Abstract
Ensuring success in the delivery of mitral valve care necessitates answering the critical questions, “What is quality?” and “Who decides?” Active physician participation in developing the tools to measure and report quality outcomes is essential; otherwise, control over the process will be lost to those who do not possess an in-depth comprehension of interventional for valvular heart disease. When defining “what is quality,” one must recognize that quality measurement in the procedure suite goes beyond simply self-reporting excellent procedural outcomes, and there are several principles to guide this effort. While many models of quality can be employed, the well-established Donabedian model provides a simple, validated framework. Quality in this model comprises three tenets: structure, process, and outcomes. Structure provides the physical and resource foundation for the procedure, and includes the hospital, staff, equipment, procedural volume, and so on. Process is the roadmap followed to deliver the care in question, and outcome assesses the effects of the procedure on the patient and the broader population
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