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VCSQI Spring 2019 Quarterly Meeting Summary

The VCSQI Quarterly Meeting on March 28, 2019 provided a unique opportunity for members to define the organization’s mission, vision and goals. The Quality Committee meeting featured a nephrology Q&A session by Dr. Brendan Bowman of UVA, along with updated STS data views and FAQs. The evening meeting began with an overview of the Accreditation for […]


VCSQI Welcomes Sherri White, New Quality Improvement Advisor

Sherri White joins VCSQI as the organization’s new Quality Improvement Advisor. She studied Business Administration at Notre Dame College. She later obtained her Masters in Science degree of Positive Organizational Development and Change from Case Western Reserve University, Weatherhead School of Management. Sherri worked with the VCSQI SAN 2.0 grant program, helping enrolled practices achieve […]


VCSQI Quarterly Meeting Recap: September 2017

Meeting Slides: CSU-ALS Resuscitation Protocol – Dr. Adrian Levine and David Lizotte Cardiology Update – Dr. Robert Shor High Value Cardiac Care – Dr. Kevin Lobdell On September 14th, VCSQI members enjoyed a productive and engaging time at the Fall Quarterly Meeting in Richmond. Data Managers for both the Society of Thoracic Surgeons (STS) and […]


Resources for Enrolled Practices:

VCSQI Overview on MACRA, MIPS, and APMs: Please contact us at vcsqi.org@gmail.com with any questions, comments, or requests for additional information.


Virginia Cardiac Surgery Quality Initiative’s Multi-Center Red Blood Cell Transfusion Study

Cardiac surgery accounts for 20% of blood transfused within the United States.(1) Today 30-65% of patients undergoing cardiac surgery receive a blood transfusion (2-3) and often receive more than one unit. The risk of virus transmission from transfusion is radically decreased since the 1990’s therefore the focus upon transfusion risks is shifting.  Red cell function (ability to carry and release oxygen), immune modulation, transfusion related acute lung injury, cytokine generation, allergic reaction and ABO incompatibility have become the risks of transfusion.(4-8)   Today an emerging literature is noting that blood transfusions are associated with worse outcome, longer hospital and ICU stays, decreased post-operative quality of life and even increased mortality after heart surgery out to 60 months. (4-9) 


VCSQI Readmissions Reduction Protocol

CMS currently estimates that avoidable hospital readmissions account at $17.4 billion, or 17% of the $102.6 billion Medicare budget. The Median number of patients readmitted after CABG from the STS national database is 10%. VCSQI data on readmissions after CABG (2002-2014) ranges from 7.1% to 9.1%. Beginning in 2017, CMS will reduce payments to hospitals with excessive readmissions after CABG surgery. Hospitals that have implemented some form of readmission reduction programs were able to reduce readmission by 10 to 30%.


Atrial Fibrillation Prophylaxis Protocol

The purpose of this quality improvement initiative is to lower the incidence of complications among patients undergoing a CABG or valve repair/replacement surgery in VCSQI member heart centers.  We hope to demonstrate that by lowering the incidence of post-operative atrial fibrillation, hospital costs and resources used will be contained while clinical processes are improved.  We hope to improve clinical quality through sharing information and collaborating in the analysis of outcomes data.