Measuring Hospital Performance in Congenital Heart Surgery: Administrative Versus Clinical Registry Data Sara K. Pasquali, MD, MHS, Xia He, MS, Jeffrey.

Slides:

Advertisements

Similar presentations

Heart Transplant vs Left Ventricular Assist Device in Heart Transplant-Eligible Patients Matthew L. Williams, MD, Jaimin R. Trivedi, MD, MPH, Kelly C.

Advertisements

Surgical Versus Medical Therapy for Prosthetic Valve Endocarditis: A Meta-Analysis of 32 Studies Christos G. Mihos, DO, Romain Capoulade, PhD, Evin Yucel,

What Predicts Long-Term Survival After Heart Transplantation

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

The Society of Thoracic Surgeons Lung Cancer Resection Risk Model: Higher Quality Data and Superior Outcomes Felix G. Fernandez, MD, MS, Andrzej S. Kosinski,

Risk-Adjusted Prolonged Length of Stay as an Alternative Outcome Measure for Pediatric Congenital Cardiac Surgery Ming Liu, MS, MA, Charlotte M. Druschel,

Kanika Trehan, MD, Xun Zhou, MD, Stephen C. Yang, MD

Successful Linking of The Society of Thoracic Surgeons Adult Cardiac Surgery Database to Centers for Medicare and Medicaid Services Medicare Data Jeffrey.

John M. Fallon, MD, Joseph P. DeSimone, MD, J

Variation in Outcomes for Risk-Stratified Pediatric Cardiac Surgical Operations: An Analysis of the STS Congenital Heart Surgery Database Jeffrey Phillip.

Hospital Variation in Mortality From Cardiac Arrest After Cardiac Surgery: An Opportunity for Improvement? Damien J. LaPar, MD, MS, Ravi K. Ghanta, MD,

Jeffrey G. Gaca, MD, Shubin Sheng, PhD, Mani Daneshmand, MD, J

Duration of Mechanical Ventilation and Perioperative Care Quality After Neonatal Cardiac Operations Joshua J. Blinder, MD, Ravi Thiagarajan, MBBS, MPH,

Meena Nathan, MD, MPH, Marshall L. Jacobs, MD, J

Punkaj Gupta, MBBS, Brandon W. Beam, JD, Tommy R

Surgical Versus Medical Therapy for Prosthetic Valve Endocarditis: A Meta-Analysis of 32 Studies Christos G. Mihos, DO, Romain Capoulade, PhD, Evin Yucel,

Initial Application in The STS Congenital Database of Complexity Adjustment to Evaluate Surgical Case Mix and Results Jeffrey Phillip Jacobs, MD, Francois.

Surgery in Adults With Congenital Heart Disease: Risk Factors for Morbidity and Mortality Brian Kogon, MD, Joanna Grudziak, MA, Anurag Sahu, MD, Maan.

FDA Perspective on Clinical Trial Design for Cardiovascular Devices

Impact of Extracardiac Vascular Disease on Vein Graft Failure and Outcomes After Coronary Artery Bypass Surgery Ralf E. Harskamp, MD, John H. Alexander,

Susanne Lison, MD, Michael Spannagl, MD, PhD, Wulf Dietrich, MD, PhD

The Society of Thoracic Surgeons Mitral Valve Repair/Replacement Plus Coronary Artery Bypass Grafting Composite Score: A Report of The Society of Thoracic.

Sara K. Pasquali, MD, MHS, Jennifer S

William T. Mahle, MD, Emilia Matthews, MS, Kirk R. Kanter, MD, Brian E

Aadil Kakajiwala, MBBS, Ji Young Kim, PhD, John Z

Origins of the Cardiothoracic Surgery Network (CTSNet)

Who Do You Say You Are? The Annals of Thoracic Surgery

Current Spectrum of Surgical Procedures Performed for Ebstein's Malformation: An Analysis of The Society of Thoracic Surgeons Congenital Heart Surgery.

David M. Shahian, MD, Xia He, MS, Jeffrey P. Jacobs, MD, J

David L. S. Morales, MD, Muhammad S. Khan, MD, Joseph W

Use of Amiodarone After Major Lung Resection

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

Mallory L. Irons, MD, MBE, J. William Gaynor, MD, Thomas L

Michael Gaies, MD, Sara K. Pasquali, MD, Janet E

Jeremiah R. Brown, PhD, William M. Hisey, MS, Emily J

Gregory M. Barker, MD, Sean M. O'Brien, PhD, Karl F

Quality-Cost Relationship in Congenital Heart Surgery

Embolized Methyl Methacrylate to the Right Atrium After Kyphoplasty

Editorial Board, January 2010

Bradford B. Smith, MD, Matthew A

Understanding Mortality as a Quality Indicator After Esophagectomy

Current Assessment of Mortality Rates in Congenital Cardiac Surgery

Limitations of Hospital Volume as a Measure of Quality of Care for Coronary Artery Bypass Graft Surgery Karl F. Welke, MD, Mitchell J. Barnett, PharmD,

Current Status of the European Association for Cardio-Thoracic Surgery and The Society of Thoracic Surgeons Congenital Heart Surgery Database Jeffrey.

