Vascular Study Group of New England 16th Semi-Annual Meeting May 11, 2010 Boston Medical Center VSGNE 2003 9 Member Hospitals Fletcher Allen Health Eastern Maine Medical Center Care Cottage Hospital Central Maine Medical Center Dartmouth-Hitchcock Lakes Region Medical Center Hospital Maine Medical Center Concord Hospital Catholic Medical Center VSGNE 2011 27 Participating Hospitals 25 - 950 Hospital Beds Fletcher Allen Eastern Maine Medical Center Health Care Cottage Maine General Medical Center Hospital Central Maine Medical Center Dartmouth-Hitchcock Lakes Region Medical Center Hospital Maine Medical Center Rutland Regional Mercy Hospital Medical Center Concord Hospital Catholic Medical Center Elliot Hospital Berkshire Medical Center Tufts Medical Center Boston Medical Center U. Mass. Medical Center Beth Israel Deaconess Medical Center Baystate Medical Center Massachusetts General Hospital Brigham & Women’s Hospital Charlton Memorial Hospital St. Francis Hospital Caritas St. Anne’s Hospital Hartford Hospital St. Luke’s Hospital Yale-New Haven Hospital VSGNE 2011 27 Participating Hospitals 14 Community - 13 Academic Fletcher Allen Eastern Maine Medical Center Health Care Cottage Maine General Medical Center Hospital Central Maine Medical Center Dartmouth-Hitchcock Lakes Region Medical Center Hospital Maine Medical Center Rutland Regional Mercy Hospital Medical Center Concord Hospital Catholic Medical Center Elliot Hospital Berkshire Medical Center Tufts Medical Center Boston Medical Center U. Mass. Medical Center Beth Israel Deaconess Medical Center Baystate Medical Center Massachusetts General Hospital Brigham & Women’s Hospital Charlton Memorial Hospital St. Francis Hospital Caritas St. Anne’s Hospital Hartford Hospital St. Luke’s Hospital Yale-New Haven Hospital “Real World Practice” Maine New Hampshire Massachusetts Massachusetts Continued Connecticut Central Maine Medical Center, Lewiston Catholic Medical Center, Manchester Baystate Medical Center, Springfield Tufts Medical Center, Boston St. Francis Hospital, Hartford Pietro Gualdalupi, MD Yvon Baribeau, MD James Arcoleo, MD Kevin Daly, MD Surendra Chawla, MD Allan Ingraham, MD Jeffrey Bleakley, MD Mark Bean, MD James Estes, MD Scott Fecteau, MD Pamela Rietschel, MD William Clutterbuck, MD Laura Feldman, MD Neil Halin, MD Tim Lehmann, MD Sarat Vaddineni, MD Patricia Furey, MD Aram Fereshetian, MD Mark Iafrati, MD Arshad Quadri, MD Eastern Maine Medical Center, Bangor Patrick Mahon, MD Gregory Giugliano, MD Harry Ma, MD Steve Ruby, MD Robert Cambria, MD Benjamin Westbrook, MD Neal Hadro, MD William Mackey, MD Eugene Sullivan, MD Robert Clough, MD Concord Hospital, Concord Mark Hirko, MD Noah Rosen, MD Jack Thayer, MD Larry Flanagan, MD Eric Leefmans, MD Ashequl Islam, MD Andrew Weintraub, MD Yale New Haven Hospital, New Haven Lisa Floyd, MD Joseph Meyer, MD Jeffrey Kaufman, MD St Anne’s Hospital, Fall River Melih Arici, MD Terrance Fournier, MD Richard Murphy, MD Amir Lotfi, MD David Bigatel, MD John Aruny, MD Felix Hernandez, MD William Tanski, MD Njogu Njuguna, MD Ibrahim Eid, MD Ricardo Cordido, MD Matthew McKay, MD Christopher Danielson, MD Mark Norris, MD Martin Fogle, MD Brian Coyle, MD Andrew Sherwood, MD Kenneth Danielson, MD Sang Won Rhee, MD St Luke’s Hospital, Fall River Jeptha Curtis, MD Peter Ver Lee, MD Cottage Hospital, Woodsville Steven Weinsier, MD Salman Bashir, MD Ralph DeNatale, MD Alan Wiseman, MD Christopher S. Danielson, DO Hao Wu, MD Stephen Keith, MD John Forrest, MD Maine General Medical Center, Augusta Kenneth S. Danielson, MD Berkshire Medical Center, Pittsfield Michael Merport, MD Richard Gusberg, MD Cristobal Alvarado, MD Dartmouth-Hitchcock Med Ctr, Lebanon Wilfred Carney, MD Roger Rosen, MD Faisal Hasan, MD Mark Bolduc, MD Jack Cronenwett, MD Michael Cohn, MD University of Massachusetts Jeffrey Indes, MD Maine Medical Center, Portland Mark Fillinger, MD Eugene Curletti, MD Medical Center, Worcester Carlos Mena, MD Christopher Baker, MD Philip Goodney, MD Christian Galvez-Padilla, MD Mohammad Alchter, MD Hamid Mojibian, MD Paul Bloch, MD Brian Nolan, MD Jose Heisecke, MD Elias Arous, MD Bart Muhs, MD Scott Buchanan, MD Richard Powell, MD Parvis Sadighi, MD Donald Baril, MD Jeffrey Pollak, MD David Burkey, MD Eva Rzucidlo, MD Boston Medical Center, Boston Kurt Barringhaus, MD Eric Reiner, MD David Butzel, MD David Stone, MD Alik Farber, MD Mohammad Eslami, MD Michael Remetz, MD Robert Ecker, MD William Tanski, MD Jeffrey Kalish, MD Daniel Fisher, MD Bauer Sumpio, MD Robert Hawkins, MD Daniel Walsh, MD Jonathan Woodson, MD Subhash Gulati, MD Tom Sweeney, MD Christopher Healey, MD Robert Zwolak, MD Charlton Memorial Hospital, Fall River Stephen Hoenig, MD Craig Thompson, MD William Herbert, MD Elliot Hospital, Manchester