Session I: Web Based Reporting: What You Can Get From the Database I. Accessing Your Data Quality Assurance Report Examining/Validating your data Compliance Rates Electronic copies of your data II. Patient Management Tools Clinical timeline Clinical measures across time ü ü ü ü ü ü V. Using Intermacs for Your Research Within your site Across Intermacs ü III. Patient Selection and Outcomes Quality Assurance Report Cohort (subset) report Benchmarking IV. Quality Initiatives Joint Commission Internal Initiatives Data Quality & Quality Assurance Reports Kathryn Hollifield, BSN RN Director of Clinical Affairs
Relevant Financial Relationship Disclosure Statement Data Quality and Quality Assurance Kathryn Hollifield, BSN RN Director of Clinical Affairs I will not discuss off label use and/or investigational use of the following devices: The following relevant financial relationships exist related to my role in this session:
Session I: Web Based Reporting: What You Can Get From the Database Data Quality Report
Session I: Web Based Reporting: What You Can Get From the Database ü The Purpose of the Data Quality Report is to provide each hospital an up to date snapshot of key data they have entered into Intermacs and to provide lists of inconsistencies and improbable values that occur in the data. ü The data in this report are based on implants entered into the Intermacs webbased data application ü The Data Quality Report contains information from ALL INTERMACS patients at your institution. This includes patients receiving primary, subsequent, retrospective devices, and pediatric patients that were entered prior to the launch of Pedimacs. ü For patients who have transferred away from your institution, only information prior to the transfer is listed. Information from patients that have transferred to your institution are included in this report.
Session I: Web Based Reporting: What You Can Get From the Database Who receives the Data Quality Report? Site Administrators When do I receive the Data Quality report? Quarterly: Calendar Quarter Report Coverage Stop Date Q 1 March 31 st Report Distribution Deadline June 30 th Q 2 June 30 th September 30 th Q 3 September 30 th December 31 st Q 4 December 31 st March 31 st
• The DQ Report is available for you to download to your secure server or desktop. • Please note this report contains PHI and should be handled following all HIPAA guidelines.
Session I: Web Based Reporting: What You Can Get From the Database Where do I go to get this report? Step 1:
Session I: Web Based Reporting: What You Can Get From the Database Where do I go to get this report? Step 2:
Information Security Agreement when Downloading Intermacs data 10
Session I: Web Based Reporting: What You Can Get From the Database
Session I: Web Based Reporting: What You Can Get From the Database II. Data Quality Tables Exhibit 1 a. Implants by Year and Device Type The following table summarizes the number of all device types implanted at your site by year. This includes all primary, subsequent, retrospective devices, and pediatric patients that were entered prior to the launch of pedi. MACS. Exhibit 1 b. Total Patients Receiving Implants and Implant Operations The following table lists the total number of patients enrolled at your site and the total number of implant operations. Information from patients that have transferred to your institution is not listed in this table.
Session I: Web Based Reporting: What You Can Get From the Database Exhibit 2 b. Patients Missing or Incomplete Implant Form The following table contains a list of patients who have been entered into the Registry, but the implant form has not been completed. Please complete the implant form and any adverse events and follow-up forms as indicated
Session I: Web Based Reporting: What You Can Get From the Database Exhibit 5. Adverse Event Check The following table lists patients at your hospital that have been entered into INTERMACS and followed for more than a year with NO reported adverse events as of the end of this reporting period. Please review for accuracy.
Session I: Web Based Reporting: What You Can Get From the Database Quality Assurance Report
Session I: Web Based Reporting: What You Can Get From the Database ü The Purpose of the Quality Assurance Report is to facilitate the refinement of patient selection to maximize outcomes with current and new device options. ü Identify predictors of good outcomes as well as risk factors for adverse events after device implantation. Develop consensus best practice guidelines to improve clinical management by reducing short and long term complications of MCSD therapy. ü The Quality Assurance Report contains information from your site compared to the overall Intermacs experience. To facilitate this comparison only primary prospective patients are analyzed. ü Exclusion reasons from the QA report include; Retrospective patients (implanted prior to site activation), Patients whose first implant in Intermacs is not their primary implant, Patients only receiving an RVAD, or Pediatric patients entered into Intermacs prior to the launch of Pedimacs. Transfer patients and their subsequent experience are analyzed in the report for the site that implanted the primary implant.
Session I: Web Based Reporting: What You Can Get From the Database Who receives the Quality Assurance Report? Site Administrators When do I receive the Quality Assurance Report? Quarterly: Calendar Quarter Report Coverage Stop Date Q 1 March 31 st Report Distribution Deadline June 30 th Q 2 June 30 th September 30 th Q 3 September 30 th December 31 st Q 4 December 31 st March 31 st
• The QA Report is available for you to download to your secure server or desktop. • Please note this report contains PHI and should be handled following all HIPAA guidelines.
Session I: Web Based Reporting: What You Can Get From the Database Where do I go to get this report? Step 1:
Session I: Web Based Reporting: What You Can Get From the Database Where do I go to get this report? Step 2:
Information Security Agreement when Downloading Intermacs data 22
Session I: Web Based Reporting: What You Can Get From the Database
Session I: Web Based Reporting: What You Can Get From the Database The list below are reasons why a patient from your site is excluded from the Quality Assurance Report (QA). • Retrospective patients • Patients with a prior history of MCS (LVAD, RVAD, TAH) • Pediatric patients • Patients that have transferred to your site • Patients with missing implant dates.
Session I: Web Based Reporting: What You Can Get From the Database Exhibit 1: Primary and Subsequent Device Counts The following tables list the number of implants at your site and Intermacs overall by device sequence (primary, secondary, etc. ) and time period. NOTE: Subsequent analysis in this report evaluate only primary devices unless specified otherwise.
Session I: Web Based Reporting: What You Can Get From the Database Quality Assurance Report: 6 Minute Walk
Session I: Web Based Reporting: What You Can Get From the Database Adverse Event Rates (INFECTION)
Session I: Web Based Reporting: What You Can Get From the Database For examples of the Data Quality and Quality Assurance, Visit our website at: http: //www. uab. edu/medicine/intermacs/reports/statistical-reports
Session I: Web Based Reporting: What You Can Get From the Database
Session I: Web Based Reporting: What You Can Get From the Database Thank you Statistical Reporting Team! Ryan, Devin and Maceo
Session I: Web Based Reporting: What You Can Get From the Database Questions about accessing your reports: Questions about report access? mclegg@uab. edu
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