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VQI Risk Calculators 2019 Daniel Bertges, MD

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Presentation on theme: "VQI Risk Calculators 2019 Daniel Bertges, MD"— Presentation transcript:

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

2 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

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

4 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

5 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

6 VQI CRI

7 Awareness campaign

8 VQI Risk Calculators on QxMD

9 VQI Risk Calculators on QxMD

10

11 VQI Website

12 VQI Website

13 VQI Risk Calculators Users
Total 25,998

14 VQI Risk Calculators Screen Views
Total 35,274

15 VQI Risk Calculators Monthly Use

16 Use by Specialty Total 8,570

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

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

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

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

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

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

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

24 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.

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