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– PERFORMANCE MEASURES –
Clinical Outcomes Assessment Program (COAP)

logo for Washington Clinical Outcome Assessment ProgramThe Clinical Outcomes Assessment Program (COAP) provides quality assurrance of cardiac procedures for all facilities performing cardiac surgery or interventional cardiac procedures in the State of Washington.

COAP began in 1996-1997 as an alternative to a Washington State Health Care Authority (HCA) initiative to designate a few of the State's heart care facilities as cardiac Centers of Excellence (CoE). The stated HCA goal was to provide the highest quality cardiac care to public employees and state residents covered under the state's Uniform Medical Plan by restricting coverage for cardiac procedures to designated cardiac CoEs. Following the RFP process in 1995 and much subsequent discussion, the HCA ultimately withdrew its CoE initiative and threw its support behind the COAP physician-led initiative, under the expectation that all heart centers desiring to participate in HCA healthcare contracts would participate in COAP's Quality Assurance program. COAP was provided confidentiality and Quality Assurance protections under the state's Continuous Quality Improvement Program (CQIP).

COAP has developed and maintains a cardiac database that is used to monitor both Percutaneous Coronary Interventions (PCIs) – coronary angioplasties – and cardiac surgery. As part of that database, COAP includes a number of process measures and outcome measures to monitor the quality of cardiac healthcare in the state of Washington. Many of these risk-adjusted outcome measures and process measures compose the quality assurance measures in COAP's Quality Assurance program. These measures are monitored prospectively on a quarterly basis to identify acceptable | unacceptable quality of care relative to all heart centers in the state of Washington.

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