Interorganizational collaboration in emergency cardiovascular care

James R. Langabeer, Tiffany Champagne-Langabeer, Jeffrey R. Helton, Wendy Segrest, Bita Kash, Jami Delli Fraine, Raymond Fowler

Research output: Contribution to journalArticle

3 Citations (Scopus)

Abstract

Background: Interorganizational collaboration management theory contends that cooperation between distinct but related organizations can yield innovation and competitive advantage to the participating organization. Yet, it is unclear if a multi-institutional collaborative can improve quality outcomes across communities. Methods: We developed a large regional collaborative network of 15 hospitals and 24 emergency medical service agencies surrounding Dallas, Texas, and collected patient-level data on treatment times for acute myocardial infarctions. Using a pre-/posttest research design, we applied median tests of differences to explore outcome changes between groups and over the 6-year period, using data extracted from participating hospital electronic health records. Results: We analyzed temporal trends and changes in treatment times for 2302 patients with ST-elevation myocardial infarction between the pre- and posttest groups. We found a statistically significant 19-minute median reduction in the key outcome metric (total ischemic time, the time difference between the patient's first reported symptoms and the definitive opening of the artery). This represents a 10.8% community-wide improvement over time. Conclusions: Interorganizational collaboration focused on quality improvement can impact population health across a community. This study provides a basis for broader understanding and participation by health care organizations in multi-institutional community change efforts.

Original languageEnglish (US)
Pages (from-to)1-6
Number of pages6
JournalQuality Management in Health Care
Volume26
Issue number1
DOIs
StatePublished - 2017

Fingerprint

Emergency Medical Services
Organizations
community
medical service
health
Electronic Health Records
research planning
Quality Improvement
Group
time
electronics
health care
innovation
Research Design
Arteries
organization
Myocardial Infarction
participation
Delivery of Health Care
trend

Keywords

  • Interorganizational collaboration
  • Population health
  • Quality improvement
  • System of care

ASJC Scopus subject areas

  • Leadership and Management
  • Health(social science)
  • Health Policy
  • Care Planning

Cite this

Langabeer, J. R., Champagne-Langabeer, T., Helton, J. R., Segrest, W., Kash, B., Fraine, J. D., & Fowler, R. (2017). Interorganizational collaboration in emergency cardiovascular care. Quality Management in Health Care, 26(1), 1-6. https://doi.org/10.1097/QMH.0000000000000120

Interorganizational collaboration in emergency cardiovascular care. / Langabeer, James R.; Champagne-Langabeer, Tiffany; Helton, Jeffrey R.; Segrest, Wendy; Kash, Bita; Fraine, Jami Delli; Fowler, Raymond.

In: Quality Management in Health Care, Vol. 26, No. 1, 2017, p. 1-6.

Research output: Contribution to journalArticle

Langabeer, JR, Champagne-Langabeer, T, Helton, JR, Segrest, W, Kash, B, Fraine, JD & Fowler, R 2017, 'Interorganizational collaboration in emergency cardiovascular care', Quality Management in Health Care, vol. 26, no. 1, pp. 1-6. https://doi.org/10.1097/QMH.0000000000000120
Langabeer JR, Champagne-Langabeer T, Helton JR, Segrest W, Kash B, Fraine JD et al. Interorganizational collaboration in emergency cardiovascular care. Quality Management in Health Care. 2017;26(1):1-6. https://doi.org/10.1097/QMH.0000000000000120
Langabeer, James R. ; Champagne-Langabeer, Tiffany ; Helton, Jeffrey R. ; Segrest, Wendy ; Kash, Bita ; Fraine, Jami Delli ; Fowler, Raymond. / Interorganizational collaboration in emergency cardiovascular care. In: Quality Management in Health Care. 2017 ; Vol. 26, No. 1. pp. 1-6.
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