Majd Makhoul MD University of Kentucky March 9 th 2021 Metric 032 Comprehensive Fetal Echocardiographic Examination We searched the reporting timeframe in Syngo PACS system for echo using study type as fetal ID: 933022
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Slide1
ACPC Qnet Fetal Echo Metrics
Majd Makhoul, MD
University of Kentucky
March 9
th
, 2021
Slide2Metric 032: Comprehensive Fetal Echocardiographic Examination
We searched the reporting timeframe in Syngo (PACS system for echo) using study type as fetal
We selected the complete studies only
We reviewed report of each study and excluded ones with abnormal function, structure or rhythm or poor windows.
Slide3Metric 032: Comprehensive Fetal Echocardiographic Examination
Then, we reviewed images of the rest using
Qnet
score sheet.
Each study review took about 10 minutes.
Only issue we found seems to be both branch PAs adequate visualizations (3 out of 10 studies).
Slide4Metric 030: Diagnostic Accuracy of Fetal Echocardiography
Our fetal nurse navigator updates our fetal tracking database weekly.
If she finds a discrepancy between postnatal and fetal echos, she notifies fetal QI sonographer and medical director.
Fetal QI sonographer will review the detailed reports of fetal echo and postnatal testing available then label the type of discrepancy.
Slide5Metric 030: Diagnostic Accuracy of Fetal Echocardiography
Fetal medical director reviews the discrepancy list monthly and determines the possible causes and if avoidable.
We report the moderate to severe discrepancy cases that typically requires intervention in infancy to ACC
Qnet
using the assigned sheet.
Slide6Metric 031: Prenatal Detection of Severe Structural Congenital Heart Defects
CT surgery/CICU data coordinator provides a list of neonates (<=28 days of life) who had Cath or surgery at our center each quarter along with their mom’s names.
Medical director reviews Syngo under mom’s names to see if fetal echos were done.
Slide7Metric 031: Prenatal Detection of Severe Structural Congenital Heart Defects
If fetal echo found, we review the reports to determine if a CHD diagnosis was made (doesn’t have to be exact same diagnosis).
We report the ones that don’t have prenatal CHD diagnosis using the assigned sheet.
Slide8THANK YOU