Implementation of the Cardiac Rehabilitation (CR) guidelines by a multifaceted decision support, feedback and outreach visit intervention: A cluster randomized trial.

Conditions: Guideline implementation
Cardiac Rehabilitation (CR)
Health Care Quality, Access, and Evaluation
Feedback and outreach visits.Richtlijnimplementatie
hartrevalidatie
kwaliteit van zorg.

Registration Number: NL-OMON28843

Lead Sponsor: Academic Medical Centre (AMC) (Netherlands) (Principal Investigator Niels Peek)

Brief Summary: 1. van Engen-Verheul M, de Keizer N, Hellemans I, Kraaijenhagen R, Hasman A, Peek N, Design of a continuous multifaceted guideline-implementation strategy based on computerized decision support. STUD HEALTH TECHNOL INFORM 2010;160:836-840.<br> 2. van Engen-Verheul M, Kemps H, Kraaijenhagen R, de Keizer N, Peek N, Modified Rand method to derive quality indicators: a case study in cardiac rehabilitation. STUD HEALTH TECHNOL INFORM 2011;169:88-92.<br> 3. van Engen-Verheul MM, Kemps HM, de Keizer NF, Hellemans IM, Goud R, Kraaijenhagen RA, Peek N, Revision of the Dutch clinical algorithm for assessing patient needs in cardiac rehabilitation based on identified implementation problems. EUR J CARDIOV PREV R 2011;ahead of print.

Detailed Description: Not available

Recruitment & Eligibility

Status: Pending

Sex: Not specified

Target Recruitment: 15

Inclusion Criteria

Clinical level:

All cardiac rehabilitation clinics that electronically collect the items of the minimal dataset and are willing to dispose their data for research are eligible to participate in the study.

Exclusion Criteria

Non; all patients are eligible to be enrolled in the system, as the CR guidelines apply to all CR patients.

Study & Design

Study Type: Interventional

Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
Guideline adherence in the field of cardiac rehabilitation.<br /><br>Based on the scores on the different developed quality indicators it will be indicated whether the needs assessment and the therapy indication procedure were carried out in adherence with the guidelines.<br /><br>We defined adherence at the level of the patient; it implied treating patients who should have been treated and not treating patients who should have been untreated, according to the guideline.

Secondary Outcome Measures

Name	Time	Method
Improvent on quality indicators in the field of cardiac rehabilitation.<br /><br>The quality indicators include a) process variables (e.g. frequency with which clinical measurement instruments are employed), b) outcome variables (e.g. changes in patient health status after rehabilitation), and c) structure variables (e.g. presence of precondition to be adherent to CR guidelines).