Welcome Mid-Atlantic Data Managers (MACDM) 2019 Fall Meeting - - PowerPoint PPT Presentation

Welcome Mid-Atlantic Data Managers (MACDM) 2019 Fall Meeting – Wednesday, November 13, 2019

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
• pening 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

7:30 am 8:15 am Sign-in, *coffee/tea/water/snacks, networking All 8:15 am 8:20 am Agenda Review David Carey 8:20 am 8:35 am Attendees Survey, Location, Introduction All 8:35 am 8:50 am MACDM Updates David Carey 8:50 am 8:55 am Regional Groups David Carey 8:55 am 9:05 am Regional Groups STS Webinar Collaborative David Carey 9:05 am 9:15 am STS Webinar Training David Carey 9:15 am 10:00 am STS Registry Data Submission/Reporting Changes David Carey 10:00 am 10:15 am Break All 10:15 am 10:30 am STS Registry Data Submission/Reporting Changes (continued) David Carey 10:30 am 10:50 am STS Adult Cardiac – New Form Draft Review David Carey 10:50 am 11:00 am STS Thoracic - Updates Sarah Knorr 11:00 am 11:45 am Presentation – Abiomed, Impella Device Jeff Cutrone 11:45 am 12:00 pm Break – Group Photo All 12:00 pm 12:40 pm *Lunch All 12:40 pm 1:00 pm Support Groups (EPIC, Lumedx, etc), Conference Calls, Surveys, Registry Mentors Robin McKelvey 1:00 pm 1:10 pm Open Discussion – ACTION, ICD LAAO, TVT, STS Congenital, IMPACT, VQI All 1:10 pm 1:20 pm Open Discussion and Data Upload Issues – GWTG David Carey 1:20 pm 2:20 pm STS Adult Cardiac O to E Reporting Candace Trace 2:20 pm 2:35 pm Break All 2:35 pm 2:55 pm Open Discussion – Cath/PCI All 2:55 pm 3:00 pm Closing All

Attendees Registration Survey

The following registry percentages were derived from the registration

• f each MACDM meeting attendee:

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 Mid-Atlantic regional data managers

meeting!

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.

Mid id-Atlantic Cardiovascular Data Managers MACDM

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/VQI 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 $100 annual per hospital or $25 per attendee/per meeting.
• 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, contact David Carey Or 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 the next year.

• Your MACDM # has dropped the leading zeros to make it easier.

MACDM (C (Continued)

• Next STS Data Managers Conference:
• September 30 to October 2, 2020 - Providence, Rhode

Island

• Next NCDR Data Managers Conference:
• October 7 to October 9, 2020 - Caribe Royale Orlando,

Florida

• Next MACDM Data Managers Meetings:
• Spring - Tuesday, April 14th, 2020 – Kasych ECC 7
• Fall – Wednesday, November 11th, 2020 – Kasych ECC 6
• Spring – Thursday, April 15th , 2021 – Kasych ECC 7

2019 STS Data Managers Conference

2019 STS Data Managers Conference (c (continued)

• Regional Groups STS Webinar Collaborative

– Wednesday December 11, 2019

• STS Webinar Training

– Meetings already started!

• STS Registry Data Submission/Reporting Changes

– Projected live date January 1, 2020

• STS Adult Cardiac Data Changes

– Projected live date procedures 7-1-2020 and forward. – Updated DRAFT version 4.20 is projected November 15, 2019

Regional Groups

Regional Groups (c (continued)

Regional Groups STS Webinar Collaborative

OTCDMG Ohio Regional Group Leaders – Kim Meraglio & Amy Erb MACDM Mid-Atlantic Regional Group Leader – Dave Carey Michigan Regional Group Leader – Melissa Clark Heartbase Cardiac Registry Support

Regional Groups STS Webinar Collaborative

Registry Topic, Speaker, Order, **Time of Presentation

Registry Topic Speaker Order Minutes** Vignettes Congenital followed by Q&A Leslie Wacker 1 15 1 or 2 Intermacs followed by Q&A Sheila Bailey 2 10 1 if available STS Audit followed by Q&A Barb Sanders 3 15 Thoracic followed by Q&A Christine Sytsma 4 20 2 or 3 Adult Cardiac followed by Q&A Barb Wittenmyer 5 45 3 or 4 **times are an estimate

Regional Groups STS Webinar Collaborative

• Webinar Date/Time -
• Date - Wednesday December 11th, 2019
• Time - 1:00 pm to 3:00 pm EDT
• To Register - Dave Carey will send out registry information to all MACDM

members prior to the webinar.

• Webinar will be limited to about 220 live users. If possible, try to schedule

multiple staff members in a conference room or office as one webinar registered person.

