Welcome Mid-Atlantic Data Managers (MACDM) 2018 Fall Meeting – Tuesday, November 27, 2018
Thanks to our host Lehigh Valley Hospital – Cedar Crest
House Keeping • Sign in and take name tags/lanyard • Review and update the data managers listing • Rest rooms • Breakfast • Lunch and snacks • Silence all smart/flip phones/electronic devices. Please try to stay off phone texting during meeting • You can follow along with this presentation on your smart phone by opening meeting presentation on MACDM.org, goto meetings & Minutes, select upcoming meeting for this session • Drop name tags/lanyard in container in rear of room when leaving for the day
Agenda Review Start Time End Time Item Presenter 8:00 am 8:30 am Sign-in, *coffee/tee/water/snacks, networking All 8:30 am 8:35 am Agenda Review David Carey 8:35 am 8:50 am Attendees Survey, Location, Introduction All 8:50 am 9:05 am MACDM Updates David Carey 9:05 am 9:55 am STS (Society of Thoracic Surgeons) Annual Data Managers David Carey Conference 9:55 am 10:20 am STS Adult Cardiac – Updates David Carey 10:20 am 10:30 am STS Thoracic - Updates Sarah Knorr 10:30 am 10:45 am Break All 10:45 am 11:15 am Reduction of Vent Time in CABG -Ochsner Medical Center, Sylvia Laudun New Orleans LA 11:15 am 11:45 am Watchman Procedure - Boston Scientific Joe Whitaker 11:45 am 12:00 pm Break – Group Photo All 12:00 pm 12:40 pm *Lunch All 12:40 pm 1:00 pm NCDR ICD – NCDR call in, updates and CMS decision Caroline Morgan 1:00 pm 1:10 pm Open Discussion - NCDR ACTION/LAAO/TVT, STS All Congenital/Dashboard Reporting 1:10 pm 1:20 pm How to request additional help! David Carey 1:20 pm 2:10 pm AHA Get With the Guidelines New Web Site and Reports Crystal Glodek 2:10 pm 2:30 pm Break All 2:30 pm 2:55 pm NCDR Cath/PCI – New Cath/PCI version 5 form and open David Carey discussion 2:55 pm 3:00 pm Closing All
Attendees Survey The following registries were selected as discussion interest from each MACDM meeting attendee: 2018 2018 Main Registries Spring Fall STS Adult Cardiac 75% 84% NCDR Cath/PCI 70% 66% AHA GWTG 33% 53% STS Thoracic 30% 32% NCDR ICD 40% 27% NCDR ACTION 15% 13% Other Registries of Interest NCDR TVT 4% 6% NCDR LAAO 4% 6% ACC ACD? 2% VQI 2%
Attendees Locations
Attendees In Introduction Around the room introduction (hint, read off your name tag): • First name • Last name • Hospital, organization or retired status • City • State • *Let us know if this is your first regional data managers meeting!
MACDM Mission Objectives: • Enhance the quality outcome collection and reporting of cardiovascular procedures throughout the Mid-Atlantic Region. • Improve outcome collection and reporting by using collaboration, networking and knowledge transfer with other data managers throughout the mid-Atlantic hospitals. • Increase any participating Mid-Atlantic data managers incite into current and future STS (The Society of Thoracic Surgeons), NCDR (National Cardiovascular Data Registry), AHA (American Heart Association) changes communicated at their meetings. This will be communicated by attending Mid-Atlantic participating data managers.
