Development of Quality Metrics in Ambulatory Pediatric Cardiology

Devyani Chowdhury, Michelle Gurvitz, Ariane Marelli, Jeffrey Anderson, Carissa Baker-Smith, Karim A. Diab, Thomas C. Edwards, Tom Hougen, Roy Jedeikin, Jonathan N. Johnson, Peter Karpawich, Wyman Lai, Jimmy C. Lu, Stephanie Mitchell, Jane W. Newburger, Daniel J. Penny, Michael A. Portman, Gary Satou, David Teitel, Juan VillafaneRoberta Williams, Kathy Jenkins, Roberta Williams, Kathy Jenkins, Michelle Gurvitz, Ariane Marelli, Robert Campbell, Devyani Chowdhury, Roy Jedeikin, Sarina Behera, John Hokanson, Jimmy Lu, Bahram Kakavand, Jeff Boris, Brian Cardis, Manish Bansal, Jeffrey Anderson, Amy Schultz, Matthew O'Connor, Jeffrey M. Vinocur, Nancy Halnon, Jonathan Johnson, Cindy Barrett, Eric Graham, Catherine Krawczeski, Wayne Franklin, James McGovern, Brandy Hattendorf, David Teitel, Timothy Cotts, Alex Davidson, Ashraf Harahsheh, Walter Johnson, Pei Ni Jone, Nicole Sutton, Lloyd Tani, Nagib Dahdah, Michael Portman, Deborah Mensch, Jane Newburger, Thomas Hougen, Russell Cross, Karim Diab, Peter Karpawich, Wyman Lai, Matthias Peuster, Russell Schiff, Elizabeth Saarel, Gary Satou, Gerald Serwer, Juan Villafane, Tom Edwards, Daniel Penny, Karina Carlson, K. Anitha Jayakumar, Matthew Park, Nikola Tede, Karen Uzark, Carissa Baker Smith, Craig Fleishman, David Connuck, Jose Ettedgui, Maggie Likes, Takeshi Tsuda

Research output: Contribution to journalReview article

11 Scopus citations


The American College of Cardiology Adult Congenital and Pediatric Cardiology (ACPC) Section had attempted to create quality metrics (QM) for ambulatory pediatric practice, but limited evidence made the process difficult. The ACPC sought to develop QMs for ambulatory pediatric cardiology practice. Five areas of interest were identified, and QMs were developed in a 2-step review process. In the first step, an expert panel, using the modified RAND-UCLA methodology, rated each QM for feasibility and validity. The second step sought input from ACPC Section members; final approval was by a vote of the ACPC Council. Work groups proposed a total of 44 QMs. Thirty-one metrics passed the RAND process and, after the open comment period, the ACPC council approved 18 metrics. The project resulted in successful development of QMs in ambulatory pediatric cardiology for a range of ambulatory domains.

Original languageEnglish (US)
Pages (from-to)541-555
Number of pages15
JournalJournal of the American College of Cardiology
Issue number5
StatePublished - Feb 7 2017



  • Kawasaki disease
  • chest pain
  • congenital heart disease
  • infection prevention
  • tetralogy of Fallot
  • transposition of the great arteries

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

Cite this

Chowdhury, D., Gurvitz, M., Marelli, A., Anderson, J., Baker-Smith, C., Diab, K. A., Edwards, T. C., Hougen, T., Jedeikin, R., Johnson, J. N., Karpawich, P., Lai, W., Lu, J. C., Mitchell, S., Newburger, J. W., Penny, D. J., Portman, M. A., Satou, G., Teitel, D., ... Tsuda, T. (2017). Development of Quality Metrics in Ambulatory Pediatric Cardiology. Journal of the American College of Cardiology, 69(5), 541-555.