Subspecialty Ambulatory Quality Cardiology Program

Subspecialty Ambulatory Quality Cardiology Program: An Audit and Feedback Performance Improvement Strategy

Investigators will evaluate the effectiveness of an audit and feedback performance improvement strategy in which cardiology providers receive quarterly emails on ambulatory quality improvement goals.

Inclusion Criteria for atrial fibrillation quality metric:

• Active diagnosis of atrial fibrillation
• CHADS2VASC of at least 2 in males and at least 3 in females
• Outpatient cardiology visit in past 3 months

Inclusion Criteria for HFrEF quality metric:

• Most recent EF ≤40
• Age 18-90
• Outpatient cardiology visit in past 3 months

Exclusion Criteria for atrial fibrillation quality metric:

• LAAO device
• Hemorrhagic Stroke

Exclusion Criteria for HFrEF quality metric:

• SBP<90
• eGFR<30
• Potassium>5
• Active allergy to MRA
• Acknowledge reason on heart failure alert
• Mechanical circulatory device
• Cardiac amyloid diagnosis