Welcome Mid-Atlantic Data Managers (MACDM) 2017 Spring Meeting - - PowerPoint PPT Presentation

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 dashboard reporting overview Anne Marie 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 updates David Carey 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

• r NCDR registry discussion

All 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 for 7-1-17, 30 day post op surgery status new 2% rule David Carey 2:25 pm 2:40 pm STS Thoracic – 5 year follow-up, lobectomy for lung cancer star rating Sarah Knorr 2:40 pm 2:55 pm What other topics for future discussion or changes to make this better? All 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 10th the website stated the Dashboard Aggregation did not take place on April 9th 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-

• perative 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 5th, Thoracic and Congenital begin real time submission but with date differences.

• Database 1st 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 1st quarter report posted
• Database 2nd 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 2nd quarter report posted
• Database 3rd 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 3rd 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.

STS Adult Cardiac Continued

• Adult Cardiac Surgery Database Data Collection form Version 2.9. Download of the final form STS.org adult cardiac section.

This form will be active for all 7-1-2017 and future procedures. Training Manual and Updated Surgeon Worksheets will be available prior to July 1, 2017.

• Some form changes and points:
• 400 new fields, oh my!
• 100 removed fields
• Page 2 - Liver Disease Child-Pugh Class
• Page 3 - Six minute walk test done, total distance walked
• Page 8 - STS Risk Calculator score was discussed with patient/family prior to surgery

STS Thoracic

Lobectomy for Lung Cancer – Public reporting starting 2017

• Star Rating Lung Resection Comparison
• Most current 3 years of data

5 Year Follow-up

• 5 year follow-up on only Lung Cancer and Esophageal Cancer patients – Starting from 1-1-2015 procedures
• STS Susan Becker’s response to question on the 5-year follow up on Lung CA and Esophageal CA required or optional :

“The follow up is mandatory for Lung CA and Esophageal CA patients but can be completed for other patients is desired. If the field is not completed currently there are no repercussions. You will still get a star rating.”

• First follow-up will cover from 1-1-2015 to 12-31-2016 procedures. Each year after will start in 2015.
• Suggestion - Reach out to your COC (tumor or cancel registry) to get your follow-up update electronically
• Pull this data the 1st quarter of each year starting in 2017.
• 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).

Future Events or Topics

Possible day bus trip to New York Wineries September 2017? Any other ideas? Any projects for any registries we would like to do as a every other month web ex project?

CME credit for our MACDM meetings, contact Ohio group how they got the CME credits for their meeting Registry vender specific EMR vender specific Cath/PCI new form discussions of how to implement Specific registry, specific fields discussion and process improvement Can we get together to ask STS and NCDR to expand DQR (Data Quality Report) outlier warnings: Ex: Cath/PCI contrast amount outlier warnings

How did this format work? What future topics would you like to hear for fall meeting? Meeting Survey?

MACDM Closing

• Next STS Data Managers Conference October 18-20th 2017 - The Palmer House Hilton, Chicago IL
• Next MACDM meeting Tuesday, November 14, 2017 (main focus STS Cardiac and Thoracic registries) location to be

determined

• Next NCDR Data Managers Conference March 7-9th 2018 – Caribe Royal Orlando, Orlando FL
• Thanks again Lehigh Valley Hospital for hosting this meeting!
• Watch MACDM.org for new meeting pictures and minutes to be announced!
• Please drop lanyard and name tag in container in rear of room when you leave