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Outcome Management in Cardiac Surgery Using the Society of Thoracic Surgeons National Database
Author(s) -
Halpin Linda S.,
Gallardo Bret E.,
Speir Alan M.,
Ad Niv
Publication year - 2016
Publication title -
aorn journal
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.222
H-Index - 43
eISSN - 1878-0369
pISSN - 0001-2092
DOI - 10.1016/j.aorn.2016.06.017
Subject(s) - benchmarking , reimbursement , medicine , outcome (game theory) , cardiothoracic surgery , data collection , outcomes research , health care , cardiac surgery , best practice , quality management , medline , medical emergency , surgery , operations management , alternative medicine , business , management system , management , engineering , political science , statistics , mathematics , mathematical economics , pathology , marketing , law , economics
Health care reform has helped streamline patient care and reimbursement by encouraging providers to provide the best outcome for the best value. Institutions with cardiac surgery programs need a methodology to monitor and improve outcomes linked to reimbursement. The Society of Thoracic Surgeons National Database (STSND) is a tool for monitoring outcomes and improving care. This article identifies the purpose, goals, and reporting system of the STSND and ways these data can be used for benchmarking, linking outcomes to the effectiveness of treatment, and identifying factors associated with mortality and complications. We explain the methodology used at Inova Heart and Vascular Institute, Falls Church, Virginia, to perform outcome management by using the STSND and address our performance‐improvement cycle through discussion of data collection, analysis, and outcome reporting. We focus on the revision of clinical practice and offer examples of how patient outcomes have been improved using this methodology.