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Greco KJ, Rao N, Urman RD, et al. A Dashboard for Tracking Mortality After Cardiac Surgery Using a National Administrative Database. Cardiol Res. 2021;12(2):86-90doi: 10.14740/cr1220.
Greco, K. J., Rao, N., Urman, R. D., & Brovman, E. Y. (2021). A Dashboard for Tracking Mortality After Cardiac Surgery Using a National Administrative Database. Cardiology research, 12(2), 86-90. https://doi.org/10.14740/cr1220
Greco, Katherine J, et al. "A Dashboard for Tracking Mortality After Cardiac Surgery Using a National Administrative Database." Cardiology research vol. 12,2 (2021): 86-90. doi: https://doi.org/10.14740/cr1220
Greco KJ, Rao N, Urman RD, Brovman EY. A Dashboard for Tracking Mortality After Cardiac Surgery Using a National Administrative Database. Cardiol Res. 2021 Apr;12(2):86-90. doi: 10.14740/cr1220. Epub 2021 Feb 23. PMID: 33738011; PMCID: PMC7935641.
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Cardiol Res. 2021 Apr;12(2):86-90. doi: 10.14740/cr1220. Epub 2021 Feb 23.

A Dashboard for Tracking Mortality After Cardiac Surgery Using a National Administrative Database.

Cardiology research

Katherine J Greco, Nikhilesh Rao, Richard D Urman, Ethan Y Brovman

Affiliations

  1. Department of Anesthesiology, Perioperative and Pain Medicine, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, USA.
  2. Gridlex Dexur Health Research, Miami, FL, USA.
  3. Center for Surgery and Public Health, Brigham and Women's Hospital, Boston, MA, USA.
  4. Department of Anesthesiology and Perioperative Medicine, Tufts Medical Center, Tufts University School of Medicine, Boston, MA, USA.

PMID: 33738011 PMCID: PMC7935641 DOI: 10.14740/cr1220

Abstract

BACKGROUND: Mortality after cardiac surgery is publicly reportable and used as a quality metric by national organizations. However, detailed institutional comparisons are often limited in publicly reported ratings, while publicly reported mortality data are generally limited to 30-day outcomes. Dashboards represent a useful method for aggregating data to identify areas for quality improvement.

METHODS: We present the development of a dashboard of cardiac surgery performance using cardiac surgery admissions in a national administrative dataset, allowing institutions to better analyze their clinical outcomes. We identified cardiac surgery admissions in the Medicare Limited Data Sets from April 2016 to March 2017 using diagnosis-related group (DRG) codes for cardiac valve and coronary bypass surgeries.

RESULTS: Using these data, we created a dashboard prototype to enable hospitals to compare their individual performance against state and national benchmarks, by all cardiac surgeries, specific cardiac surgery DRGs and by specific surgeons. Mortality rates are provided at 30, 60 and 90 days post-operatively as well as 1 year. Users can filter results by state, hospital and surgeon, and visualize summary data comparing these filtered results to national metrics. Examples of using the dashboard to examine hospital and individual surgeon mortality are provided.

CONCLUSIONS: We demonstrate how this database can be used to compare data between comparator hospitals on local, state and national levels to identify trends in mortality and areas for quality improvement.

Copyright 2021, Greco et al.

Keywords: Cardiac surgery; Dashboard; Mortality; Outcomes; Quality improvement

Conflict of interest statement

The authors report no conflict of interest related to this work.

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