Impact of society of cardiovascular patient care accreditation on quality: An action Registry®-get with the Guidelines™ analysis

W. Frank Peacock, Michael C. Kontos, Ezra Amsterdam, Christopher P. Cannon, Deborah Diercks, Lee Garvey, Louis Graff, DaJuanicia Holmes, Kay Styer Holmes, James Mccord, Kristin Newby, Matthew Roe, Shahriar Dadkhah, Angela Siler-Fisher, Michael Ross

Research output: Contribution to journalArticlepeer-review

10 Scopus citations


BACKGROUND: The Society of Cardiovascular Patient Care (SCPC) accredits hospital acute coronary syndrome management. The influence of accreditation on the subset of patients diagnosed with acute myocardial infarction (AMI) is unknown. Our purpose was to describe the association between SCPC accreditation and hospital quality metric performance among AMI patients enrolled in ACTION Registry-GWTG (ACTION-GWTG). This program is a voluntary registry that receives self-reported hospital AMI quality metrics data and provides quarterly feedback to 487 US hospitals. METHODS: Using urban nonacademic hospital registry data from January 1, 2007, to June 30, 2010, we performed a 1 to 2 matched pairs analysis, selecting 14 of 733 (1.9%) SCPC accredited and 28 of 309 (9.1%) nonaccredited registry facilities to compare changes in quality metrics between the year before and after SCPC accreditation. RESULTS: All hospitals improved quality metric compliance during the study period. Nonaccredited hospitals started with slightly lower rates of AMI composite score 1 year before accreditation. Although improvement compared with baseline was greater for nonaccredited hospitals (odds ratio = 1.27; 95% confidence interval: 1.20, 1.35) than accredited hospitals (odds ratio = 1.15; 95% confidence interval: 1.07, 1.23) (P = 0.022), the group ended with similar compliance scores (92.1% vs. 92.2%, respectively). Improvements in evaluating left ventricular function (P = 0.0001), adult smoking cessation advice (P = 0.0063), and cardiac rehab referral (P = 0.0020) were greater among nonaccredited hospitals, whereas accredited hospitals had greater improvement in discharge angiotensin-converting-enzyme inhibitor or angiotensin II receptor blocker use for left ventricular systolic dysfunction (P = 0.0238). CONCLUSIONS: All hospitals had high rates of quality metric compliance and finished with similar overall AMI performance composite scores after 1 year.

Original languageEnglish (US)
Pages (from-to)116-120
Number of pages5
JournalCritical pathways in cardiology
Issue number3
StatePublished - Sep 1 2013


  • ACTION Registry-Get With the Guidelines
  • American College of Cardiology Foundation's National Cardiovascular Data Registry
  • Hospital acute coronary syndrome management
  • ST segment elevation myocardial infarction and non-ST segment elevation myocardial infarction
  • Society of Cardiovascular Patient Care
  • Society of Cardiovascular Patient Care accredited

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine


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