Oh the Places You Will Go: Brief Summary 815...Frank Pagani, Chair David Morales Chris Salerno...
Transcript of Oh the Places You Will Go: Brief Summary 815...Frank Pagani, Chair David Morales Chris Salerno...
Oh the Places You Will Go: Brief Summary Highlighting Major Events and Changes during
the Transition from NHLBI to STS
Francis D. Pagani MD PhDOtto Gago MD Endowed Professor of Cardiac Surgery
University of Michigan
INTERMACS REGISTRY JOINS THE STS NATIONAL DATABASE
INTERMACS•Established at the UAB in 2005 as a joint effort of the
NHLBI, FDA, CMS and clinical centers•North American registry for patients who receive an
FDA-approved durable implantable, mechanical circulatory support (MCS) device to treat advanced heart failure
•Participation in a national registry is required by the Joint Commission for all US centers implanting MCS devices for destination therapy
Longitudinal Follow-up
•Inclusion of INTERMACS represents a new chapter in the history of the STS National Database in light of the registry’s collection of longitudinal data
•INTERMACS collects longitudinal data throughout the life of a patient with an MCS device
•This brings an entirely new perspective to the STS National Database
INTERMACS Clinical Site Enrollment:as of September 2019
STS Intermacs:• Active (Prior UAB
participants): 159• Active (New): 15• Pending: 3• Percent (prior UAB): 98%• Expected (prior UAB): 162• Total number of active
Intermacs sites: 174
STS Pedimacs:• Active (Prior UAB
participants): 41• Active (New): 6• Pending: 2• Percent (prior UAB): 95%• Expected (prior UAB): 43• Total Number of active
Pedimacs sites: 47
Multidisciplinary Task Force Composition
•INTERMACS Task Force brought into the STS current structure of its national databases
•Task Force is unique in that it is comprised of surgeons and cardiologists
•This unique collaboration is essential to the field and insures engagement and leadership from all stakeholders
Council on Quality, Research, and Patient Safety
Workforce Research
Development
Workforce on Evidence Based
Surgery
Workforce on National
Databases
Adult Cardiac Surgery Database
Taskforce
Congenital Heart Surgery Database
Taskforce
General Thoracic Surgery Database
Taskforce
IntermacsTaskforce
Workforce on Patient Safety
Frank Pagani, ChairDavid MoralesChris SalernoRobert HigginsJames YoungLynne Warner StevensonDanial GoldsteinDavid RosenthalBetsy BlumeIki AdachiJeff JacobsJeff Tueteburg
Jennifer CowgerJoe ClevelandJoe RossanoJonathan HaftJosef StehlikEzequiel MolinaPavan AlturiSimon MaltaisTom McGillivrayScott SilvestryNir UrielKristen NelsonDavid Peng
William Seward, STS Associate
Executive DirectorDonna McDonaldKathryn HollifieldElaine Weiss,
STS Executive Director
STS INTERMACS Leadership
Kathryn Hollifield, BSN RNSTS National Database Manager-IntermacsPhone: 312.202.5879Email: [email protected]
Important Priorities
•Emphasis of the registry on Quality Initiatives / Quality Assurance-Development of NQF-endorsed measures
•Ensuring the registry is relevant to Stakeholders•Quarterly Site Reports
-Data quality reports-Quality assurance reports
Current State of Intermacs
Current State of Intermacs
Current State of Intermacs
Future State of Intermacs
Developing Quality Measures
Developing Quality Measures
INTERMACS Task Force
•Annual Writing Group Report•Quality Initiative Sub-committee•Patient Reported Outcomes Sub-committee•Stakeholders group
Questions?
FAQ’S•Do I put my patient in both Intermacs and the STS
Adult Cardiac Surgery Database?•My patient is receiving a non-approved FDA
implantable LVAD. Do I put my patient into Intermacs?
•My patient is receiving a temporary mechanical circulatory support device (i.e., Impella or TandemHeart pump). Do I put my patient into Intermacs?