Welcome Mid-Atlantic Data Managers (MACDM) 2017 Spring Meeting – Tuesday, April 11, 2017
Thanks to our host Lehigh Valley Hospital – Cedar Crest
House Keeping • Rest rooms • Breakfast • Lunch and snacks • Silence all cell/flip phones and electronic devices • Please drop lanyard and name tag in container in rear of room when you leave
Agenda Review Start Time End Time Item Presenter 7:30 am 8:00 am Sign-in, *coffee/tee/water, networking All 8:00 am 8:05 am Agenda Review David Carey 8:05 am 8:20 am DVSTS Board Update and Discussion Dr Wu 8:30 am 8:40 am Attendees Introduction All 8:40 am 8:50 am MACDM Introduction David Carey 8:50 am 9:20 am ICD – Any new or future NCDR announcements Kerry Strickland 9:20 am 10:00 am ACTION – Any new or future NCDR announcements. Online Anne Marie dashboard reporting overview Crown/Mercedes Scott 10:00 am 10:10 am Break All 10:10 am 11:45 am Cath/PCI – New Cath/PCI Version 5 form coming and other David Carey updates 11:45 am 12:00 pm Break – Group Photo All 12:00 pm 12:30 pm *Lunch All 12:30 pm 1:00 pm LifeVest Presentation Daniel Berryman 1:00 pm 1:50 pm Any remaining ICD, ACTION or Cath/PCI Continued. Any questions All or NCDR registry discussion 1:50 pm 2:00 pm Break All 2:00 pm 2:25 pm STS Cardiac – New real time data submission, new form v 9.2 live David Carey for 7-1-17, 30 day post op surgery status new 2% rule 2:25 pm 2:40 pm STS Thoracic – 5 year follow-up, lobectomy for lung cancer star Sarah Knorr rating 2:40 pm 2:55 pm What other topics for future discussion or changes to make this All better? 2:55 pm 3:00 pm Closing David Carey
DVSTS Board Update and Discussion • Dr Wu from the Delaware Valley STS Cardiac board will address the data managers attending the MACDM meeting to discuss the direction of the DVSTS group. • Open discussion with data managers regarding any questions or concerns they may have for the board.
Attendees In Introduction Around the room introduction (hint, read off your name tag): • First name • Last name • Hospital, organization or retired status • City • State
MACDM In Introduction What registries does it represent? NCDR – Cath/PCI, ACTION, ICD (open for others) STS – Cardiac and Thoracic When was it created? Fall of 2016 How was it created? Under a non-profit organization that allowed us to be created with $0 Filed official name, purchased MACDM.org web address, purchased PO box Created new web site and process vouchers, enrollment, registration, help questions. Purchased MACDM table cover, MACDM lanyards and name tags Provided electronic screen display for NCDR Washington conference and this meeting What have we done lately? Maintain web site and content Attended March 2017 NCDR Washington Conference with vender table See pictures on MACDM.org under announcement, MADM goes to Washington NCDR conference Wine and chocolate gift basket winner – Denise Broussard, Cardiovascular Institute, Lafayette, LA
IC ICD – New or Future NCDR Announcements (C (Continued) Presenter – Nancy Krempasky The data for the fields Ventricular Tachycardia, Coronary Angiography, Prior MI, PCI & CABG were discussed and NCDR plans to update the FAQ’s pertaining to data abstracted for those Seq numbers sometime in the near future. The Indications for Permanent Pacemaker section is going to be revised in a version update as it is causing an issue with an algorithm within the system. They will also be adding FAQ’s for these ( Seq #’s 4330 -4350) in the near future.
IC ICD – New or Future NCDR Announcements (C (Continued) It was announced at Conference that there was the possibility of the Dashboard being up and running by March 23. As of April 10 th the website stated the Dashboard Aggregation did not take place on April 9 th as planned. Outcome reports should be coming out after the next submission. NCDR wanted to allow time to review the dashboard and make corrections before the final Outcome Reports come out. Only abstract and code Ejection Fractions that were performed up to 365 days prior to the current procedure.
