A Method to Account for Variation in Congenital Heart Surgery Charges

Slides:

Advertisements

Similar presentations

Congenital Heart Lesions. Outline Normal anatomy L -> R shunt Left side obstruction Cyanotic heart lesions Right side obstruction and R -> L shunt Transposition.

Advertisements

Principal Groups of CHD

Congenital Heart Lesions

CONGENITAL HEART DISEASES

Congenital Heart Disease

Congenital Heart Disease

Marshall L. Jacobs, MD, Jeffrey P. Jacobs, MD, Sara K

A Method to Account for Variation in Congenital Heart Surgery Charges

The First Cardiac Operation Using Cardiopulmonary Bypass

The Role of Intraoperative Indocyanine Green Fluorescence Angiography in Pediatric Cardiac Surgery Brian Kogon, MD, Janet Fernandez, BS, Kirk Kanter,

Eva M. Marwali, MD, PhD, Cindy E

Repair of Atrioventricular Septal Defect Associated With Tetralogy of Fallot or Double- Outlet Right Ventricle: 30 Years of Experience Jeremy Ong, BMedSci,

James E. O'Brien, MD, Jennifer A. Marshall, RN, BSRT, Anne R

Incidence and Predictors for Postoperative Thrombotic Complications in Children With Surgical and Nonsurgical Heart Disease David Faraoni, MD, PhD, Katherine.

Procedure-Based Complications to Guide Informed Consent: Analysis of Society of Thoracic Surgeons-Congenital Heart Surgery Database Constantine Mavroudis,

Impact of Blalock-Taussig Shunt Size on Tricuspid Regurgitation in Hypoplastic Left Heart Syndrome Hiroko Asakai, MD, John C. Galati, BSc, PhD, Sofia.

Aortic Translocation for Repair of Transposition of the Great Arteries (S,D,L) With Ventricular Septal Defect and Pulmonic Stenosis Justin G. Reeves,

Outcomes After Bidirectional Glenn Operation: Blalock-Taussig Shunt Versus Right Ventricle–to–Pulmonary Artery Conduit Lillian Lai, MHA, MD, Peter C.

An Analysis of Left Ventricular Retraining in Patients With Dextro- and Levo- Transposition of the Great Arteries Richard D. Mainwaring, MD, William L.

CCHD with Low PBF & No PAH

Morphologic Spectrum of Ventriculoarterial Connection in Hearts With Double Inlet Left Ventricle: Implications for Surgical Procedures Hideki Uemura,

Biventricular Repair for Right Atrial Isomerism

Variation in Outcomes for Benchmark Operations: An Analysis of The Society of Thoracic Surgeons Congenital Heart Surgery Database Jeffrey Phillip Jacobs,

Results of Primary Repair Versus Shunt Palliation in Ductal Dependent Infants With Pulmonary Atresia and Ventricular Septal Defect Bahaaldin Alsoufi,

Biventricular Conversion After Single-Ventricle Palliation in Unbalanced Atrioventricular Canal Defects Meena Nathan, MD, Hua Liu, MS, Frank A. Pigula,

Short-Term Outcome of Neonates With Congenital Heart Disease and Diaphragmatic Hernia Treated With Extracorporeal Membrane Oxygenation Umesh Dyamenahalli,

Impact of Age and Duration of Banding on Left Ventricular Preparation Before Anatomic Repair for Congenitally Corrected Transposition of the Great Arteries

Vincent L. Gott, MD The Annals of Thoracic Surgery

James D. St. Louis, MD The Annals of Thoracic Surgery

Interrupted Aortic Arch Repair: Aortic Arch Advancement Without a Patch Minimizes Arch Reinterventions David L.S. Morales, MD, Peter T. Scully, Brandi.

Natural History of Pulmonary Atresia With Intact Ventricular Septum and Right- Ventricle–Dependent Coronary Circulation Managed by the Single-Ventricle.

Impact of Intraoperative Transesophageal Echocardiography on Surgical Decisions in 12,566 Patients Undergoing Cardiac Surgery Holger K. Eltzschig, MD,

Michael J. Wolf, MD, Nikhil K. Chanani, MD, Micheal L

Analysis of Surgical Outcome in Complex Double-Outlet Right Ventricle With Heterotaxy Syndrome or Complete Atrioventricular Canal Defect Koh Takeuchi,

Is additional pulsatile pulmonary blood flow beneficial to patients with bidirectional Glenn? Sunita J. Ferns, MD, MRCPCH, Chawki El Zein, MD, Kanwar.

