Sharing best practice across the world

How Dr Foster’s Global Comparators programme helped University Hospitals Coventry & Warwickshire NHS Trust reduce mortality for acute myocardial infarction

Peter Glennon, consultant cardiologist, said: “Previously the Trust was treating 82 per cent of patients within 90 minutes of arrival at the hospital, but with the adopted Yale improvement programme we drove this up to 100 per cent for the first time ever.”

When Dr Foster shared the acute myocardial infarction (AMI) data with the Global Comparators group, participants immediately saw how outcomes were very similar for hospitals within countries, but very different between countries. These outcome differences between countries were real and occurred despite patients across the world receiving the same basic treatment. By comparing best practice protocols for emergency percutaneous coronary intervention (PCIs) among the AMI participants, the only difference the Trust saw in the patient pathway was the efficiency of the process that resulted in better outcomes. The US participants in the project have very robust and sustainable systems to constantly look at reducing delay; this is something very important with AMI.

The Trust had always performed above the national average for AMI and believed there wasn’t much more they could do to improve this. However, once it shared with its colleagues what other Global Comparators participants were doing, it knew it could improve and implemented the Yale-New Haven Hospital Emergency PCI improvement programme.

By reviewing the data on a more frequent basis and looking at each part of the pathway in more detail the Trust was able to produce a real change in the timeliness of treatment. This puts the Trust firmly in the top ten hospitals in the UK for this kind of service and resulted in a 25 per cent decrease in mortality.