QUALITY
VQI : Important for National Quality Benchmarking – 3 out of 3 Stars
The Vascular Quality Initiative ( VQI ) is a collaborative effort of regional quality groups designed to improve the quality , safety , effectiveness and cost of vascular healthcare . 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 Society for Vascular Surgeons 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 .
Published in 2018 , through participation of the VQI Registry , the hospital received the 2017 VQI Participation Award in the form of the highest “ star rating ” from the VQI : 3 Stars . There were 359 centers eligible for 2017 VQI Participation Awards . Baylor Scott & White Heart and Vascular Hospital – Dallas was one of only 42 sites that received the highest rating of 3 Stars . VQI centers are eligible to receive up to three stars depending on the extent of their participation in three categories :
• Rate of long-term follow-up reporting
• Physician attendance at regional quality group meetings
• Number of vascular procedure registries subscribed which provides more opportunities for learning and improvement
Outcomes published in the most recent regional quality report for calendar year 2017 procedures included the following and indicates the hospital performed better than the expected and the region observed rates :
Expected
Region Observed Rate
BSWHVH Observed Rate
Non-Ruptured Open AAA : In-Hospital Mortality |
6.8 % |
1.9 % |
0 % |
Better than |
|
|
|
|
expected & |
Carotid Endarterectomy : Stroke or Death in Hospital |
1.6 % |
0.9 % |
0.9 % |
observed |
Note : The expected rate is the rate estimated by the statistical model that accounts for patient characteristics , including age , gender , rate , BMI , comorbidities , medication and stroke as well as vascular history .
AAA – Open Without Rupture 8
( 7 months only )
Volume Expected SIR Complex 0.054 0.00
CEA 91 0.064 0.00
Better than expected
PVBY – Lower Extremity Bypass 116 1.672 3.59 Not better than expected
Expected
BSWHVH Observed Rate
Carotid Artery Stent : Stroke or Death in Hospital 2.3 % 1.7 % Carotid Endarterectomy : Stroke or Death in Hospital 1.6 % 0.9 %
Carotid Endarterectomy : percentage of patients with LOS > 1 Day
Endovascular AAA Repair : percentage of patients with LOS > 2 Days
26 % 21 %
19 % 14 %
All better than expected
Procedures performed between Jan . 1 and Dec . 31 , 2017
13