Survival status and functional outcome of children who required prolonged intensive care after cardiac surgery Siva P. Namachivayam, MBBS, MEpi, Yves.

Incidence and characteristics of heart block after heart surgery in pediatric patients: A multicenter study Leonardo Liberman, MD, Eric S. Silver, MD,

Midterm results of surgical intervention for congenital heart disease in adults: An Italian multicenter study Massimo A. Padalino, MD, Simone Speggiorin,

Marshall L. Jacobs, MD, Jeffrey P. Jacobs, MD, Kevin D

Influence of Morphology and Initial Surgical Strategy on Survival of Infants With Tricuspid Atresia Bahaaldin Alsoufi, MD, Brian Schlosser, BS, RDCS,

Yasutaka Hirata, MD, Jonathan M. Chen, MD, Jan M

Patrick O. Myers, MD, Pedro J. del Nido, MD, Gerald R

Surgical Results in Patients With Pulmonary Atresia-Major Aortopulmonary Collaterals in Association With Total Anomalous Pulmonary Venous Connection

Rates of Interventions in Isolated Coarctation Repair in Neonates Versus Infants: Does Age Matter? Rinske IJsselhof, MD, Hua Liu, MS, Frank Pigula, MD,

Revisitation of Double-Inlet Left Ventricle or Tricuspid Atresia With Transposed Great Arteries Won Kyoun Park, MD, Jae Suk Baek, MD, Bo Sang Kwon, MD,

Mitral Stenosis and Aortic Atresia in Hypoplastic Left Heart Syndrome: Survival Analysis After Stage I Palliation Shyam K. Sathanandam, MD, Anastasios.

Increased postoperative and respiratory complications in patients with congenital heart disease associated with heterotaxy Matthew Swisher, BS, Richard.

Classification of congenital heart diseases

Marcus T. R. Roofthooft, MD, Klasina A. Bergman, MD, Tjalling W

Double-Root Translocation for Double-Outlet Right Ventricle With Noncommitted Ventricular Septal Defect or Double-Outlet Right Ventricle With Subpulmonary.

Risk factors for early pulmonary valve replacement after valve disruption in congenital pulmonary stenosis and tetralogy of Fallot Brian Kogon, MD, Courtney.

Robert L. Hannan, MD, Jennifer A. Zabinsky, MEng, Robert M

UK paediatric cardiac surgery 30-day mortality rates for individual specific procedures by era (2000–2004 compared with 2005–2010). UK paediatric cardiac.

Brian M. Cardis, MD, Derek A. Fyfe, MD, PhD, William T. Mahle, MD

Nikaidoh Procedure: How I Teach It

Surgical Repair of Pulmonary Atresia With Ventricular Septal Defect and Major Aortopulmonary Collaterals With Absent Intrapericardial Pulmonary Arteries

Surgical Strategy for Atrioventricular Septal Defect and Tetralogy of Fallot or Double- Outlet Right Ventricle Vijayakumar Raju, MD, Harold M. Burkhart,

Arterial Switch Operation: Operative Approach and Outcomes

Prioritizing quality improvement in pediatric cardiac surgery

Aortic Translocation in the Management of Transposition of the Great Arteries With Ventricular Septal Defect and Pulmonary Stenosis: Results and Follow-Up

Surgical results in patients with double outlet right ventricle: a 20-year experience John W Brown, MD, Mark Ruzmetov, MD, Yuji Okada, MD, Palaniswamy.

Left-Sided Reoperations After Arterial Switch Operation: A European Multicenter Study Vladimiro L. Vida, MD, PhD, Lorenza Zanotto, MD, Lucia Zanotto,

Young-Sang Sohn, MD, Christian P

Use of Administrative Data for Surgical Site Infection Surveillance After Congenital Cardiac Surgery Results in Inaccurate Reporting of Surgical Site.

