Welcome Mid-Atlantic Data Managers (MACDM) 2018 Spring Meeting – Wednesday, May 2, 2018
Thanks to our host Lehigh Valley Hospital – Cedar Crest
House Keeping • Rest rooms • Breakfast • Lunch and snacks • Silence all smart/flip phones/electronic devices. Please try to stay off phone texting during meeting • Sign in and take name tags/lanyard • Review and update the data managers listing • You can follow along with this presentation on your smart phone by opening meeting presentation on MACDM.org Spring 2018 meeting • 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 David Carey 8:35 am 8:45 am Attendees Introduction All 8:45 am 9:15 am NCDR (National Cardiovascular Data Registry) Annual Data Managers David Carey Conference 9:15 am 10:15 am NCDR Cath/PCI – New Cath/PCI version 5 form (please bring a color printed David Carey copy of Cath/PCI version 5 for review) 10:15 am 10:35 am Break 10:35 am 10:55 am NCDR ICD – NCDR call in, updates and CMS decision Caroline Morgan 10:55 am 11:05 am NCDR ICD MACDM group open discussion All 11:05 am 11:10 am NCDR ACTION Registry All 11:10 am 11:30 am AHA Get With the Guidelines New Web Site and Reports Crystal Glodek 11:30 am 11:35 am DVSTS Group Status Candace Trace 11:35 am 11:45 am MACDM 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 MICRA Medtronic Transcatheter Leadless Pacemaker Presentation Steve Lu 1:00 pm 1:35 pm STS Adult Cardiac – Identify star rating fields, increase rating percentage, create David Carey a registry outcomes comparison report? 1:35 pm 1:45 pm STS Thoracic Updates Sarah Knorr 1:45 pm 2:00 pm Break 2:00 pm 2:25 pm STS (Society of Thoracic Surgeons) Adult Cardiac version 2.9 form and STS All dashboard reporting Comments 2:25 pm 2:55 pm EPIC Electronic Record System Chaz Strand Robin McKelvey 2:55 pm 3:00 pm Closing All
Attendees Survey From spring 2018 MACDM registration, the following registries were selected as interest for registry discussion: • STS Adult Cardiac – 75% • NCDR Cath/PCI – 70% • NCDR ICD – 40% • AHA GWTG – 33% • STS Thoracic – 30% • NCDR ACTION – 15% Two sites interested in TVT, two LAAO and one Impact registry
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!
NCDR Annual Data Managers Conference 2018 Was COLD!!!!
NCDR 2018 Conference (c (continued)
NCDR 2018 Conference (c (continued)
NCDR Conference (c (continued) • TVT Registry may add outside vendors to submit data, 4 th quarter 2019. • TVT procedures shifting from general anesthesia to conscience sedation to reduce procedure costs. • All registries pushing to public reporting.
NCDR Conference (c (continued) • Linking Cath/PCI Data to CMS Data for 30 day mortality – NCDR to try connecting to CMS data. If not sending most PHI, not sure what they will do.
NCDR Conference (c (continued) • Cath/PCI bleeding complications – Big shift from PCI femoral to radial. Projecting large savings on overnight stays due to bleeding complications.
NCDR Conference (c (continued)
Cath PCI Version 5 • Cath/PCI Frailty and Appropriate Use Score will need to be added to your Cath/PCI documentation process. Frailty and Appropriate Use posters on NCDR site.
Cath/PCI Version 5 (c (continued) Optional Sections/Fields Your hospital system must decide which of the following optional sections/fields to be completed! Section A. Demographics • Asian, Native Hawaiian, Hispanic Ethnicity further breakdown. If not, select other options under each? Section B. Episode of Care • Admitting Provider’s Name, NPI – Fields – If you collect these, they will also need to be maintained in the NCDR registry? • Attending Provider’s Name, NPI – Fields – If you collect these, they will also need to be maintained in the NCDR registry? • Patient Restriction? • Research Study – Only includes any NCDR research studies, not outside research studies Section D. Pre-procedure information • Seattle Angina Questionnaire (SAQ) - Section • Rose Dyspnea Scale - Section Section L. Discharge • Discharge Provider’s Name, NPI - Fields – If you collect these, they will also need to be maintained in the NCDR registry? Section M. Follow-up (30 day and 1 year)(entire section M optional) Out of roughly 1400 attending NCDR conference, roughly less than 12 were planning to submit follow-up • Assessment Information • Events • Medications • Seattle Angina Questionnaire (SAQ) Follow-up • Rose Dyspnea Scale Follow-up
Cath/PCI - Version 5 (c (continued) From Procedure Inclusion: To Procedure Inclusion: Version 4 Version 5 To make our data collection process smoother, we will still collect a Left Heart Catheterization only and still submit?
Cath/PCI Version 5 (c (continued) Syntax score, very important in evaluating the AUC (appropriate use criteria). Obtaining this calculation is going to be very cumbersome.
Cath/PCI Version 5 (c (continued) Pre-Operative Evaluation fields are heavily dependent on physician documentation based on the detailed definitions in the data elements.
Cath/PCI Version 5 (c (continued) Now only need to complete if stenosis is >= 50% in native or graft vessels, reducing the burden of completing all vessels.
Cath/PCI Version 5 (c (continued) The NCDR webinar video of “Overview of the Cath/PCI Registry V5 Dataset”: • Very good and very informative. • Very difficult to navigate to the video on the NCDR website. • My hospital web security blocked the video from playing on my work computer. I had to watch it from my home computer.
Cath/PCI Version 5 (c (continued) Are there any specific questions on the Cath/PCI version 5 form to discuss? How is your vendor new version 5 working?
20 Minute Break Be back in 20
NCDR IC ICD – NCDR Call In In - Caroline Morgan • ICD NCDR Registry updates • ICD CMS registry decision
NCDR IC ICD - MACDM Group Open Discussion ICD Open Discussion: • How many hospitals participate in ICD registry? • Do we need to continue to collect and harvest ICD data with NCDR? • If not, what do we have to do to fulfill the requirements?
NCDR ACT CTION Registry ry • Nothing new to discuss at this time. • How many hospitals still participate in ACTION registry? • Does someone want to present ACTION at future MACDM meetings or should we drop ACTION from registry discussion at this time?
AHA Get With the Guidelines New Web Site and Reports Crystal Glodek, BSN, RN Director of Quality and Systems Improvement Great Rivers Affiliate 1617 John F. Kennedy Blvd Suite 700 Philadelphia, Pa 19103 Crystal.Glodek@heart.org I www.heart.org P 215.575.5254 | Cell 215.779.5451
AHA Get With the Guidelines Data Deadline Dates Once a year last quarter data deadline March 31st, of that following year (NCDR is April 17 th ). March 31 st 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.
Delaware Valley STS Group Status DVSTS Regional Group Update Candace Trace
MACDM Updates 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 Updates (C (Continued) Web site address: MACDM.org 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 AHA (American Heart Association) – GWTG NCDR (National Cardiovascular Data Registry) – Cath/PCI NCDR ACTION? NCDR ICD? Any other registry the group would like to discuss
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