Development and implementation of a quality improvement process for echocardiographic laboratory accreditation

Gilliland, Yvonne E., Lavie, Carl J., Ahmad, Homaa, Bernal, Jose A., Cash, Michael E., Dinshaw, Homeyar, Milani, Richard V., Shah, Sangeeta, Bienvenu, Lisa and White, Christopher J. (2016) Development and implementation of a quality improvement process for echocardiographic laboratory accreditation. Echocardiography, 33 3: 459-471. doi:10.1111/echo.13129


Author Gilliland, Yvonne E.
Lavie, Carl J.
Ahmad, Homaa
Bernal, Jose A.
Cash, Michael E.
Dinshaw, Homeyar
Milani, Richard V.
Shah, Sangeeta
Bienvenu, Lisa
White, Christopher J.
Title Development and implementation of a quality improvement process for echocardiographic laboratory accreditation
Journal name Echocardiography   Check publisher's open access policy
ISSN 1540-8175
0742-2822
Publication date 2016-03-01
Year available 2016
Sub-type Critical review of research, literature review, critical commentary
DOI 10.1111/echo.13129
Open Access Status Not Open Access
Volume 33
Issue 3
Start page 459
End page 471
Total pages 13
Place of publication Malden, MA, United States
Publisher Wiley-Blackwell Publishing
Collection year 2017
Language eng
Abstract We describe our process for quality improvement (QI) for a 3-year accreditation cycle in echocardiography by the Intersocietal Accreditation Commission (IAC) for a large group practice. Echocardiographic laboratory accreditation by the IAC was introduced in 1996, which is not required but could impact reimbursement. To ensure high-quality patient care and community recognition as a facility committed to providing high-quality echocardiographic services, we applied for IAC accreditation in 2010. Currently, there is little published data regarding the IAC process to meet echocardiography standards. We describe our approach for developing a multicampus QI process for echocardiographic laboratory accreditation during the 3-year cycle of accreditation by the IAC. We developed a quarterly review assessing (1) the variability of the interpretations, (2) the quality of the examinations, (3) a correlation of echocardiographic studies with other imaging modalities, (4) the timely completion of reports, (5) procedure volume, (6) maintenance of Continuing Medical Education credits by faculty, and (7) meeting Appropriate Use Criteria. We developed and implemented a multicampus process for QI during the 3-year accreditation cycle by the IAC for Echocardiography. We documented both the process and the achievement of those metrics by the Echocardiography Laboratories at the Ochsner Medical Institutions. We found the QI process using IAC standards to be a continuous educational experience for our Echocardiography Laboratory physicians and staff. We offer our process as an example and guide for other echocardiography laboratories who wish to apply for such accreditation or reaccreditation.
Keyword Echocardiography laboratory
Intersocietal Accreditation Commission echocardiography
Quality improvement review process
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Critical review of research, literature review, critical commentary
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