ACT CTION – New or Future NCDR Announcements Presenters – Anne Marie Crown and Mercedes Scott
10 Minute Break Be back in 10
Cath/PCI – New Cath/PCI Version 5 New Cath/PCI Draft version 5, effective date not given but probably late 2018. Cath/PCI Version 4.4 vs Draft version 5 • From 5 to 14 pages, ouch! • Your hospital system needs to decide on optional and some other sections on if/how you are going to complete
Cath/PCI – Continued Section A. Demographic Race – If Asian or Hawaiian, expanded Hispanic – If yes, expanded Section B. Episode of Care Admitting and Attending provider - Added Section C. History and Risk Factors Prior MI – Added, Most Recent MI Date Prior PCI – Added, If yes, Left Main PCI Tobacco Use – Added new section Pre-Hospital Cardiac Arrest – Added new section CSHA Clinical Frailty Scale – Added new section
Cath/PCI – Continued Section D. Pre-Procedure Information Heart Failure – Added newly Diagnosed and HF Type ECG Performed – Added new section Stress Tests – Added Stress test dates Cardiac CTA Performed – Expanded into new section Pre-Procedure Medications – Added new section Optional: Seattle Angina Questionnaire – Added new section Rose Dyspnea Scale – Added new section
Cath/PCI – Continued Section E. Procedure Information Diagnostic LVEF – Added field Concomitant Procedures Performed – Added field Systolic BP – Added field Radiation Exposure – Added Cumulative Air Kerma and Dose Area Product Section F. Pre-Procedure Labs Total Cholesterol and HDL – Added fields Section G. Cath Lab Visit Indications for Cath Lab Visit – Expanded and added valvular disease and pre- operative evaluation sections
Cath/PCI – Continued Section H. Coronary Anatomy Entire section changed with many more questions. Will see how vender presents form Section I. PCI Procedure Added many new fields and expanded others Meds – Added Warfarin Section J. Lesions and Devices – No real changes! Section K. Intra and Post-Procedure Events Bleed events separated Cardiac Arrest – Added field Stroke – Added Ischemic and Undetermined fields RBC Transfusion – Added section
Cath/PCI – Continued Section L. Discharge Expanded, expanded, expanded Discharge Time – Added field Discharge Provider – Added field Discharge Meds: Contraindicated changed - No Reason, No Medical Reason, Patient Reason PCI If No Patient Reason - Additional reason Med Dose – Added Low/moderate/high Discharge Meds Reconciliation Completed – Added section
Cath/PCI – Continued Section M. Follow-up 30 day and 1 year - New Section My understanding from NCDR conference presentation is this is optional but not sure reviewing form! • 30 day follow-up not bad except for events/medications! • 1 year follow-up, staff capacity/additional FTE? Optional: Seattle Angina Questionnaire Follow-up Rose Dyspnea Scale Follow-up
15 Minute Break and Group Photo Be in front hallway near sign-in desk in 5 minutes for group photo
Half Hour Lunch Break Lunch provided in back of room
LifeVest Presentation LifeVest Presentation by Daniel Berryman The below link will take you to LifeVest “Medical Professionals” section their website. There is some great information on this site you may find useful. https://lifevest.zoll.com/medical-professionals
Remaining IC ICD, , ACT CTION, Cath/PCI Continued Any remaining ICD, ACTION or Cath/PCI discussions continued. Any questions or NCDR registry discussion
10 Minute Break Be back in 10
STS Adult Cardiac • Real Time Data Submission – Similar to NCDR PCI/ACTION/ICD submission and dashboard reporting • New data submission near real time entry process. No sweat, can use same old process going forward and start this new process at any time. Starting with June 5 th , Thoracic and Congenital begin real time submission but with date differences. • Database 1 st Quarter 2017 Data (January 1, 2017 to March 31, 2017 Data) • March 6, 2017 – Database Unlocked. • May 26, 2017 – Database Lockdown. Blackout date no new data can be uploaded until database unlocked date. End of July 2017 – Final 1 st quarter report posted • • Database 2 nd Quarter 2017 Data (April 1, 2017 to June 30, 2017 Data) • June 5, 2017 – Database Unlocked. • August 25, 2017 – Database Lockdown. Blackout date no new data can be uploaded until database unlocked date. End of October 2017 – Final 2 nd quarter report posted • • Database 3 rd Quarter 2017 Data (July 1, 2017 to September 30, 2017 Data) • September 4, 2017 – Database Unlocked. • November 24, 2017 – Database Lockdown. Blackout date no new data can be uploaded until database unlocked date. End of January 2018 – Final 3 rd quarter report posted • • Can submit data for past/present quarter/real time . • Beginning with 2016 procedure data submission. 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.
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