Key performance measures and hospital characteristics across fifths of composite performance score
| Hospital-level composite performance score (n, range) | ||||||
|---|---|---|---|---|---|---|
| Q1 (n=37, 49.8%–71.6%) | Q2 (n=37, 71.7%–77.3%) | Q3 (n=37, 77.4%, 81.6%) | Q4 (n=37, 81.8%, 86.6%) | Q5 (n=37, 86.7%, 97.0%) | Test for trend | |
| Composite performance score | 66.6% | 74.5% | 79.3% | 84.2% | 89.3% | p<0.001 |
| ACE-I/ARB | 76.2% | 80.3% | 83.7% | 86.4% | 90.8% | p<0.001 |
| β-blockers | 63.4% | 69.0% | 75.7% | 77.2% | 84.5% | p<0.001 |
| Specialist follow-up | 60.2% | 74.2% | 78.5% | 89.1% | 92.7% | p<0.001 |
| Hospital characteristics | ||||||
| Tertiary hospital | 9.2% | 12.4% | 5.4% | 22.7% | 34.1% | p=0.002 |
| General hospital | 88.1% | 87.6% | 91.9% | 75.1% | 65.4% | p=0.004 |
| Other hospital | 2.7% | 0% | 2.7% | 2.2% | 0.5% | p=0.75 |
| HF specialist nurse FTEs, n | 3.4 | 4.4 | 4.5 | 4.7 | 4.3 | p=0.18 |
| Consultant cardiologist FTEs, n | 4.1 | 4.6 | 4.7 | 5.7 | 8.5 | p<0.001 |
| Consultant HF specialist cardiologist | 89.2% | 77.8% | 84.9% | 88.1% | 95.1% | p=0.21 |
| Other HF specialist consultant | 27.6% | 16.8% | 18.4% | 26.5% | 35.1% | p=0.28 |
| Multidisciplinary team (% of hospitals) | 69.7% | 71.9% | 78.9% | 80.5% | 96.2% | p=0.003 |
| With a consultant cardiologist | 69.7% | 71.9% | 78.9% | 80.5% | 93.5% | p=0.008 |
| With an HF nurse | 69.7% | 71.9% | 78.9% | 80.5% | 96.2% | p=0.003 |
| With another consultant | 21.6% | 24.3% | 16.8% | 25.4% | 44.3% | p=0.045 |
| With a district nurse | 10.8% | 10.8% | 3.8% | 13.0% | 7.6% | p=0.78 |
| With a pharmacist | 8.1% | 14.1% | 19.5% | 33.5% | 33.0% | p=0.001 |
| With a dietician | 5.4% | 8.1% | 6.5% | 11.9% | 16.8% | p=0.09 |
| With a physiotherapist | 21.1% | 21.6% | 12.4% | 19.5% | 36.2% | p=0.20 |
| With a psychologist | 13.5% | 4.9% | 11.4% | 18.9% | 35.1% | p=0.003 |
| With a primary provider | 14.1% | 8.6% | 23.8% | 23.8% | 32.4% | p=0.01 |
| With a social worker | 0% | 0% | 2.7% | 5.4% | 8.1% | p=0.02 |
| Diagnostic capabilities | ||||||
| ECG | 100% | 100% | 100% | 100% | 100% | p=1.0 |
| BNP | 54.6% | 68.6% | 62.7% | 68.6% | 75.1% | p=0.10 |
| Exercise testing | 97.3% | 100% | 100% | 97.3% | 94.6% | p=0.29 |
| Echocardiography | 97.3% | 100% | 100% | 100% | 100% | p=0.16 |
| Coronary angiography | 63.2% | 82.2% | 84.3% | 82.7% | 84.9% | p=0.04 |
| Cardiac MRI | 24.9% | 21.1% | 48.6% | 43.2% | 51.4% | p=0.003 |
| Referral pathways | ||||||
| Internal defibrillator | 98.4% | 98.9% | 100% | 100% | 100% | p=0.30 |
| Cardiac resynchronisation therapy | 95.7% | 96.2% | 100% | 100% | 97.3% | p=0.37 |
| Transplantation | 87.0% | 88.6% | 83.8% | 93.5% | 90.3% | p=0.50 |
| Left ventricular-assistive device | 84.3% | 80% | 67.0% | 78.4% | 76.8% | p=0.46 |
| Palliative care | 100% | 100% | 93.5% | 98.4% | 100% | p=0.81 |
| Cardiac rehabilitation | 74.6% | 81.6% | 74.6% | 80% | 89.2% | p=0.19 |
| Outpatient services | ||||||
| HF clinic | 86.4% | 80% | 79.5% | 87.6% | 96.2% | p=0.14 |
| Cardiologist | 61.1% | 61.6% | 60% | 75.1% | 82.7% | p=0.02 |
| HF specialist nurse | 76.2% | 67.6% | 58.9% | 84.9% | 93.5% | p=0.02 |
| Physician with HF interest | 7.0% | 12.4% | 11.9% | 14.6% | 16.2% | p=0.24 |
| Primary care | 6.5% | 1.6% | 8.1% | 4.9% | 5.9% | p=0.86 |
| Geriatrician | 8.1% | 2.7% | 0% | 5.4% | 10.8% | p=0.49 |
| Pharmacist | 2.7% | 3.8% | 10.8% | 9.7% | 8.1% | p=0.22 |
| Telemonitoring | 32.4% | 25.9% | 45.9% | 35.7% | 51.9% | p=0.057 |
| Cardiac surgery | 86.5% | 95.1% | 88.6% | 91.9% | 100% | p=0.09 |
Note that multiple imputation results in different hospitals being assigned to different fifths in the five imputations. As a result, some percentages are not fractions of 37.
ACE-I/ARB, ACI inhibitor/angiotensin receptor blocker; BNP, B-type natriuretic peptide; FTE, full-time equivalents; HF, heart failure.