NCDR Atrial Fibrillation Ablation Dataset Development · Workgroup Members – Stephen Hammill...
Transcript of NCDR Atrial Fibrillation Ablation Dataset Development · Workgroup Members – Stephen Hammill...
![Page 1: NCDR Atrial Fibrillation Ablation Dataset Development · Workgroup Members – Stephen Hammill (Mayo), Chair – Sana Al-Khatib (Duke) – Alan Kadish (Northwestern) – Peter Kowey](https://reader031.fdocuments.net/reader031/viewer/2022020204/5b67408b7f8b9a1f738e0e7b/html5/thumbnails/1.jpg)
NCDR®
Atrial Fibrillation Ablation Dataset Development
Stephen Hammill, MD
![Page 2: NCDR Atrial Fibrillation Ablation Dataset Development · Workgroup Members – Stephen Hammill (Mayo), Chair – Sana Al-Khatib (Duke) – Alan Kadish (Northwestern) – Peter Kowey](https://reader031.fdocuments.net/reader031/viewer/2022020204/5b67408b7f8b9a1f738e0e7b/html5/thumbnails/2.jpg)
Workgroup Members– Stephen Hammill (Mayo), Chair– Sana Al-Khatib (Duke)– Alan Kadish (Northwestern) – Peter Kowey (Main Line Health – Philly) – Fred Masoudi (U Colorado) – Douglas Packer (Mayo) – Jeremy Ruskin (MGH)– Paul Varosy (UCSF)– Janice Baker (Chester County)
![Page 3: NCDR Atrial Fibrillation Ablation Dataset Development · Workgroup Members – Stephen Hammill (Mayo), Chair – Sana Al-Khatib (Duke) – Alan Kadish (Northwestern) – Peter Kowey](https://reader031.fdocuments.net/reader031/viewer/2022020204/5b67408b7f8b9a1f738e0e7b/html5/thumbnails/3.jpg)
Workgroup Members
• HRS: Kathy Pontzer• FDA: Ben Eloff, Randy Brockman,
Jun Dong• CMS: Marcel Salive; JoAnna Baldwin • AHRQ: Elise Berliner• ACC: Nancy Smith, Susan Fitzgerald,
Christie Lang, Kristi Mitchell
![Page 4: NCDR Atrial Fibrillation Ablation Dataset Development · Workgroup Members – Stephen Hammill (Mayo), Chair – Sana Al-Khatib (Duke) – Alan Kadish (Northwestern) – Peter Kowey](https://reader031.fdocuments.net/reader031/viewer/2022020204/5b67408b7f8b9a1f738e0e7b/html5/thumbnails/4.jpg)
Workgroup Members
• HRS: Kathy Pontzer• FDA: Ben Eloff, Randy Brockman,
Jun Dong• CMS: Marcel Salive; JoAnna Baldwin • AHRQ: Elise Berliner• ACC: Nancy Smith, Susan Fitzgerald,
Christie Lang, Kristi Mitchell
![Page 5: NCDR Atrial Fibrillation Ablation Dataset Development · Workgroup Members – Stephen Hammill (Mayo), Chair – Sana Al-Khatib (Duke) – Alan Kadish (Northwestern) – Peter Kowey](https://reader031.fdocuments.net/reader031/viewer/2022020204/5b67408b7f8b9a1f738e0e7b/html5/thumbnails/5.jpg)
AF Ablation Workgroup Objective
– Develop a dataset to measure and report the safety and efficacy of AF ablation procedures
![Page 6: NCDR Atrial Fibrillation Ablation Dataset Development · Workgroup Members – Stephen Hammill (Mayo), Chair – Sana Al-Khatib (Duke) – Alan Kadish (Northwestern) – Peter Kowey](https://reader031.fdocuments.net/reader031/viewer/2022020204/5b67408b7f8b9a1f738e0e7b/html5/thumbnails/6.jpg)
Workgroup process
Draft metrics and data collection form
Conference callsEmail review
![Page 7: NCDR Atrial Fibrillation Ablation Dataset Development · Workgroup Members – Stephen Hammill (Mayo), Chair – Sana Al-Khatib (Duke) – Alan Kadish (Northwestern) – Peter Kowey](https://reader031.fdocuments.net/reader031/viewer/2022020204/5b67408b7f8b9a1f738e0e7b/html5/thumbnails/7.jpg)
Registry DevelopmentTimeline
ScientificDevelopment
Technical Development Testing Tool Release
IT Application Development & Testing
Alpha Pilot
MaintenanceCharterDevelopment
*
![Page 8: NCDR Atrial Fibrillation Ablation Dataset Development · Workgroup Members – Stephen Hammill (Mayo), Chair – Sana Al-Khatib (Duke) – Alan Kadish (Northwestern) – Peter Kowey](https://reader031.fdocuments.net/reader031/viewer/2022020204/5b67408b7f8b9a1f738e0e7b/html5/thumbnails/8.jpg)
