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| ANZACS-QI | |
|---|---|
| Name | ANZACS-QI |
| Type | Clinical quality registry |
| Founded | 2014 |
| Headquarters | Australia and New Zealand |
| Region served | Australia; New Zealand |
ANZACS-QI ANZACS-QI is a clinical quality improvement registry linking cardiology, cardiovascular surgery, and health services to systematically monitor outcomes across Australia and New Zealand. It supports continuous quality improvement across hospitals, linking clinicians from tertiary centres, regional hospitals, and research institutions to audit procedures, inform policy, and benchmark performance. The registry intersects with national and trans-Tasman initiatives to translate clinical data into improvements in patient care, safety, and value.
ANZACS-QI aggregates clinical data from interventional cardiology, cardiac surgery, and acute myocardial infarction care to produce risk-adjusted outcome reports for clinicians, hospitals, and funders. It interfaces with registries and programs such as Australian Commission on Safety and Quality in Health Care, Health Quality & Safety Commission (New Zealand), Medicare Australia, Ministry of Health (New Zealand), and academic partners including University of Melbourne, University of Sydney, University of Auckland, Monash University, and University of Otago. The program informs guideline development promoted by bodies like Cardiac Society of Australia and New Zealand, Royal Australasian College of Surgeons, Royal Australasian College of Physicians, Australasian College for Emergency Medicine, and specialty groups such as Australasian Cardiovascular Imaging Alliance. Outputs are used by payers, hospital networks, and policymakers including National Health Service (UK) comparators and international quality initiatives.
ANZACS-QI emerged from national efforts to standardise cardiac outcomes measurement inspired by models such as Swedish Coronary Angiography and Angioplasty Registry, Society of Thoracic Surgeons, and National Cardiovascular Data Registry (USA). Early stakeholders included clinicians linked with Royal Melbourne Hospital, Royal Brisbane and Women’s Hospital, Auckland City Hospital, and initiatives influenced by trials like PLATO (trial), SYNTAX Trial, and FREEDOM Trial. Funding and governance evolved through partnerships with agencies including National Health and Medical Research Council, Health Research Council of New Zealand, New Zealand Ministry of Health, and philanthropic trusts such as Ian Potter Foundation and Health Research Council of New Zealand. Its formation incorporated expertise from registries such as Australian and New Zealand Intensive Care Society and audit methodologies used by Australian Commission on Safety and Quality in Health Care.
ANZACS-QI operates under a multi-stakeholder governance framework combining clinical committees, data custodians, and scientific advisory boards drawn from institutions like Peter MacCallum Cancer Centre for analytics, Baker Heart and Diabetes Institute for epidemiology, and statistical expertise from University of Queensland. Steering groups include representatives of Cardiac Society of Australia and New Zealand, Australian and New Zealand Society of Cardiac and Thoracic Surgeons, and consumer representatives aligned with Heart Foundation (Australia) and Heart Foundation New Zealand. Ethical oversight involves human research ethics committees at major hospitals such as Royal Adelaide Hospital, Fiona Stanley Hospital, and academic review boards from University of Western Australia and University of Canterbury.
ANZACS-QI has supported randomized registry trials, quality improvement collaboratives, and observational analyses that influence practice at institutions like Auckland City Hospital, Royal Prince Alfred Hospital, and St Vincent’s Hospital (Sydney). Research outputs intersect with guideline committees for bodies including European Society of Cardiology, American College of Cardiology, American Heart Association, and regional guideline panels. It has enabled projects examining percutaneous coronary intervention outcomes compared with trials like COURAGE Trial, surgical outcomes paralleling STS National Database, and pathways involving emergency medicine protocols used in Royal Brisbane and Women’s Hospital and Christchurch Hospital. Quality initiatives have focused on door-to-balloon time improvements, perioperative care consistent with Enhanced Recovery After Surgery, and secondary prevention aligned with INTERHEART Study risk factors.
ANZACS-QI collects procedure-level, hospital-level, and patient-level data, incorporating data standards used by Australasian Rehabilitation Outcomes Centre and coding systems such as Australian Classification of Health Interventions and ICD-10-AM. Data linkage utilises capacity provided by agencies like Australian Institute of Health and Welfare, New Zealand Ministry of Health data services, and population registries analogous to Medicare Benefits Schedule and Pharmaceutical Benefits Scheme when permitted. Registry analytics employ risk-standardisation methods similar to those in EuroSCORE, GRACE score, and TIMI risk score frameworks to produce benchmarking reports for participating centres.
ANZACS-QI collaborates with universities, hospitals, professional colleges, and international registries including Society for Cardiovascular Angiography and Interventions, European Association for Cardio-Thoracic Surgery, Canadian Institute for Health Information, and research networks such as Global Burden of Disease Study affiliates. Partnerships include translational research links with institutes like Murdoch Children’s Research Institute, QIMR Berghofer Medical Research Institute, and health data infrastructure groups such as Data61 (CSIRO) and Australian Digital Health Agency. It engages industry partners for device and pharmacotherapy surveillance consistent with regulatory frameworks from Therapeutic Goods Administration and Medsafe.
ANZACS-QI has produced risk-adjusted comparisons revealing variation in outcomes across centres, informing practice change in percutaneous intervention rates, surgical mortality, and secondary prevention uptake at major hospitals including Royal Melbourne Hospital, Auckland City Hospital, and Royal Hobart Hospital. Findings have influenced guideline updates by organisations like Cardiac Society of Australia and New Zealand and informed health policy deliberations in forums with Department of Health and Aged Care (Australia) and New Zealand Treasury. The registry’s outputs have supported peer-reviewed publications, quality collaboratives, and clinician-led interventions that reduced adverse events and improved process measures across the region.
Category:Medical registries