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Peer-reviewedCC BY-NC-ND 4.0JACC Case Reports

From Door-to-Data

  1. 1Cardiac Cath Lab, CommonSpirit Mercy Hospital, Durango, Colorado, USA
  2. 2Heart & Vascular Program, CommonSpirit Mountain Region, Centennial, Colorado, USA

Abstract

Background: Dedicated quality oversight is increasingly recognized as essential to improving adherence to evidence-based care, data integrity, and patient outcomes in acute coronary syndrome (ACS) management. Nurses with cardiovascular expertise are uniquely positioned to bridge frontline care and organizational quality priorities.

Project Rationale: A rural community hospital participating in the National Cardiovascular Data Registry lacked consistent cardiovascular quality oversight, resulting in variable adherence to care pathways, documentation gaps, and below-benchmark registry performance.

Project Summary: A dedicated cardiovascular registered nurse (CVRN) quality role was implemented to oversee ACS care processes, improve documentation reliability, enhance interdisciplinary collaboration, and support accreditation efforts. Following implementation, key Chest Pain-MI Registry metrics improved from the 25th to 90th percentile, and the organization achieved dual American College of Cardiology accreditations.

Take-Home Message: A dedicated CVRN quality role may improve ACS care reliability, registry performance, and interdisciplinary quality outcomes in rural health care settings.

BibTeX
@article{langenhorst2026from,
  title = {{From Door-to-Data}},
  author = {Shelley C. Langenhorst and Amy Lantzy},
  journal = {JACC Case Reports},
  year = {2026},
  month = sep,
  doi = {10.1016/j.jaccas.2026.109307},
  url = {https://doi.org/10.1016/j.jaccas.2026.109307},
  note = {CC BY-NC-ND 4.0},
}
RIS
TY  - JOUR
TI  - From Door-to-Data
AU  - Shelley C. Langenhorst
AU  - Amy Lantzy
PY  - 2026
DA  - 2026/09/16
JO  - JACC Case Reports
DO  - 10.1016/j.jaccas.2026.109307
UR  - https://doi.org/10.1016/j.jaccas.2026.109307
AB  - Background: Dedicated quality oversight is increasingly recognized as essential to improving adherence to evidence-based care, data integrity, and patient outcomes in acute coronary syndrome (ACS) management. Nurses with cardiovascular expertise are uniquely positioned to bridge frontline care and organizational quality priorities.  Project Rationale: A rural community hospital participating in the National Cardiovascular Data Registry lacked consistent cardiovascular quality oversight, resulting in variable adherence to care pathways, documentation gaps, and below-benchmark registry performance.  Project Summary: A dedicated cardiovascular registered nurse (CVRN) quality role was implemented to oversee ACS care processes, improve documentation reliability, enhance interdisciplinary collaboration, and support accreditation efforts. Following implementation, key Chest Pain-MI Registry metrics improved from the 25th to 90th percentile, and the organization achieved dual American College of Cardiology accreditations.  Take-Home Message: A dedicated CVRN quality role may improve ACS care reliability, registry performance, and interdisciplinary quality outcomes in rural health care settings.
SN  - 2666-0849
ER  -