Causes of Death After Congenital Heart Surgery

Truncus Arteriosus and Unbalanced Complete Atrioventricular Septal Defect: Pulmonary Protection in the Neonate Sunil Panwar, MD, Scott M. Bradley, MD,

Outcomes of the Arterial Switch Operation for Transposition of the Great Arteries: 25 Years of Experience Tyson A. Fricke, BMedSc, Yves d'Udekem, MD,

Eleanor T. Ross, MD, John M. Costello, MD, MPH, Carl L

Estimating Mortality Risk for Adult Congenital Heart Surgery: An Analysis of The Society of Thoracic Surgeons Congenital Heart Surgery Database Stephanie.

Prevalence of Noncardiac and Genetic Abnormalities in Neonates Undergoing Cardiac Operations: Analysis of The Society of Thoracic Surgeons Congenital.

Presentation transcript:

A Method to Account for Variation in Congenital Heart Surgery Charges Lisa Bergersen, MD, MPH, Andrew Brennan, BS, Kimberlee Gauvreau, ScD, Jean Connor, PhD, RN, Melvin Almodovar, MD, James DiNardo, MD, Sthuthi David, BS, John Triedman, MD, Puja Banka, MD, Sitaram Emani, MD, John E. Mayer, MD The Annals of Thoracic Surgery Volume 99, Issue 3, Pages 939-946 (March 2015) DOI: 10.1016/j.athoracsur.2014.10.066 Copyright © 2015 The Society of Thoracic Surgeons Terms and Conditions

Fig 1 One hundred three procedure types surgically grouped into associated surgical charge categories. aStratified by age. bStratified by diagnosis. cStratified by genetic syndrome. dStratified by secondary procedure. (AA = aortic atresia; ALCAPA = anomalous left coronary artery from the pulmonary artery; AP = aortopulmonary; AS aortic stenosis; ASD = atrial septal defect; ASO = arterial switch operation; AVC = atrioventricular canal; AVV = atrioventricular valve; BDG = bidirectional Glenn; BTS = Blalock-Taussig shunt; CPB = cardiopulmonary bypass; DCRV = double-chambered right ventricle; DORV = double-outlet right ventricle; D-TGA = dextro transposition of the great arteries; HLHS = hypoplastic left heart syndrome; IAA = interrupted aortic arch; IHSS = idiopathic hypertrophic subaortic stenosis; IVS = intact ventricular septum; L-GTA = levo transposition of the great arteries; LVOT = left ventricular outflow tract; MAPCA = major aortopulmonary collateral artery; MS = mitral stenosis; PA = pulmonary atresia; PAB = pulmonary artery band; PDA = patent ductus arteriosus; PFO = patent foramen ovale; PS = pulmonary stenosis; RV = right ventricle; RVOT = right ventricular outflow tract; RV-PA = right ventricle to pulmonary artery; TAPVC = total anomalous pulmonary venous connection; TOF = tetralogy of Fallot; VAD = ventricular assist device; VSD = ventricular septal defect.) The Annals of Thoracic Surgery 2015 99, 939-946DOI: (10.1016/j.athoracsur.2014.10.066) Copyright © 2015 The Society of Thoracic Surgeons Terms and Conditions

Fig 2 The distribution of cases types by surgical charge categories is represented by the columns, and the calculated median and interquartile range charge for each surgical charge category is represented by the scatter plot. The Annals of Thoracic Surgery 2015 99, 939-946DOI: (10.1016/j.athoracsur.2014.10.066) Copyright © 2015 The Society of Thoracic Surgeons Terms and Conditions

Fig 3 The distribution of surgical cases linked to an associated all patient refined diagnosis related groups (APR-DRG) value were matched to their associated severity of illness (SOI) subclass and summarized by surgical charge categories. Mean severity of illness was calculated by surgical charge category. Subclass 1 is designated by light blue; subclass 2 by yellow; subclass 3 by green; and subclass 4 by purple. The Annals of Thoracic Surgery 2015 99, 939-946DOI: (10.1016/j.athoracsur.2014.10.066) Copyright © 2015 The Society of Thoracic Surgeons Terms and Conditions

Fig 4 The distribution of surgical cases linked to an associated all patient refined diagnosis related groups (APR-DRG) value were matched to their associated case mix index (CMI; solid circles) subclass and summarized by surgical charge categories. Geometric mean charge (shaded squares) was calculated by surgical charge category. The Annals of Thoracic Surgery 2015 99, 939-946DOI: (10.1016/j.athoracsur.2014.10.066) Copyright © 2015 The Society of Thoracic Surgeons Terms and Conditions