STS National Database Helps Improve Outcomes

Redefining Practice Through Quality and Evidence: What’s New

Monday

1:15 p.m. – 5:15 p.m.

Room 351DEF

For more than 25 years, the STS National Database has provided a foundation for cardiothoracic surgeons to improve patient outcomes by collecting data to assess procedures and develop guidelines for evidence-based practice. The breadth of evidence in the Database continues to grow, and a Monday afternoon session will address the latest Database initiatives in clinical practice guideline development, risk modeling, public reporting, and quality measurement and improvement.

“The goal is to showcase the scholarship and quality of data that are available in the STS National Database,” said session co-moderator Vinay Badhwar, MD, of West Virginia University in Morgantown.

Vinay Badwhar, MD

Vinay Badhwar, MD

Seven research abstracts will focus on topics that include Medicaid expansion, links between outcomes of bypass grafting and valve surgery, lung resection, Staphylococcus aureus prevention strategies, and preventing wound infections.

“The invited presentations are from leaders of the STS Workforce of National Databases, other related STS workforces, and STS task forces,” said session co-moderator Jeffrey P. Jacobs, MD, Chair of the STS Workforce on National Databases. “This combination of abstracts and invited lectures will allow attendees to grasp what is state of the art in quality improvement for cardiothoracic surgery.”

A highlight will be the review of new quality insights in general thoracic surgery and how this effort has helped launch the opportunity to publicly report outcomes from the General Thoracic Surgery Database for the first time, said Dr. Badhwar, Chair of the STS Task Force on Public Reporting.

Another highlight will be the review of the new STS Clinical Practice Guidelines for the Surgical Treatment of Atrial Fibrillation, released online in December in The Annals of Thoracic Surgery.

“The guidelines support the safety and efficacy of adding surgical ablation to a cardiac operation for the treatment of atrial fibrillation,” Dr. Badhwar said.

The STS Quality Measurement Task Force recently developed two mitral valve surgery composite measures and a surgeon-level composite measure. David M. Shahian, MD, Chair of the Task Force, will review those measures.

Jeffrey P. Jacobs, MD

Jeffrey P. Jacobs, MD

Dr. Jacobs, Professor of Surgery and Pediatrics at Johns Hopkins University in St. Petersburg, Fla., will review other STS measures that have been endorsed by the National Quality Forum.

“I will discuss specific aspects of several measures of performance that relate to cardiac and thoracic surgery, including survival after pediatric heart surgery and one of our newest measures related to individual cardiac surgeon performance,” said Dr. Jacobs, Chief of the Division of Cardiovascular Surgery at Johns Hopkins All Children’s Heart Institute.

Dr. Badhwar said, “This session is extremely important for learning how quality measurement is progressing and how to apply these developments in one’s clinical practice, particularly given the ever-increasing influence that quality has on practice.”

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