric cardiac catheterization, the implementation of the project and utilization of real-time reporting is generalizable to other specialties and multi-center collaboratives.

Author List

Cevallos PC, Rose MJ, Armsby LB, Armstrong AK, El-Said H, Foerster SR, Glatz AC, Goldstein BH, Hainstock MR, Kreutzer J, Latson LA, Leahy RA, Petit CJ, Torres A, Shahanavaz S, Zampi JD, Bergersen L


Susan Foerster MD Associate Professor in the Pediatrics department at Medical College of Wisconsin


2-s2.0-84981275729   7 Citations

MESH terms used to index this publication - Major topics in bold

Cardiac Catheterization
Databases, Factual
Heart Defects, Congenital
Quality Improvement
jenkins-FCD Prod-353 9ccd8489072cb19f5b9f808bb23ed672c582f41e