MACDM (C (Continued)
MACDM (C (Continued)
MACDM (C (Continued) Web site address: MACDM.org Data managers listing: Print or download - Click Attendees (Go to Bottom), see MACDM Data Managers List Rules to follow: No one in MACDM group is paid or compensated for any work No presenter is paid or compensated, other then free beverages/lunch No presenter can give political presentations What registries do we discuss: STS (The Society of Thoracic Surgeons) – Cardiac and Thoracic NCDR (National Cardiovascular Data Registry) – Cath/PCI AHA (American Heart Association) – GWTG Open discussion on TVT/LAAO/ACTION/ICD/Congenital or any other registry the group would like to discuss
MACDM (C (Continued) Number of planned onsite meetings per year: • We hold two onsite meetings per year to discuss major STS, NCDR and AHA registry form changes, web site updates, reporting and important presentations from the most resent spring NCDR/fall STS annual meetings and any other sources. • Spring MACDM meeting a few weeks after the NCDR annual conference. • Fall MACDM meeting a few weeks after the STS annual conference. How much does it cost to attend the meetings: • The cost is either a $100 annual per hospital fee or a $25 per attendee/per meeting fee. • If a hospital pays the annual $100 fee, they can send any number of staff to the meetings at no charge. To get added to annual voucher, go to MACDM.org and click enroll. There is no charge and you will get a voucher and be put on the annual voucher mailing in December for next year. • MACDM annual voucher will be sent out in December. Your MACDM # will drop the leading zeros going forward to make it easier. Delaware Valley STS group status:
MACDM (C (Continued) • Next NCDR Data Managers Conference March 13-15 th 2019 Hyatt Regency, New Orleans, LA • Next MACDM Data Managers Meetings: • Spring - Tuesday, April 23rd, 2019 – Auditorium • Fall – Wednesday, November 13 th , 2019 – Kasych 6 • Next STS Data Managers Conference October 23-25th 2019 Marriott, New Orleans, LA
STS 2018 Annual Data Managers Conference
Conference (c (continued) • STS Conference Data Managers Survey – Data interesting but only 29% attendees responded
STS Adult Cardiac Audit
STS Adult Cardiac Audit (c (continued)
STS Adult Cardiac Audit (c (continued)
STS Adult Cardiac Audit (c (continued)
STS Adult Cardiac Audit (c (continued)
STS Adult Cardiac Audit (c (continued)
STS Adult Cardiac Audit (c (continued)
STS Adult Cardiac (c (continued) • Transferring Patient - STS wants you to send everything with patient to your transfer hospital and vs versa. These shaded slides taken from the Ohio Data Managers Presentation
STS Adult Cardiac (c (continued)
STS Adult Cardiac Audit (c (continued)
STS Adult Cardiac Audit (c (continued)
STS Adult Cardiac • 30 Day Post-op Surgery Status - If a hospital has 30 day post-op surgery status of more than 2% missing/Unknown of eligible patients, that hospital will NOT receive a star ratings for that reporting period. • What does your hospital do to collect 30 day post-op surgery status? • Every hospital has slightly different processes. • One of our hospitals PA's calls each patient at 30 days and creates a EPIC telephone note. • Other will look at EMR system. If they were admitted or if they had a follow-up visit, look for any mention of readmissions in any of their hospitals. If neither, they say No. • If there is no follow-up visit, they then try to call or contact. If they can't get any contact, they mark as Unknown. • In last 2 years we had 1 unknown for 4 hospitals. Because we are more rural, they usually come back to one of our area hospital services. • Real Time Data Submission – New data submission allows near real time entry process. No sweat, can use same old process going forward. Can submit data for past or present time. • Operative Death Field – Much confusion about this field and long STS discussion. STS will not use this field and determine this by the other data captured like date of death. This field will no longer be audited. • Auditing Grace Period – No data will be audited from 7-1-2017 to 9-30-2017.
STS Adult Cardiac • What fields will include and exclude procedures from CABG/AVR to other? • Version 2.9 new vendor screens and data submission - How’s it going?
STS Thoracic • New thoracic version 2.4 live 7-1-2018 • Lobectomy for Lung Cancer – Public reporting started 2017 • Star Rating Lung Resection Comparison • Most current 3 years of data • Esophageal CA Resection Will Begin Public Reporting This Summer (probably) • Will need to average 5 resections a year • STS says only about 50% of participants will receive a rating. • 5 Year Follow-up • 5 year follow-up on only Lung Cancer and Esophageal Cancer patients – Starting from 1-1-2015 procedures. 2015 year will be used until year 2020. • Suggestion - Reach out to your COC (tumor or cancel registry) to get your follow-up update electronically Pull this data the 1 st quarter of each year starting in 2017. Per STS, long term follow-up data should be • updated/reported with each harvest. • Once a year send an Excel file with MRN to get a follow-up date and mortality date (status (alive/deceased) can be determined from mortality date).
STS Thoracic (c (continued) • Eddie Calls – Clifford Edwin Fonner – Has a monthly call for the thoracic data managers the 3 rd Wednesday of each month at 1:30 central time. For discussion of data collection issues and goes over responses to FAQ answered at their monthly STS meetings. • The jeopardy section of the thoracic STS presentation did not go very well and will probably not be on the recording of the STS meeting. It was not very pretty!
STS Reporting Dashboard • After many attempts, STS will not agree to a web ex with our group to discuss the STS Reporting Dashboard • We will play a 5 minute copy of the STS Reporting Dashboard demo that will be post in the future to the STS web site
15 Minute Break Be back in 15
Reduction of f Ventilator Hours in Coronary ry Artery ry Bypass (C (CABG)
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