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Understanding Your Quality Assurance Reports Ryan S. Cantor, PhD University of Alabama at Birmingham 10/23/2019

Understanding Your Quality Assurance Reports 900... · •Provides a useful tool for auditing. Quality Assurance Report • Contains information from your site compared to the overall

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Page 1: Understanding Your Quality Assurance Reports 900... · •Provides a useful tool for auditing. Quality Assurance Report • Contains information from your site compared to the overall

Understanding Your Quality Assurance Reports

Ryan S. Cantor, PhDUniversity of Alabama at Birmingham

10/23/2019

Page 2: Understanding Your Quality Assurance Reports 900... · •Provides a useful tool for auditing. Quality Assurance Report • Contains information from your site compared to the overall

Conflict of interest disclosures• None

Page 3: Understanding Your Quality Assurance Reports 900... · •Provides a useful tool for auditing. Quality Assurance Report • Contains information from your site compared to the overall

STS-INTERMACS Reporting Team• Nick Timkovich, MSHI

Director of Database Development, Management and Reporting

• Maceo CleggettAnalyst – Report Generation / Distribution, Site Questions

• Ryan Cantor, PhDResearcher / Statistician / Statistical Programming

• Janella Miller, RNClinical Informatics / Internal Auditing

• Devin KoehlData Download / Testing Support

• Kathryn HollifieldSTS National Database Manager - Intermacs

Page 4: Understanding Your Quality Assurance Reports 900... · •Provides a useful tool for auditing. Quality Assurance Report • Contains information from your site compared to the overall

INTERMACS Reports Website!http://www.intermacs.org/reports

Page 5: Understanding Your Quality Assurance Reports 900... · •Provides a useful tool for auditing. Quality Assurance Report • Contains information from your site compared to the overall

Reports are delivered to the Site Administrator

Page 6: Understanding Your Quality Assurance Reports 900... · •Provides a useful tool for auditing. Quality Assurance Report • Contains information from your site compared to the overall

INTERMACS Quarterly Report Packet1. Data Quality Report 2. Quality Assurance Report - Cumulative3. Quality Assurance Report - Cumulative - Patients with

Prior VAD – NEW!4. Quality Assurance Report - Recent Year 5. Quality Assurance Report - Recent Year - Patients

with Prior VAD – NEW!

Page 7: Understanding Your Quality Assurance Reports 900... · •Provides a useful tool for auditing. Quality Assurance Report • Contains information from your site compared to the overall

Data Quality Report• Provides each hospital with a snapshot of key data they have entered into Intermacs

• Provides a list of inconsistent and improbable data values

• Provides a useful tool for auditing

Page 8: Understanding Your Quality Assurance Reports 900... · •Provides a useful tool for auditing. Quality Assurance Report • Contains information from your site compared to the overall

Quality Assurance Report• Contains information from your site compared to the

overall Intermacs experience

• Primary prospective patients are analyzed for accurate comparison between site and overall cohort

• Facilitates the refinement of patient selection to maximize outcomes with current and new device options

Page 9: Understanding Your Quality Assurance Reports 900... · •Provides a useful tool for auditing. Quality Assurance Report • Contains information from your site compared to the overall

Cumulative vs Recent Year Report• Quality Assurance Report – Cumulative

• Coverage: June 2006 - June 2019• Quality Assurance Report - Recent Year

• Most recent fully complete year, plus any additional coverage from the current year

• Coverage: January 2018 – June 2019

Page 10: Understanding Your Quality Assurance Reports 900... · •Provides a useful tool for auditing. Quality Assurance Report • Contains information from your site compared to the overall

Standard vs Prior VAD Report• Standard - Quality Assurance Report – Cumulative

• INTERMACS captures patients first ever VAD• Facilitates Comparison between Site and INTERMACS with known and

observed VAD initiation• Patients VADs prior to 1st INTERMACS device (as reported on the pre-implant

form) are excluded from comparison• Quality Assurance Report - Cumulative - Patients with Prior VAD –

NEW!• Patients VADs prior to 1st INTERMACS device (as reported on the pre-implant

form) are compared in this report

Page 11: Understanding Your Quality Assurance Reports 900... · •Provides a useful tool for auditing. Quality Assurance Report • Contains information from your site compared to the overall

Overview of QA Exhibits• Pre-Implant Patient Details • Adverse Event Rates • Functional Capacity and Quality of Life • Post Implant Survival

• Kaplan-Meier Survival Analysis• Competing Outcomes

• Follow-up Conditions• Site Follow-up Compliance

Page 12: Understanding Your Quality Assurance Reports 900... · •Provides a useful tool for auditing. Quality Assurance Report • Contains information from your site compared to the overall

HOSP-X Report• Generated for report demonstrations and discussions

• 100 random selected patients

• Compared STS-INTERMACS cohort

• No PHI or site specific data

• https://www.uab.edu/medicine/intermacs/reports/quarterly-site-reports

Page 13: Understanding Your Quality Assurance Reports 900... · •Provides a useful tool for auditing. Quality Assurance Report • Contains information from your site compared to the overall

Pre-Implant Characteristics

Page 14: Understanding Your Quality Assurance Reports 900... · •Provides a useful tool for auditing. Quality Assurance Report • Contains information from your site compared to the overall

Adverse Event Rates

Page 15: Understanding Your Quality Assurance Reports 900... · •Provides a useful tool for auditing. Quality Assurance Report • Contains information from your site compared to the overall

Quality of Life

Page 16: Understanding Your Quality Assurance Reports 900... · •Provides a useful tool for auditing. Quality Assurance Report • Contains information from your site compared to the overall

Post Implant Survival

Page 17: Understanding Your Quality Assurance Reports 900... · •Provides a useful tool for auditing. Quality Assurance Report • Contains information from your site compared to the overall

Competing Outcomes

Page 18: Understanding Your Quality Assurance Reports 900... · •Provides a useful tool for auditing. Quality Assurance Report • Contains information from your site compared to the overall

Site Compliance Score

HOSP-X

Page 19: Understanding Your Quality Assurance Reports 900... · •Provides a useful tool for auditing. Quality Assurance Report • Contains information from your site compared to the overall

Questions and Comments • [email protected]• Maceo Cleggett• 205-975-3119

•Any requests for Intermacs report additions should be sent to [email protected].