Cardiac Assessment Reporting and Tracking System Cardiopulmonary Resuscitation:

1
Cardiac Assessment Reporting and Tracking System
Cardiopulmonary Resuscitation CART-CPR
Steven M. Bradley Health Services Research
and Development, VA Puget Sound Health Care
System, Seattle Division of Cardiology,
Department of Medicine, Department of Health
Services, School of Public Health, University of
Washington, Seattle, WA
PROJECT STATUS
BACKGROUND

• Processes of care for in-hospital cardiac arrest
  are often suboptimal
• Current incidence and management practices of
  in-hospital cardiac arrest within the VA are
  unknown

• Completed
• Data elements and definitions
• Screenshots and module layouts
• Revisions under guidance of VA national
  leadership and resuscitation experts
• Identification of alpha-test site and programming
  needs
• Next Steps
• Programming of computer module
• Alpha testing and revision on provider feedback

Example Screenshot for CART-CPR Cardiac Arrest
Module
OBJECTIVE

• To develop and implementation a registry of
  in-hospital cardiac arrests in the VA health care
  system (CART-CPR) to provide
• Quality improvement data to VA hospitals about
  cardiac arrests in their institution
• Automated point-of-care progress notes for
  individual cardiac arrests
• Pre-arrest and longitudinal data to determine
  risk factors for in-hospital cardiac arrest and
  the impact of therapies on survival of
  in-hospital cardiac arrest.

PLAN

• Define data elements and definitions from current
  national reporting tools developed by the
  American Heart Association and in discussion with
  national resuscitation experts
• Create computer modules to capture QI data at the
  time of arrest event for CART-CPR registry and
  pre-populate point-of-care progress notes
• Test implementation of alpha-version at VA Puget
  Sound Assess complete capture (compare to
  operator logs and code nurse documentation of
  events)
• Assess data quality via comparison to handheld
  point-of-care documentation
• Revise CART-CPR modules and test beta-version in
  several VA centers

AIM OF FINAL PRODUCT

• A fully implemented national registry of
  in-hospital cardiac arrest for continuous quality
  improvement of in-hospital resuscitation
  management and research into effective preventive
  and therapeutic strategies for in-hospital
  resuscitation.

SELF ASSESSMENT

• Valuable experience in the collaborative nature
  of large scale quality improvement and research
  endeavors
• Gained exposure to VA national leadership
  \experts in resuscitation research.
• Appreciation for facilitators and barriers to
  successful project completion.