UAB Cardiothoracic Surgery Annual Report 2015-16 UAB Medicine Cardiothoracic Surgery 2015/16 Annual | Page 44

QUALITY

A focused and dedicated cardiothoracic surgery peer review Quality, Mortality &
Morbidity Conference has contributed to UAB Cardiovascular Surgery’s decreasing
O/E mortality ratio, as measured by the University HealthSystem Consortium
(UHC).

University HealthSystem Consortium Cardiovascular Surgery: 2012 – 2015
1.5

1.33

1.22

1.15

1.0

0.87

0.71

0.5
0

JAN-JUNE / JULY-DEC
2012

JAN-JUNE / JULY-DEC
2013

0.76

0.54

JAN-JUNE / JULY-DEC
2014

0.71

JAN-JUNE / JULY-DEC
2015

A multidisciplinary approach in implementing strategies to improve outcomes and patient care has produced
excellent outcomes in all areas of cardiac surgery. Isolated CABG prolonged ventilation hours (>24 hours)
decreased from 16.0% in 2009 to 3.6% in 2015. This trend has enabled patients to be transitioned from the
ICU more efficiently. Ventilation hours and other quality metrics are reported monthly at the Quality, Mortality
& Morbidity Conference.

Isolated CABG % Prolonged Ventilation: 2009 – 2015
20%

16%
N = 51

16.7%
N = 51
10.9%
N = 32

15%
10%

7.1%
N = 21

5.9%
N = 18

2012

2013

5%

2.6%
N=7

3.6%
N = 12

0%
2009

2010

2011

2014

2015

UAB’s prolonged ventilation for isolated CABG rate is below the STS benchmark of 7.9%. (Source: Society of
Thoracic Surgeons (STS) National Adult Cardiac Surgery Database, 2015 Harvest #3 period ended 6/30/2015)

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Cardiothoracic Surgery Annual Report