• In the event you can’t attend or can’t get into the Webinar due to a large

number of users, there will be a recording of the presentations per registry topics.

STS Webinar Training

• Who works with the Cardiac, Thoracic or Congenital registry data uploading?
• Who has already participated in any of the 3 registry STS webinars?
• Who is not receiving the STS emails below?

Dear Data Managers, Surgeons, and Vendors, We are really pleased with the extraordinary turnout for the first in our series of monthly webinars designed to keep you informed of the latest updates and new features that will be included with the next generation STS National Database that will launch in January 2020. Recordings from the first webinars are available online now. Discussion topics included a status report on what you can expect during the phase 1 launch, the transition to IQVIA as the Society’s new data warehouse, and a preview of the educational sessions at last week’s AQO Meeting. The November webinars will cover the data warehouse transition to IQVIA. Mark your calendars! Adult Cardiac Surgery Database Webinar: November 6, 2019 at 2:00 p.m. CT Congenital Heart Surgery Database Webinar: November 7, 2019 at 2:00 p.m. CT General Thoracic Surgery Database Webinar: November 13, 2019 at 1:30 p.m. CT Registration is not required for the webinars, but you will need to sign in with your name and email address to participate and ask questions.

STS Webinar Training (c (continued)

STS is currently sending webinar reminders to all: Surgeons, back up data contacts and primary data contact. If your listed as any of those roles then you should be receiving the emails. If you are listed in those roles and not receiving the email notices then you should:

• Make sure STSDB@STS.org is white listed, since these emails tend to get sent to spam
• Ensure STS has the correct email listed. Emails can be updated on the participant contact

form via https://www.sts.org/registries-research-center/sts-national-database/sts-national- database-forms

• Past webinar recordings and upcoming webinars will be listed on the following link to the

webinars https://www.sts.org/registries-research-center/sts-national-database/sts- national-database-webinars.

STS Webinar Training (c (continued)

To find the webinar information and links, go to STS.org and follow the link below and then save to favorites

STS Registry ry Data Submission/Reporting Changes

• Discuss:

➢ What is coming January 1, 2020 to STS Adult Cardiac, Thoracic and Congenital

• Review:

➢ Current STS registry data submission for Adult Cardiac, Thoracic or Congenital ➢ Future IQVIA STS Registry data submission and reporting

STS Registry ry Data Submission/Reporting Changes

• How many currently submit STS registry data files for

Adult Cardiac, Thoracic or Congenital?

• Review:

➢ Current STS registry data submission process for Adult Cardiac, Thoracic or Congenital ➢ Future IQVIA STS Registry data submission and reporting

Current STS Registry ry Data Submission

*** Note, separate file submission for each hospital you submit!

Current STS Registry ry Data Submission

Current STS Registry ry Data Submission

Current STS Registry ry Data Submission

• Log into each separate registry file and separate hospitals submission to review the 3 validation reports.

Current STS Registry ry Data Reporting

MisMatch Risk Score Report

Current STS Registry ry Data Reporting

Missing Fields Report

Current STS Registry ry Data Reporting

Current STS Registry ry Data Reporting

• At some later date, after the closed data harvest date, you will receive another email

per hospital that your Data Analyses report is ready for you to review.

• To access this report, go to another site, with another user id and password to

review.

• This report includes your star rating numbers and other information.

Fu Future IQ IQVIA STS Registry ry Data Su Submission/Reports

• IQVIA One Logon Menu Screen - One Login will get you to

multiple hospitals, multiple registries (Adult Cardiac, Thoracic, Congenital). You will be able to switch to and from without signing out.

• New Dashboard Reports – Only adult cardiac version 2.81 data

and forward in reports (procedures 7-1-2014 to current). All prior adult cardiac data will be archived.

• Future online web data entry phase. There will be No custom

fields unique to any hospitals. Can not use the online web entry and vender data collection upload at same time.

• STS Contracts do not change and IQVIA is covered under those
• contracts. Once user can have multiple roles.

Fu Future IQ IQVIA STS Registry ry Data Su Submission/Reports

Fu Future IQ IQVIA STS Registry ry Data Su Submission/Reports

Future IQ IQVIA STS Registry ry Data Submission/Reports

Future IQ IQVIA STS Registry ry Data Submission/Reports

Future IQ IQVIA STS Registry ry Data Submission/Reports

Expected Missing Fields Report Improvements: Adding long missing field names, sequence numbers. Also will not show missing anesthesia fields if not an anesthesia participating hospital.

Future IQ IQVIA STS Registry ry Data Submission/Reports

Future IQ IQVIA STS Registry ry Data Submission/Reports

• Data Analysis Reports will also be stored on IQVIA site going forward.
• Prior to 12-31-2019, copy any prior Data Analysis Reports to your own

files that you may ever need to reference. If you need a prior report in the future, you will have to submit a request to STS.

