Jasmine Pyyvaara, Project Manager, National Cardiac Registry, Monash University, info@nationalcardiacregistry.org.au
The National Cardiac Registry (NCR) is a clinical quality registry that collects information on patients receiving treatment for cardiac conditions via state/territory-based cardiac registries. The purpose of the NCR is to document outcome variance and opportunities for excellence in the quality of cardiac health care across Australia. In 2021 data collection commenced across number of state/territories and as it matures the following objectives will be realised.
Objectives:
- Use a collaborative, federated model for effective engagement, participation and support from stakeholders
- Provide a platform to receive State and Territory data and measure performance as determined by agreed quality indicators
- Transparently report on clinical, procedural and patient outcomes to clinicians, hospitals, government and community
- Provide national benchmarking of key quality performance measures for cardiac conditions/procedures/devices and secondary prevention
The NCR will be rolled out in modules, each covering different areas of cardiac healthcare. The first module covers Percutaneous coronary intervention (PCI).
The quality indicators for PCI are:
- Time from diagnostic electrocardiogram to PCI mediated reperfusion
- Time from door to PCI mediated reperfusion
- Peri-PCI stroke
- In hospital major bleeding
- In hospital mortality
- 30-day unplanned cardiac readmission rate after PCI
- Unplanned revascularisation within 30 days
- 30-day mortality after PCI
- Patients without contraindication discharged on lipid-lowering therapy
- Patients referred to cardiac rehabilitation or other secondary prevention program
- Proportion of patients without a clear and documented contraindication for Aspirin and/or a P2Y12 inhibitor, discharged on DAPT
- Reported in Annual Report
- Participating state/territory cardiac registries can access inbuilt bench-marked reports
- Participating state/territory cardiac registries can share reports with hospitals executives, state/territory health departments, other clinicians
- Shared with consumers via annual report
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https://nationalcardiacregistry.org.au/participating-registries/
The NCR utilises a federated model of governance and data collection. Data is submitted to the NCR by participating cardiac registries across Australia. Currently there are cardiac registries established in the Australian Capital Territory, New South Wales, Queensland, South Australia and Victoria. Tasmania is working with Victoria’s registry to submit data. The Northern Territory and Western Australia are currently developing their registries.
- ACT Cardiac Outcomes Registry (ACTCOR)
- Coronary Angiogram Database of South Australia (CADOSA)
- New South Wales Cardiac Outcomes Registry (NSWCOR)
- Northern Territory Top End Coronary Database (NTTECD)
- Queensland Cardiac Outcomes Registry (QCOR)
- Victorian Cardiac Outcomes Registry (VCOR)
- Western Australia Cardiac Outcomes Registry (WACOR)