Welcome Mid-Atlantic Data Managers (MACDM) 2017 Fall Meeting – Tuesday, November 14, 2017
Thanks to our host Lehigh Valley Hospital – Cedar Crest
House Keeping • Rest rooms • Breakfast • Lunch and snacks • Silence all smart/flip phones/electronic devices • Sign in and take name tags/lanyard • Review and update the data managers listing • 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, networking All 8:30 am 8:35 am Agenda Review All 8:35 am 8:45 am Attendees Introduction All 8:45 am 8:55 am STS Annual Data Managers Conference David Carey 8:55 am 9:10 am STS Dashboard Reporting David Carey 9:10 am 9:25 am STS Thoracic – Public reporting, 5-year follow-up, new thoracic Sarah Knorr version 2.4 form 9:25 am 10:00 am STS Cardiac – New real-time data submission, 30-day post op David Carey surgery status 2% rule, new form version 2.9 10:00 am 10:15 am Break All 10:15 am 10:30 am Delaware Valley STS Adult Cardiac Regional Group Update Candace Trace 10:30 am 11:40 am STS Cardiac Continued, Isolated CABG Prolonged Vent Discussion All 11:40 am 12:00 pm Break – Group Photo All 12:00 pm 12:30 pm *Lunch All 12:30 pm 1:00 pm Watchman Presentation (Boston Scientific) Joe Whitaker 1:00 pm 1:45 pm Get with The Guidelines Overview (American Heart Association) Alex Kuhn, Tawny Jackson, Chrystal Glodek 1:45 pm 2:00 pm MACDM Introduction and Updates David Carey 2:00 pm 2:15 pm Break All 2:15 pm 2:30 pm ACTION – What is changing (NCDR (National Cardiovascular Data Beth Pruski Registry)) 2:30 pm 2:45 pm Cath/PCI – New Cath/PCI version 5 (NCDR (National Cardiovascular Connie Anderson Data Registry)) 2:45 pm 2:55 pm Cath/PCI Continued Discussion David Carey 2:55 pm 3:00 pm Closing David Carey
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!
STS Annual Data Managers Conference Over 500 in attendance
STS Conference (c (continued)
STS Conference Networking Liz Watkins Joan McKenna Contracts Manager Northeast Account Executive The Society of Thoracic Surgeons Lumedx Corporation
STS Conference (c (continued)
STS Conference (c (continued)
STS 2018 Data Managers Conference
STS Conference (c (continued)
STS Dashboard Reporting Projected Live Dates: • Adult Cardiac Dashboard Reporting – November 10th • Surgeon Level Composite Ratings – November 24th • Thoracic Dashboard Reporting – 1 st half 2018 • Congenital Dashboard Reporting – 1 st half 2018
STS Dashboard Reporting (c (continued) • Reporting refreshed nightly • Access to patient level data from reports (HIPPA - patient ID and record ID) • Access to surgeon level data from reports
STS Dashboard Reporting (c (continued) Dashboard Reporting Access • Only one Primary Data/File Contact person from each hospital will have access – Will be able to see all reporting and patient levels (includes each surgeon level) • Surgeons – Will be able to only see their participants and their surgeon information
STS Thoracic 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 Next 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 • 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.” • Follow-up will cover from 1-1-2015 to current harvest ending procedure (each year will start with 2015 until 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. • • 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). • Per STS, long term follow-up data should be updated/reported with each harvest.
STS Thoracic New thoracic version 2.4 proposed live date 7-1-2018 . • New form on our MACDM.org website under this meeting. • New Focus/Narrowing Breadth of Cases • Analyzed procedure for is required for all suspectedor diagnosedLung and Esophageal Cancer Resections. • Completion of the Thymus/Mediastinal Mass, Tracheal Resection and Hiatal Hernia/GERD sections is optional. • Many Procedures will not be analyzed any longer (e.g. decortications, pleurectomy, lung transplants, etc.) • Now all Wedge Resections that are done for a suspected or diagnosed Lung Cancer will be considered therapeutic and entered as an analyzed procedure • Additional Elements added to Pre-op Section (CHF, MI, Afib, CHF, Vascular History, More detailed CT surgery history, Narcotic/Alcohol Abuse, etc.) • ECOG score will replace Zubrod. • Per STS, the data managers handbook for the new form should be available in June 2018. • 8 th Edition of the Classification of Lung CA begins January 2018. New Form address these changes, but the STS did not have an answer in how to handle the new staging categories on the current form.
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. • Can submit data for past/present quarter/real time. • 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. • Adult Cardiac Surgery Database Data Collection form Version 2.9 live for all 7-1-2017 and future procedures. • Some form changes and points: • 400 new fields • 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 Adult Cardiac (c (continued) • Version 2.9 Training Manual and Updated Surgeon Worksheets available on STS website • Surgeon Worksheets and Risk Models Variable Chart is on the new STS.org website: Goto (Registry and Research Center, Adult Cardiac Surgery Database, Access Data Collection Resources, Version 2.9 (all documents listed for downloading)) • STS still mystified there is little surgeon involvement. If you can read and extract your data with little or no missing fields, then check surgeon involvement. STS will be sending out surgeon communications for them to get involved
STS Adult Cardiac (c (continued)
STS Adult Cardiac (c (continued) Unique Device Identifier
STS Adult Cardiac (c (continued) • Version 2.9 new vendor screens, how’s it going • Version 2.9 Data Submission: • Has everyone submitted the new version 2.9 data to STS at least once? If not, you better not wait and work out any issues now before last minute deadline • DQR validation reporting anesthesia 3 pages of missing fields, even if you don’t participant in the anesthesia submission
10 Minute Break Be back in 10
Delaware Valley STS Group Update Delaware Valley STS Adult Cardiac Regional Group Update Candace Trace
STS Adult Cardiac (C (Continued) Isolated CABG Prolonged Vent Discussion
STS Adult Cardiac (C (Continued) Isolated CABG Prolonged Vent Discussion
STS Adult Cardiac (C (Continued) Isolated CABG Prolonged Vent Discussion
STS Adult Cardiac (C (Continued) Isolated CABG Prolonged Vent Discussion If you are going to create a project to reduce the vent time you must: • Agree to use STS or some other registry that can provide your hospitals baseline measurements as well as show any improvements or unexpected outcomes • You must get agreement to use the STS Start and End vent times as your only source of times • Agree to only focus on a small identifiable group like Isolated CABG. This will insure the data outcome is not muddied by some other influencing factor • Anesthesia must be willing to work with any agreed changes to current process What is your hospital doing or did do to reduce your vent time? Could someone or a group collect this information from our hospitals and send out a communications of what was sent? Is someone willing to take on this collection project? Should we reach out to Karen McNickle, STS presentation Can we come up with some conclusion of action steps and workflow processes for our hospitals to try.
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
Watchman Procedure Presentation Boston Scientific Joe Whitaker
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