1. Expecting Success: Excellence in Cardiac Care EXPECTING SUCCESS: Quality, Measurement and Disparities February 6, 2006 Bruce Siegel MD MPH

2. Expecting Success: Excellence in Cardiac Care What is Expecting Success? Multi-hospital collaborative Learning Network designed to improve cardiac care for Blacks and Latinos –Using quality improvement and evidence-based practice for inpatient and outpatient MI and HF care –Monthly standardized reporting of 23 performance measures by race, ethnicity, language; surveys of patient experience at 3 points –Runs 29 months, with seven in-person meetings, monthly conference calls –Designed to provide “real-time” lessons to industry, with external evaluation by NYU

3. Expecting Success: Excellence in Cardiac Care Expecting Success Centers Duke University Hospital Durham, NC Mount Sinai Hospital Chicago, IL Sinai-Grace Hospital Detroit, MI Montefiore Medical Center New York, NY Memorial Regional Hospital Hollywood, FL University of Mississippi Medical Center Jackson, MS Delta Regional Medical Center Greenville, MS University Health System San Antonio, TX Del Sol Medical Center El Paso, TX Washington Hospital Center Washington, DC

4. Expecting Success: Excellence in Cardiac Care

5. Expecting Success: Excellence in Cardiac Care

6. Expecting Success: Excellence in Cardiac Care Implications for Policy Can we mandate and standardize the collection of race, ethnicity and language data? What are the implications for: –Public Reporting? –Pay for Performance? Can we craft legal “safe harbors” for providers to encourage work on disparities?