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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