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Table 6 Health system quality indicators

From: Rationale, design, and methods for Canadian alliance for healthy hearts and minds cohort study (CAHHM) – a Pan Canadian cohort study

Health system quality indicators measurable from the CPTP CVD Survey

Participants with a family doctor

Difficulties accessing primary or specialist care

Weight assessment by a health professional

Screening for hypertension, diabetes, hyperlipidemia

Diabetics who have had eyes examined by an ophthalmologist, feet examined, urine protein tested

Smokers who have been offered smoking cessation counseling and/or stop smoking aids

Hypertensives who have their blood pressure treated and controlled

Participants with hyperlipidemia who have been treated with medication to control their blood cholesterol levels

Participants with atrial fibrillation who have been treated with blood thinners

Health system indicators measurable from administrative data

A. Structural variables

 # of family doctors/specialists per capita

 #, costs and types of ambulatory care visits

 #, costs and types of hospitalizations

B. Processes of Care

 CV and non-CV medications (statins, ACE inhibitors, diuretics, Beta-blockers)

 Laboratory screening rates (lipids, diabetes)

 Lab results (lipids, diabetes)

 ECG, Stress Test, Echo, CT scans, MRI scans

 Cardiac Catheterization

 PCI

 Cardiac Surgery

C. Outcomes

 Myocardial Infarction (STEMI/NSTEMI, unstable angina)

 Congestive Heart Failure

 Stroke (Ischemic/Hemorrhagic/TIA)

 Death (including cause of death)

 Atrial Fibrillation

 Diabetes and Hypertension