ACSQHC-ARCR-269

The VCOR is a Clinical Quality Registry collecting data on selecting cardiac procedures such as percutaneous coronary intervention (PCI). VCORs mandate is to undertake analyses of collective hospital data to produce meaningful reports for hospitals based on clinically relevant quality indicators. For PCI this allows hospitals to benchmark themselves and assess their performance on a quarterly and annual basis, with all hospitals who undertake PCI in the state of Victoria contributing all cases. Selected hospitals contribute to the data collection for cardiac implantable electronic devices (CIED's), with 6 monthly annual reports provided. 

VCORs aims include:

1. Benchmarking outcomes to stimulate improvement in patient care
2. Identifying areas of excellence as well as opportunities for improvement across the entire system of care
3. Providing an impetus for maximising performance
4. Applying relevant, emerging best practice principles and share knowledge
5. Accounting for individual and cohort-related risk factors when assessing outcomes
6. Providing insight into the medium and long-term safety of cardiac devices, treatments and procedures
7. Identifying geographical or socioeconomic disparity in care.

The outcomes measured and reported for PIC include:

• In-hospital and 30-day Mortality 
• In-hospital and 30-day Unplanned revascularisation
• In-house Major Bleeding
• 30-day Major Adverse Cardiac and Cerebrovascular Events
• Risk Adjusted 30 Day Mortality (reported annually)
• Door To Balloon Time (for Primary PCI STEMI cases)
• Length of hospital stay

VCOR undertakes a rigorous, independent audit program for PCI.