MCH Cardiac Real-time Performance
Assessment Tool
Our program goal is to improve continuously.
To achieve this, we measure our performance continuously, and report in real time.
We believe this practice will enhance our ability to identify and correct clinical problems, and provide our colleagues and patients with accurate and useful outcomes data for decision making.
Recognizing the inherent weaknesses of conventional databases, and the frustrating problem of identifying missing or erroneous data, we encourage our families, referring doctors, and team members, to alert the database administrator to potential inaccuracies, so that they can be confirmed and corrected.
Having our Web based reporting system linked to our patient’s electronic medical records gives us access to phenomenal amounts of data, and this Website only gives a snapshot of the available information. We therefore encourage our users to suggest the types of data they would find useful, and would like to see presented in real time.
Ongoing feedback, from everyone involved in the care of our patients, would make this database a uniquely powerful tool, and a model for medical performance measurement.
The data you see below is generated dynamically by our cardiac program database, in real time, every time you load this page.
Operative mortality is defined, by International convention, as death before discharge from the hospital or within 30 days of the operation.
Performance Analysis by Age
All fields below are dynamic - updated in real-time from the cardiac program electronic medical record.
Last Procedure Recorded on 5/8/2008
| Category |
Procedures (N) |
Open Heart (N) |
Closed Heart (N) |
Open Heart Mortality (N) |
Open Heart Mortality (%) |
| Adult |
63 |
47 |
16 |
0 |
0 |
| Children |
659 |
592 |
67 |
8 |
1.21 |
| Infant |
664 |
583 |
81 |
8 |
1.2 |
| Neonates |
493 |
390 |
103 |
28 |
5.68 |
| Totals |
1879 |
1612 |
267 |
44 |
2.73 |
{Adult > 18 Yrs, Children 1 - 18 Yrs, Infant 31 Days to 1 Yr, Neonates 0 - 30 Days}
Performance Analysis by Procedure and Complexity
All fields below are dynamic - updated in real-time from the cardiac program electronic medical record.
Last Procedure Recorded on 5/7/2008
Generate a real-time Kaplan-Meier Survival Curve for this program by clicking on the corresponding blue procedure name below.
| Procedure |
Patients (N) |
Median LOS (Days) |
Median Age (Days) |
Mortalities |
Percent Mortality |
Rachs |
| ASD |
84 |
3 |
1168 |
0 |
0 |
1 |
| PAPVR |
52 |
3 |
2801 |
0 |
0 |
1 |
| AP Win |
2 |
4 |
6 |
0 |
0 |
2 |
| BDCPA |
118 |
7 |
176 |
0 |
0 |
2 |
| Sub AS |
22 |
3 |
2066 |
0 |
0 |
2 |
| TOF |
126 |
7 |
105 |
2 |
1.59 |
2 |
| VSD |
163 |
5 |
167 |
0 |
0 |
2 |
| ALCAPA |
5 |
10 |
119 |
0 |
0 |
3 |
| ASO |
62 |
17 |
7 |
0 |
0 |
3 |
| AVC |
61 |
8 |
121 |
0 |
0 |
3 |
| DORV |
29 |
9 |
107 |
0 |
0 |
3 |
| Fontan |
110 |
9 |
1629 |
3 |
2.73 |
3 |
| PA/VSD |
16 |
21 |
9 |
1 |
6.25 |
3 |
| ASO/VSD |
4 |
15 |
8 |
0 |
0 |
4 |
| IAA |
12 |
20 |
8 |
0 |
0 |
4 |
| Konno |
13 |
7 |
2545 |
1 |
7.69 |
4 |
| Rastelli |
8 |
7 |
402 |
0 |
0 |
4 |
| Truncus |
20 |
22 |
15 |
0 |
0 |
4 |
| DKS |
15 |
21 |
20 |
1 |
6.67 |
6 |
| Norwood Stage 1 |
74 |
24 |
7 |
8 |
10.81 |
6 |
| Totals |
996 |
11.1 |
574.3 |
16 |
1.61 |
2.62 |
Performance Comparison by Risk Adjustment for Congenital Heart Surgery 1 (RACHS-1) Score
All fields below are dynamic - updated in real-time from the cardiac program electronic medical record, except
light blue fields which contain fixed values from the medical literature. References provided below.
| RACHS-1 (1) |
Patients (N) |
Median LOS (Days) |
Median Age (Days) |
Mortalities |
MCH % Mortality |
PCCC (2) % Mortality |
EJCTS (3) % Mortality |
| 1 |
136 |
3 |
1687 |
0 |
0 |
0.4 |
0.3 |
| 2 |
429 |
6 |
159 |
2 |
0.47 |
3.8 |
4 |
| 3 |
283 |
11 |
172 |
4 |
1.41 |
8.5 |
5.6 |
| 4 |
57 |
17 |
19 |
1 |
1.75 |
19.4 |
9.9 |
| 5 |
0 |
0 |
0 |
0 |
0 |
0 |
50 |
| 6 |
88 |
23 |
7 |
9 |
10.23 |
47.7 |
40.1 |
References:
1. Jenkins KJ.,Risk adjustment for congenital heart surgery: the RACHS-1 method,Semin Thorac Cardiovasc Surg Pediatr Card Surg Annu. 2004;7:180-4.
2. Jenkins KJ, Gauvreau K., Center-specific differences in mortality: preliminary analyses using the Risk Adjustment in Congenital Heart Surgery (RACHS-1) method,
Thorac Cardiovasc Surg. 2002 Jul;124(1):97-104.
3. Boethig D, Jenkins KJ, Hecker H, Thies WR, Breymann T.,
The RACHS-1 risk categories reflect mortality and length of hospital stay in a large German pediatric cardiac surgery population,
Eur J Cardiothorac Surg. 2004 Jul;26(1):12-7.
