Quality Metrics for Heart Failure　― A Guideline-Driven Indicator Development Using a Modified Delphi Process and Its Applicability to Contemporary Japanese Practice ―

Abstract

Background: Evaluating the applicability of quality indicators (QIs) for heart failure (HF) care is crucial to addressing practice variability and improving outcomes by promptly translating guideline recommendations into QIs.

Methods and Results: A 12-member multidisciplinary panel assessed 35 HF care indicators from international guidelines using a Delphi survey (1–9 scale). Consensus (median ≥7) was achieved for 33 indicators (94.3%), but not for implantable cardioverter-defibrillator-related items. Device-related indicators revealed challenges in aligning international standards with the Japanese clinical context.

Conclusions: The study concluded that international HF QIs are generally applicable in Japan, though device-related QIs need further consideration.