Anirudh Vinnakota, MS, Robert Stewart, MD, Gosta Pettersson, MD, PhD

Early Extubation After Repair of Tetralogy of Fallot and the Fontan Procedure: An Analysis of The Society of Thoracic Surgeons Congenital Heart Surgery.

Sequential Design for Clinical Trials Evaluating a Prosthetic Heart Valve Cody Hamilton, PhD, Michael Lu, PhD, Steven Lewis, PhD, William Anderson, PhD

Specialty Training and Mortality After Esophageal Cancer Resection

Contemporary Outcomes of Surgical Repair of Total Anomalous Pulmonary Venous Connection in Patients With Heterotaxy Syndrome Muhammad S. Khan, MD, Roosevelt.

Sara K. Pasquali, MD, Matthew Hall, PhD, Jennifer S

Interinstitutional Comparison of Risk-Adjusted Mortality and Length of Stay in Congenital Heart Surgery William M. DeCampli, MD, PhD, Redmond P. Burke,

Dana Y. Fuhrman, DO, MS, Lan G

The Annals of Thoracic Surgery

Invited Commentary The Annals of Thoracic Surgery

The American Board of Thoracic Surgery: Update

The Society of Thoracic Surgeons Congenital Heart Surgery Database: 2016 Update on Outcomes and Quality Jeffrey P. Jacobs, MD, John E. Mayer, MD, Constantine.

Steve K. Singh, MD, Gilbert H. L. Tang, MD, Manjula D

“Transitions” for Cardiothoracic Surgeons Now Listed on the Web:

Christoph P. Hornik, MD, Xia He, MS, Jeffrey P. Jacobs, MD, Jennifer S

Nicole M. Cresalia, MD, Aimee K. Armstrong, MD, Jennifer C

Are There Enough Jobs in Cardiothoracic Surgery

Sara K. Pasquali, MD, MHS, Xia He, MS, Marshall L

Contemporary outcomes of complete atrioventricular septal defect repair: Analysis of the Society of Thoracic Surgeons Congenital Heart Surgery Database

The Impact of New Technology on Cardiothoracic Surgical Practice

Slide Tracheoplasty in Infants and Children: Risk Factors for Prolonged Postoperative Ventilatory Support Peter B. Manning, MD, Michael J. Rutter, MD,

Heart Transplant Program Volume Is Not a Measure of Quality

Delayed Sternal Closure in Infant Heart Surgery—The Importance of Where and When: An Analysis of the STS Congenital Heart Surgery Database Kristen Nelson-McMillan,

Michelle C. Wallace, MD, James Jaggers, MD, Jennifer S

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

The Society of Thoracic Surgeons Congenital Heart Surgery Database Mortality Risk Model: Part 2—Clinical Application Jeffrey P. Jacobs, MD, Sean M. O’Brien,

Presentation transcript:

Measuring Hospital Performance in Congenital Heart Surgery: Administrative Versus Clinical Registry Data Sara K. Pasquali, MD, MHS, Xia He, MS, Jeffrey P. Jacobs, MD, Marshall L. Jacobs, MD, Michael G. Gaies, MD, MPH, Samir S. Shah, MD, MSCE, Matthew Hall, PhD, J. William Gaynor, MD, Eric D. Peterson, MD, MPH, John E. Mayer, MD, Jennifer C. Hirsch-Romano, MD, MS The Annals of Thoracic Surgery Volume 99, Issue 3, Pages 932-938 (March 2015) DOI: 10.1016/j.athoracsur.2014.10.069 Copyright © 2015 The Society of Thoracic Surgeons Terms and Conditions

Fig 1 Hospital volume and mortality rates based on the administrative versus clinical registry data. Each dot represents data for one of the 33 included hospitals. (A) STAT cases in the clinical registry versus RACHS-1 cases in the administrative data. (B) STAT cases in the clinical registry versus AHRQ cases in the administrative data. (AHRQ = Agency for Healthcare Research and Quality; RACHS-1 = Risk Adjustment in Congenital Heart Surgery, version 1; STAT = Society of Thoracic Surgeons–European Association for Cardiothoracic Surgery.) The Annals of Thoracic Surgery 2015 99, 932-938DOI: (10.1016/j.athoracsur.2014.10.069) Copyright © 2015 The Society of Thoracic Surgeons Terms and Conditions

Fig 2 Hospital mortality rankings in the administrative versus clinical registry data. Each dot represents the ranking of one hospital in the administrative or clinical registry data. The lines depict how the same hospital changes ranks between the two data sources. (A) Hospital rankings for mortality based on the clinical registry (STAT classified cases) versus administrative data (RACHS-1 classified cases). (B) Hospital rankings based on the clinical registry (STAT classified cases) versus administrative data (AHRQ cases). (AHRQ = Agency for Healthcare Research and Quality; RACHS-1 = Risk Adjustment in Congenital Heart Surgery, version 1; STAT = Society of Thoracic Surgeons–European Association for Cardiothoracic Surgery.) The Annals of Thoracic Surgery 2015 99, 932-938DOI: (10.1016/j.athoracsur.2014.10.069) Copyright © 2015 The Society of Thoracic Surgeons Terms and Conditions