(14)2008 Audit Update - Kristin Sitcov

2008 COAP AuditResults & ProgressKristin SitcovCOAP Program DirectorCOAP IN 2008Audit Rationale COAP IN 2008™™™™™™™™Rationale: Popular requestAlways had inter-rater reliability – will continueWay to assess agreement with standardsPractical way to demonstrate data qualityMethod of determining any inconsistency with specific data definitions Way to review and update Opportunity to have face to face contact, answer questions, review outcomes Education – Year one, strictly educational COAP IN 2008Audit MethodologyCOAP IN 2008COAP IN 2008™™™™Methodology: In 2008 we will visit every COAP hospital Since January, we have completed 16 of the 30 sitesJune – November we will visit the remaining sitesSpecial thanks to Northwest Hospital and Overlake Medical Center for being “pilot sites”COAP IN 2008The COAP Audit ProcessCOAP IN 2008™™™™COAP Audit Process: DCRI randomly selects 15 PCI cases and 5 surgical casesHospitals sent list of cases and data elements DCRI sends COAP the data for each of the elements that was reported on those casesHospital pulls charts & flags sections COAP IN 2008™™™COAP Audit Process:59 PCI data elements44 Cardiac surgery elements Critical elements chosen: - Those that impact risk stratification- Those related to clinical outcome indicators COAP IN 2008™™™™COAP Audit Process:Audit team reviews each chart for evidence of documentation for each data elementApproximately 2 hours for ...