VQI Risk Calculators 2019 Daniel Bertges, MD

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Presentation transcript:

VQI Risk Calculators VQI @VAM 2019 Daniel Bertges, MD Associate Professor of Surgery and Medicine University of Vermont Medical Center Burlington, VT

Background The trend in medicine has been toward greater specialization as physicians are required to master greater amounts of information in their complex field More and more data can make us better informed to make decisions … or…leave us confused

Utility Patient selection Procedure selection Enhanced informed consent Medicine has become too complicated !!!

VQI Risk Calculators: EVAR Same-Day Discharge Respiratory Adverse Event Risk Post Vascular Surgery Postoperative Mortality Rate After Elective AAA 1-Year Mortality Risk Index for CEA 30-Day Stroke Risk Index for CEA Cardiac Risk Index (CRI) | Carotid Endarterectomy Cardiac Risk Index (CRI) | Suprainguinal Bypass Cardiac Risk Index (CRI) | EVAR Cardiac Risk Index (CRI) | Open AAA Repair Cardiac Risk Index (CRI) | Infra-inguinal Bypass

Process: VQI investigator initiated study with regional +/- national RAC review Publication in peer-reviewed journal Review by relevant registry committee recommended Partnership with QxMD VQI risk calculator available as free smart phone and website

VQI CRI

Awareness campaign

VQI Risk Calculators on QxMD

VQI Risk Calculators on QxMD

VQI Website https://www.vqi.org/resources/vqi-risk-calculators-2/

VQI Website

VQI Risk Calculators Users Total 25,998

VQI Risk Calculators Screen Views Total 35,274

VQI Risk Calculators Monthly Use

Use by Specialty Total 8,570

CEA “our most popular” 1-Year Mortality Risk Index for CEA 30-Day Stroke Risk Index for CEA

Trans-carotid artery revascularization (TCAR) 1-Year Mortality Risk Index for CEA

Trans-carotid artery revascularization (TCAR) CEA cardiac risk index

Other calculators of interest ? TEVAR spinal chord ischemia risk 3-5 year projected mortality for CEA/CAS/T-CAR Surgical site infection WiFi score

Q1: Have you used the VQI Risk Calculators? No Yes

Q2: Prior to this presentation, were you aware of the VQI Risk Calculators? No Yes

Q3: Post presentation, will you use the risk calculators? No Yes

Additional Questions Which new calculators would you like to see? Incorporation into EMRs Participation Please come to the aisle microphones to ask questions and share your thoughts.