Are Surgeons Discussing STS Predicted Risk Scores?

Slides:



Advertisements
Similar presentations
© 2010, American Heart Association. All rights reserved. Hospital Performance Recognition with the Get with the Guidelines Program and Mortality for Acute.
Advertisements

Bill Stockdale, MBA, Celeste Beck, MPH, Lisa Hulbert, PharmD, Wu Xu, PhD Utah Department of Health Comparison with other methods of analysis: 1) Assessing.
Gall C, Katch A, Rice T, Jeffries HE, Kukuyeva I, and Wetzel RC
Systemic inflammatory response syndrome score at admission independently predicts mortality and length of stay in trauma patients. by R2 黃信豪.
Bree Collaborative Cardiology Report: Appropriateness of Percutaneous Cardiac Interventions (PCI) Bree Collaborative Meeting November 30, 2012.
Kids’ Inpatient Database: Empowering Scientific Discovery Jay G. Berry MD MPH Complex Care Service, Cerebral Palsy Program, Program for Patient Safety.
ACHD Patients Should Receive Treatment in Adult Institutions Society of Thoracic Surgeons Adult Cardiac Surgery Database reports 39,872 adults undergoing.
The Big Puzzle Evolving the Continuum of Care. Agenda Goal Pre Acute Care Intra Hospital Care Post Hospital Care Grading the Value of Post Acute Providers.
Patterns of red blood cell transfusion use and outcomes in patients undergoing percutaneous coronary intervention in contemporary clinical practice: Insights.
The effect of surgeon volume on procedure selection in non-small cell lung cancer surgeries Dr. Christian Finley MD MPH FRCSC McMaster University.
AATS/STS Congenital Heart Disease Symposium: Unsettled and Unanswered Questions in Congenital Heart Surgery Lessons Learned from the SVR Trial: Update.
Monthly Journal article review: Vimmi Kang PGY 2
Quality Improvement Initiatives. National Service Framework for Coronary Heart Disease-UK Cooperative Cardiovascular Project (CCP)-USA National Registry.
June 9, 2008 Making Mortality Measurement More Meaningful Incorporating Advanced Directives and Palliative Care Designations Eugene A. Kroch, Ph.D. Mark.
Office of Statewide Health Planning and Development Day for Night: Hospital Admissions for Day Surgery Patients in California, 2005 Mary Tran, PhD, MPH.
SURVEY: EMERGENCY SURGICAL SERVICES IN THE SOUTH WEST RESPONSES FROM THE CITIZENS’ ASSEMBLY.
1 Statistical Review of the Observational Studies of Aprotinin Safety Part II: The i3 Drug Safety Study CRDAC and DSaRM Meeting September 12, 2007 P. Chris.
Reflections on NCEPOD: Knowing the Risk Norman S Williams President December 2011.
Physiological Data Analysis of Neuro-Critical Patients Using Markov Models By Shashwat Bhoop sb3758.
Do JCAHO accredited hospitals perform better on quality measures? An analysis of process-of-care measures and surgical indicators. William B Weeks, MD,
F8: Audit and Assurance. 2 Designed to give you knowledge and application of: Section A: Audit Framework and Regulation Section B: Internal audit Section.
Date of download: 9/19/2016 Copyright © 2016 American Medical Association. All rights reserved. From: Association Between Endoscopic vs Open Vein-Graft.
CLINICAL TRIALS.
Outcomes in the CoreValve US High-Risk Pivotal Trial in Patients with a Society of Thoracic Surgeons Predicted Risk of Mortality Less than or Equal to.
- Higher SBP visit-to-visit variability (SBV) has been associated
Myocardial Injury after Noncardiac Surgery and Association with Short Term Mortality Wilton A van Klei Anesthesiologist and acting chair Department Anesthesiology,
The Second Patient Report of the National Emergency Laparotomy Audit
Alternative Payment Models in the Quality Payment Program
NCT: Gaining Medical Insights and Enhancing Care for Cancer Patients with SAP HANA® Organization National Center for Tumor Diseases (NCT) Heidelberg, part.
When Using DOPPS Slides
J. Matthew Brennan, MD, MPH Duke University School of Medicine
John Weeks1, MD Candidate 2017, Justin Hickman1, MD Candidate 2017
PCI related in-hospital mortality based on race and gender in the USA
A Hussain, S Qadri, Y Haqzad, M Chaudhry, A Cale, M Cowen, M Loubani.
The European Society of Cardiology Presented by Dr. Bo Lagerqvist
Insights from the NCDR® STS/ACC TVT Registry.
MCSQI Reasons for Prolonged Ventilation: N = 239
Axel Linke University of Leipzig Heart Center, Leipzig, Germany
Jennifer Bobbitt RN BSN, MCSQI Collaborative, and Clifford Fonner BA
Annual Outcomes With Transcatheter Valve Therapy
Risk of post-operative stroke in patients with known extra-cranial carotid artery disease undergoing Non-Cardiac Surgery Heart and Vascular.
Background & Hypothesis
hospitalized with spontaneous bacterial peritonitis
Annual Outcomes With Transcatheter Valve Therapy
Background 8-29 % of patients with colon cancer present with partial or total obstruction (1) Emergency surgery is associated with up to 25% mortality.
Semiannual Report, March 2015
Samir R. Kapadia, MD On behalf of The PARTNER Trial Investigators
Prior authorization and patient cost-sharing are least likely to be seen as effective in reducing unnecessary care. “How effective do you think each of.
Variation in Red Blood Cell Transfusion Practices During Cardiac Operations Among Centers in Maryland: Results From a State Quality-Improvement Collaborative 
Changes to HCC Criteria for Auto Approval
VALUE Trial design: Hypertensive patients at high cardiovascular risk were randomized to valsartan (n = 7,649) vs. amlodipine (n = 7,596). Results (p =
To Admit…or not to Admit…that is the question!
Monthly Journal article review: Vimmi Kang PGY 2
Frederick L Grover, MD  The Annals of Thoracic Surgery 
Less Is More: Results of a Statewide Analysis of the Impact of Blood Transfusion on Coronary Artery Bypass Grafting Outcomes  Todd C. Crawford, MD, J.
Isaac George, MD, Steve Xydas, MD, Veli K
The Model for End-Stage Liver Disease (MELD) Predicts Early and Late Outcomes of Cardiovascular Operations in Patients With Liver Cirrhosis  Naoto Morimoto,
The Midterm Impact of Transcatheter Aortic Valve Replacement on Surgical Aortic Valve Replacement in Michigan  Himanshu J. Patel, MD, Morley A. Herbert,
P. G. Davey1, C. E. Bucknall2, A. Patton3
How do the use and price of healthcare in the U. S
No Financial Disclosure or Conflict of Interest
James Brevig, MD, Julie McDonald, BSN, Edy S
China PEACE risk estimation tool for in-hospital death from acute myocardial infarction: an early risk classification tree for decisions about fibrinolytic.
Ruyun Jin, MD, Anthony P. Furnary, MD, Stephanie C. Fine, MA, Eugene H
Atlantic Cardiovascular Patient Outcomes Research Team
Jessica P. Simons, MD, MPH, Andres Schanzer, MD, Brian W
PowerPoint 16:9 Screen Ratio Template *
VQI Risk Calculators 2019 Daniel Bertges, MD
Charles W. Shepard, MD, Lazaros K. Kochilas, MD, Ronald M
National Hospice and Palliative Care Organization’s Palliative Care Resource Series Palliative Indicators in Long Term Care Written by: Brian W.
Presentation transcript:

