VASCULAR SURGERY
The VQI Participation Award – 3-STAR RATING
Published in 2017, through the participation of the VQI database, Baylor Jack and Jane Hamilton Heart and Vascular Hospital received the 2016 VQI Participation Award * in the form of the highest“ star rating” from the VQI: 3-Stars.
The VQI Participation Award recognizes the importance of active participation in the VQI as a critical component of the Society for Vascular Surgeons( SVS) Patient Safety Organization( PSO) quality improvement mission. Baylor Hamilton Heart and Vascular Hospital was one of only 42 sites( out of 317 eligible centers) that received a 3-Star rating. VQI centers are eligible to receive up to 3“ Stars” depending on the extent of their participation in three categories:
• Rate of long term follow-up( LTFU) reporting – allows a more meaningful assessment of quality( as opposed to only perioperative outcomes), and is a cornerstone of VQI. For the 2016 VQI Participation Awards, LTFU was calculated based on procedures done in 2014 and to allow two full years to record LTFU after the procedure.
• Attendance( focused on physicians) at regional quality group meetings – physician and staff attendance at semiannual regional quality group meetings is critical to drive discussions of outcome variation, to develop regional QI projects, and to encourage multi-center participation in outcomes analysis and QI efforts.
• Number of vascular procedure registries subscribed to – participation in multiple procedure registries provides more opportunities for learning & improvement.
* per VQI statement: this award does not represent the quality of care delivered, but rather is a measure of VQI participation
PARTICIPATION IN VQI: IMPORTANT FOR NATIONAL QUALITY BENCHMARKING
MEASURING INNOVATION IN HEART AND VASCULAR CARE
The Vascular Quality Initiative( VQI) is a collaborative effort of regional quality groups designed to improve the quality, safety, effectiveness and cost of vascular health care. The VQI collects perioperative and one-year follow-up data to generate real-time benchmarked reports to assess quality of care and determine best practices in vascular surgery. The VQI is governed by the SVS Patient Safety Organization( SVS PSO), which provides oversight of data sharing arrangements, key outcome and quality measure analyses, and dissemination of information to participating providers.
The SVS PSO has partnered with M2S to provide its secure, cloudbased database, M2S PATHWAYS for data collection and analysis. The M2S PATHWAYS clinical data performance platform can be used to generate the real-time benchmarked reports of major outcomes and complications, as well as longitudinal tracking of center performance compared to a chosen group of centers. These reports permit participants to continuously assess themselves( and initiate quality improvement projects) compared to an anonymous group of peers on key performance measures.
ACTUAL STROKE OR DEATH RATE
According to VQI, the expected rate for Baylor Hamilton Heart and Vascular Hospital patients specifically was 0.7 percent for carotid endarterectomy( CEA) and was 3.0 percent for carotid artery stenting( CAS). This rate is estimated by a statistical model that accounts for patient characteristics, including age, gender, race, BMI, comorbidities, medication, stroke, and vascular history. Not only did the Baylor Hamilton Heart and Vascular Hospital patients, as per VQI registry data for calendar year 2016, have better expected outcomes than the computed national cohort’ s benchmark, the patient outcomes were better than what VQI Registry determined should be the actual( also known as observed) rate for the patient population at Baylor Hamilton Heart and Vascular Hospital. Baylor Hamilton Heart and Vascular Hospital performed better than the expected rate and better than the national cohort actual rate.
Baylor Hamilton Heart and Vascular Hospital
All Other National Cohort( 3,867)
CEA: In hospital stroke or death after primary isolated elective CEA 0.0 % 1.2 %
Primary Elective CAS 0.0 % 1.6 %
Timeframe: CY2016
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