AF Ablation Outcome MetricsDuring Hospital Stay
![Page 9: NCDR Atrial Fibrillation Ablation Dataset Development · Workgroup Members – Stephen Hammill (Mayo), Chair – Sana Al-Khatib (Duke) – Alan Kadish (Northwestern) – Peter Kowey](https://reader031.fdocuments.net/reader031/viewer/2022020204/5b67408b7f8b9a1f738e0e7b/html5/thumbnails/9.jpg)
Process, Utilization and Data Quality MetricsDuring Hospital Stay
![Page 10: NCDR Atrial Fibrillation Ablation Dataset Development · Workgroup Members – Stephen Hammill (Mayo), Chair – Sana Al-Khatib (Duke) – Alan Kadish (Northwestern) – Peter Kowey](https://reader031.fdocuments.net/reader031/viewer/2022020204/5b67408b7f8b9a1f738e0e7b/html5/thumbnails/10.jpg)
Process Comparison MetricsDuring Hospital Stay
![Page 11: NCDR Atrial Fibrillation Ablation Dataset Development · Workgroup Members – Stephen Hammill (Mayo), Chair – Sana Al-Khatib (Duke) – Alan Kadish (Northwestern) – Peter Kowey](https://reader031.fdocuments.net/reader031/viewer/2022020204/5b67408b7f8b9a1f738e0e7b/html5/thumbnails/11.jpg)
Metrics – After Hospital Discharge
![Page 12: NCDR Atrial Fibrillation Ablation Dataset Development · Workgroup Members – Stephen Hammill (Mayo), Chair – Sana Al-Khatib (Duke) – Alan Kadish (Northwestern) – Peter Kowey](https://reader031.fdocuments.net/reader031/viewer/2022020204/5b67408b7f8b9a1f738e0e7b/html5/thumbnails/12.jpg)
Metrics – After Hospital Discharge
![Page 13: NCDR Atrial Fibrillation Ablation Dataset Development · Workgroup Members – Stephen Hammill (Mayo), Chair – Sana Al-Khatib (Duke) – Alan Kadish (Northwestern) – Peter Kowey](https://reader031.fdocuments.net/reader031/viewer/2022020204/5b67408b7f8b9a1f738e0e7b/html5/thumbnails/13.jpg)
Data Collection Form
![Page 14: NCDR Atrial Fibrillation Ablation Dataset Development · Workgroup Members – Stephen Hammill (Mayo), Chair – Sana Al-Khatib (Duke) – Alan Kadish (Northwestern) – Peter Kowey](https://reader031.fdocuments.net/reader031/viewer/2022020204/5b67408b7f8b9a1f738e0e7b/html5/thumbnails/14.jpg)
Data Collection Form—Challenges
Challenge #1:Defining what procedure was
done
![Page 15: NCDR Atrial Fibrillation Ablation Dataset Development · Workgroup Members – Stephen Hammill (Mayo), Chair – Sana Al-Khatib (Duke) – Alan Kadish (Northwestern) – Peter Kowey](https://reader031.fdocuments.net/reader031/viewer/2022020204/5b67408b7f8b9a1f738e0e7b/html5/thumbnails/15.jpg)
Data Collection Form—Challenges
Challenge #2:Documenting
procedure success (short and long
term)
![Page 16: NCDR Atrial Fibrillation Ablation Dataset Development · Workgroup Members – Stephen Hammill (Mayo), Chair – Sana Al-Khatib (Duke) – Alan Kadish (Northwestern) – Peter Kowey](https://reader031.fdocuments.net/reader031/viewer/2022020204/5b67408b7f8b9a1f738e0e7b/html5/thumbnails/16.jpg)
Data Collection Form Challenge #3:Establishing
follow-up (what to collect and who is responsible)
![Page 17: NCDR Atrial Fibrillation Ablation Dataset Development · Workgroup Members – Stephen Hammill (Mayo), Chair – Sana Al-Khatib (Duke) – Alan Kadish (Northwestern) – Peter Kowey](https://reader031.fdocuments.net/reader031/viewer/2022020204/5b67408b7f8b9a1f738e0e7b/html5/thumbnails/17.jpg)
Conclusions – Dataset Requirements
• Ask appropriate questions • Collect appropriate data • Accurate, reliable data• Clear, consistent definitions• Data form completed by an abstracter• Collaboration and teamwork
![Page 18: NCDR Atrial Fibrillation Ablation Dataset Development · Workgroup Members – Stephen Hammill (Mayo), Chair – Sana Al-Khatib (Duke) – Alan Kadish (Northwestern) – Peter Kowey](https://reader031.fdocuments.net/reader031/viewer/2022020204/5b67408b7f8b9a1f738e0e7b/html5/thumbnails/18.jpg)