Are Surgeons Discussing STS Predicted Risk Scores? A Look Across Maryland Hospitals Diane Alejo, Jennifer Bobbitt, Filiz Costantini, Diane Sender, Mary Brogan, Karen Getson, Angela Toro, Heather Romine, Gail Hanna, Martha Kakellos, Dawn Roach, Kim Behrens, Clifford Fonner, and the MCSQI Collaborative Background Results The proportion of risk calculator scores discussed with patients/families increased 24% from May to December 2015 (21% vs. 45%). The overall number of cases where risk scores were discussed was greater than the number of cases where the risk was not discussed (809 vs. 639). On average, patients whose scores were discussed had a higher STS Predicted Risk of Mortality than those whose risk was not discussed (2.6% vs. 2.3%; p = 0.02). Founded in 2013, the Maryland Cardiac Surgery Quality Initiative (MCSQI) is an inclusive, non-profit consortium of all 10 cardiac programs in the state. The Maryland Society of Thoracic Surgeons (STS) data managers embarked on a data quality project to evaluate how surgeons are discussing STS predicted risk scores with their patients. In April 2015, STS added field #5230: “Indicate whether the STS Risk Calculator score was discussed with the patient/family prior to surgery.” This constitutes one of the Physician Quality Reporting System (PQRS) measures STS reports to CMS for evaluating surgeons. We analyzed practice patterns of reporting this new STS measure in Maryland. STS Risk Score Discussed with Patient Temporary Coded Field: Indicate whether the STS Risk Calculator TempCode (5230) score was discussed with the patient / family prior to surgery 1 Yes – A risk calculator score was calculated and discussed with the patient/family prior to surgery as documented in the medical record 2 No – A risk calculator score was calculated but not discussed with the patient/family prior to surgery or discussion was not documented 3 N/A – Not applicable (emergent or salvage case, or no risk score calculated for this procedure) Conclusion Risk assessment and communication between surgeons and patients/families is critical for shared decision making concerning treatment options for cardiovascular disease and the decision to undergo cardiac surgery. All ten MCSQI hospitals support this patient-centered risk assessment/communication measure and will identify ways to improve documentation and adherence to this new metric. Over time, surgeons are communicating risk scores more often to patients and their families, which improves the understanding of risks, benefits, alternatives and goals of surgery to enhance informed decisions. Methods MCSQI utilizes the STS database as the foundation for outcomes analysis and process improvement. We reviewed data among all hospitals for completeness of this new field. All cases with STS predicted risk scores from May to December 2015 were analyzed to determine trends and variations among sites and procedure types. We investigated whether there were any differences in the predicted risk scores of cases where the risk was discussed by the surgeon. “Working together to improve the quality of cardiac surgery in the state of Maryland”