STS Adult Cardiac Data Changes

• STS Adult Cardiac Data Collection Form Version 4.20

– Projected live date for procedures 7-1-2020 and forward – Updated DRAFT version 4.20, projected November 15, 2019

• If you did not bring a copy of the new adult cardiac form, use

smart phone and go to MACDM.org, meetings, 11-13-2019 Fall meeting, go to download section on top and open Part I, then Part II when we get to that page.

• Lets review the new STS adult cardiac DRAFT form version

STS Adult Cardiac Data Changes (c (continued)

STS NQF - National Quality Forum. In addition, many of these measures are included in CMS’s Merit- Based Incentive Payment System.

STS Thoracic

2018 Thoracic Audit Results - Agreement Rates

• 2014 - 95%
• 2015 - 97%
• 2016 - 96.8%
• 2017 - 94.4%
• 2018 - 94%
• Contribute drop to confusion with new form.
• Many in attendance expressed concern that there were no post-audit

conferences done with hospitals this year.

STS Thoracic (c (continued)

Lymph Node Counts - Area of Confusion

• Per STS – more clarification to come in training manual.
• Node fragments – Differentiating node fragments from separate lymph nodes is a very

difficult problem. Ideally the surgeon will count lymph nodes during the case and create a system to label specimens with the count as they leave the OR. This will permit the pathologist to report the actual lymph node count during the case in the path

• report. If the pathologist cannot, they will often report “lymph node fragments” which

implies they cannot provide a lymph node count. In this circumstance, we have to conservatively assume that all those fragments come from a single node. If they report 10 fragments from station 7, one station 7 lymph node is the count. Please encourage your surgeons to develop a way of counting nodes in the case that can be conveyed in the pathology report.

15 Minute Break

Be back in 15

Im Impella Procedure Presentation

15 Minute Break and Group Photo

Group picture outside room in 15 minutes!

Half Hour Lunch Break

Lunch provided outside of room

Support Groups

What type of groups and how many per year?

• EMR – EPIC, ?
• Vendors – Lumedx, ?
• Surveys - ?
• Registry Mentors - ?
• Others?

How to communicate?

• Conference calls, Webinars
• Updates at bi-annual MACDM Meetings

Open Discussion – VQI, , ACT CTION, IC ICD, LAAO, , TVT, , Congenital, , IM IMPACT, VQI

• Congenital - new version 3 rolled out 1-1-2019
• 1 year status added (alive, dead, unknown and verification. A real concern

about the work needed to get this information but do the best you can.

• TVT – Public reporting target July 2020. Include 3 years data
• VQI/Vascular?
• ACTION/ICD/LAAO/TVT/Congenital/IMPACT?

AHA Get Wit ith the Guid idelines Open Dis iscussion

Data upload issues resolved Once a year last quarter data deadline March 31st, of that following year (NCDR is April 17th). March 31st deadline is important for any annual awards based on prior years data. All other quarters can follow the NCDR Cath/PCI three other quarter deadlines.

Adult Cardiac O to E Reporting

Presented by Candance Trace Lankenau Medical Center - Main Line Health

20 Minute Break

Be back in 20

Cath/PCI Open Discussion

• Version 4 is now retired. You can no longer resubmit any data prior to

4-1-2018.

• High Sensitivity Troponin – If you use this it is normally reported in

ng/L (liters). NCDR wants the ng/mL (which is 1000 to 1). If your lab reports High Sensitivity Troponin <6, then value as 5 otherwise rounding will make it 0.

• Are there any specific questions on the Cath/PCI version 5 form or

upload submission? Do you want to share your pain, suffering and knowledge?

Cath/PCI Open Discussion (c (continued)

• NCDR is trying to link Cath/PCI Data to CMS Data for 30 day mortality

– If your not sending most PHI, not sure what they will do.

• Cath/PCI bleeding complication reduction – Big shift from PCI femoral

to radial. Projecting large savings on overnight stays due to less bleeding complications. Push to same day elective PCI’s.

• New NCDR dashboard reporting released for version 5, looks really

nice!

MACDM Closing

• Would anyone like to volunteer to present one registry. I will help you with creating presentation and

the presentation itself?

• Do we want a registry vender presentation (Lumedx, etc)
• Any future topics would you like to hear for fall/spring meeting?
• Any additional registry to discuss, specific fields discussion and process improvement?
• AHA New Web Site and report review project. We could partner with Ohio data managers and do

web ex’s to come up with any AHA GWTG site/report suggestions.

• Thanks again Lehigh Valley Hospital for hosting this meeting!
• Watch MACDM.org for meeting pictures and minutes to be announced!
• Please drop lanyard and name tag in container in rear of room when you leave