David Bigatel, MD Louis Messina, MD Edward Tuohy, MD Peter Higgins, MD Larry Hoepp, MD Ibrahim Eid, MD William Robinson, MD Jens Jorgensen, MD William Wilson, MD Martin Fogle, MD Andres Schanzer, MD M. Usman Nasir Khan, MD Lakes Region General Hospital, Laconia Nosheen Javed, MD Richard Whitten, MD Mercy Hospital, Portland Sam Aldridge, MD Michael Meuth, MD Paul Bloch, MD David Coleman, MD Massachusetts General Hospital, Boston Robert Hawkins, MD Glenn Fusonie, MD David Brewster, MD Christopher Healey, MD John Vignati, MD Richard Cambria, MD William Herbert, MD Mark Conrad, MD Peter Higgins, MD Christopher Kwolek, MD Jens Jorgensen, MD Vermont Glenn LaMuraglia, MD Fletcher Allen Health Care, Burlington Virendra Patel, MD Julie Adams, MD Michael Watkins, MD > 158 VSGNE Daniel Bertges, MD Michael Ricci, MD Andrew Stanley, MD Members 2011 Georg Steinthorsson, MD Hospitals not yet Active Beth Israel Deaconess Hospital – Boston MA Brigham & Women’s Hospital – Boston MA Hartford Hospital – Hartford, CT Rutland Regional Medical Center – Rutland VT 18,000 Procedures Reported CEA, CAS, oAAA, EVAR, LEB, PVI (2003-2010) 18000 16000 14000 12000 10000 8000 6000 4000 2000 0 Jan- Jul- Jan- Jul- Jan- Jul- Jan- Jul- Jan- Jul- Jan- Jul- Jan - Jul- Jan- Jul- June Dec June Dec June Dec June Dec June Dec Jun Dec Jun Dec Jun Dec 03 03 04 04 05 05 06 06 07 07 08 08 09 09 10 10 Guests from Other Regions Adam Beck, MD; Salvatore Scali, MD; Julie Mayo • University of Florida, Gainesville, FL Jeb Hallett, MD • Roper St Francis, Charleston, SC Gary Giangola, MD • Jewish Health System, New York City, NY Mark Davies, MD, PhD, MBA • Methodist Hospital, Houston, TX Apostolos Tassiopoulos, MD; Olympia Christoforatos, RN, MS • Stonybrook University Hospital, Stonybrook, NY Larry Kraiss, MD & Bjoern Suckow, MD • University of Utah Medical Center, Salt Lake City, UT Eyal Ben-Arie, MD • Piedmont Hospital, Atlanta, GA Grace Wang, MD • Hospital of University of Pennsylvania, Philadelphia, PA Semi-Annual Data Report Sample graphs in guests’ folders • Sent to each center before meeting • Available in real time on the web Elective Endo AAA Repair This patient safety work product generated within the VSG PSO, LLC, is considered privileged and confidential according to the provisions of 42 CFR Part 3 This patient safety work product generated within the VSG PSO, LLC, is considered privileged and confidential according to the provisions of 42 CFR Part 3 This patient safety work product generated within the VSG PSO, LLC, is considered privileged and confidential according to the provisions of 42 CFR Part 3 Infra-Inguinal Bypass Mortality or Major Amputation by Surgeon This patient safety work product generated within the VSG PSO, LLC, is considered privileged and confidential according to the provisions of 42 CFR Part 3 Infra-Inguinal Bypass Mortality or Major Amputation by Center This patient safety work product generated within the VSG PSO, LLC, is considered privileged and confidential according to the provisions of 42 CFR Part 3 Variation in Beta-Blocker Use Across Surgeons Beta-Blocker Use by Medical Center This patient safety work product generated within the VSG PSO, LLC, is considered privileged and confidential according to the provisions of 42 CFR Part 3 Agenda - Administrative Topics SVS VQI update – select representative PQRI update New features – TEVAR, followup intervals PVI data, first year perspective Suprainguinal bypass data Dialysis access form – Long term follow-up Missing variables, eg, postop ABI, TBI Missing one year follow-up, EVAR f/u Validation using claims data, status Powered by DATA TO THE HIGHEST POWER The Vascular Quality Initiative A collaborative of regional quality improvement groups collecting and analyzing data in an effort to improve patient care As of May1, 2011 - 70 participating centers with regional study groups forming throughout the U.S. and Canada – New England, the Mid-Atlantic, the Carolinas, Florida, Texas, and Southern California have established groups – Many other regional groups organizing Data analyses governed by SVS Patient Safety Organization (SVS PSO) Utilizes M2S’s web-based platform, Clinical Data Pathways for data entry and report generation SVS PSO PSO Governing Council: 4 representatives from SVS, 1 from each region, 1 at large, Medical Director (ex officio) VSGNE Carolinas Florida So. Calif Quality Quality Quality Quality Committee Committee Committee Committee VSGNE Carolinas Florida So. Calif Research Research Research Research Advisory Advisory Advisory Advisory Committee Committee Committee Committee PSO Research Advisory Council: 1 Representative from each regional RAC plus SVS appointees SVS VQI Summary Region N Centers Entering Data 50 New England 27 Mid-Atlantic 3 40 Carolinas