State-wide registry for Victorian cardiac care benchmarking

Information on every patient undergoing percutaneous coronary intervention (PCI), better known as coronary angioplasty, in Victorian public and most private hospitals is being collected and analysed to benchmark performance and improve care through the Victorian Cardiac Outcomes Registry (VCOR).

While the VCOR project has been underway for several years, it was officially launched today with the release of its inaugural annual report.

Coordinated by Monash University and the Victorian Cardiac Clinical Network, the new registry collects information on every patient undergoing an angioplasty procedure, which averages over 8000 Victorians each year.

Head of the School of Public Health and Preventive Medicine at Monash, John McNeil, said the centralised, state-wide registry would help ensure that cardiac patients receive the highest quality of care.

“As the database develops over time, it will provide a crucial opportunity for healthcare providers to benchmark their performance against services both nationally and internationally,” Professor McNeil said.

“Ultimately, we expect this to result in more consistent, best practice cardiac care across the Victorian health sector.”

Since its inception in January 2013, VCOR has recruited 23 of the 29 Victorian public and private hospitals to the project. The registry includes a record of the number of procedures performed, clinical profiles of patients, any complications that develop and the outcomes of these procedures.

Funded by Medibank Private and the Victorian Department of Health, VCOR is also running a pilot project for monitoring the management of early ST-elevation myocardial infarction in regional Victoria.

It is also planning to develop databases for heart failure, implantable devices and arrhythmias and is currently setting up a heart failure minimum data set.

VCOR involves a web-based registry that provides real-time summary reports and raw data downloads for hospital staff. Clinicians can view read-only data for patients they have treated across multiple sites.

Information is taken directly from hospital medical records and entered into the secure VCOR web-based database by hospital staff. It has also implemented a secure file transfer protocol (SFTP) capability for electronic transfer of data.

Patients may opt out of the registry if they wish.

Posted in Australian eHealth

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