Year : 2021  |  Volume : 6  |  Issue : 3  |  Page : 187-197

The national chest pain centers program: Monitoring and improving quality of care for patients with acute chest pain in China

1 Department of Cardiology, General Hospital of Southern Theatre Command, Guangdong, Guangzhou, China
2 Department of Global Health, School of Public Health, Institute for Global Health and Development, Peking University, Beijing, China
3 Department of Cardiology, Shanghai Chest Hospital, Shanghai, China
4 Department of Cardiology, Wuhan Asia Heart Hospital, Hubei, Wuhan, China
5 Department of Cardiology, The 2nd Affiliated Hospital of Harbin Medical University, Helongjiang, Harbin, China
6 Department of Cardiology, Xiamen Cardiovascular Hospital, Xiamen University, Fujian, Xiamen, China
7 Department of Cardiology, Peking University People's Hospital, Peking University, Beijing, China
8 Heart Center, Beijing Chao-Yang Hospital, Capital Medical University, Beijing, China
9 Department of Cardiology, Fuwai Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China
10 Department of Cardiology, The Second Hospital of Hebei Medical University, Hebei, Shijiazhuang, China
11 RTI International, Research Triangle Park, NC, USA
12 Peking University First Hospital, Beijing, China
13 Department of Cardiology, Shanghai Institute of Cardiovascular Disease, Zhongshan Hospital, Fudan University, Shanghai, China

Correspondence Address:
Jun-Bo Ge
Department of Cardiology, Shanghai Institute of Cardiovascular Disease, Zhongshan Hospital, Fudan University, Shanghai 200032
Yong Huo
Department of Cardiology, Peking University First Hospital, Peking University, Beijing 100034
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/2470-7511.327239

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Background: The National Chest Pain Centers Program (NCPCP) is the largest nationwide, hospital-based, multifaceted, continuous quality improvement initiative, which aims to monitor and improve the quality of care for patients with acute chest pain. The accreditation of the standardized chest pain center is central to the project. The purpose of establishing chest pain centers is to develop a mechanism for “sending acute chest pain patients to a hospital with capabilities for the best treatment in the shortest time possible.” Objectives: This study aims to evaluate the effectiveness and implementation of the chest pain center accreditation and to identify factors that may influence its implementation in local settings. Study Design and Methods: Hospitals that have been accredited between January 2016 and September 2020 will be recruited in this study. We will conduct a self-controlled retrospective cohort study by comparing the care performance before, during, and after the accreditation. Measures for care performance will be selected based on the American College of Cardiology/American Heart Association clinical practice guidelines, which will be divided into prehospital processes, in-hospital processes, and in-hospital outcomes. For the implementation of the chest pain center accreditation, we will use a modified reach, effectiveness, adoption, implementation, maintenance (RE-AIM) framework to investigate the implementation process, and the consolidated framework for implementation research will be used to identify factors that emerge within the local context and influence the implementation fidelity and feasibility. Progress to Date: As of September 2020, there were 4,621 hospitals that registered the NCPCP, of which 1,507 hospitals were accredited. A total of 5,228,973 patients with a primary diagnosis on admission were enrolled from the registered hospitals, among which 34.6% were acute coronary syndromes. Conclusions: In this study, we proposed recommendations for improving the implementation of chest pain center accreditation, which will improve the quality of care for patients with acute chest pain and promote the sustainable development of chest pain center.

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