Public reporting is no longer an “emerging trend” but rather a routine expectation of patients, payers, legislators and health care policy makers. Public reporting on the quality of outcomes is here to stay.
STS leadership believes that the public has a right to see and understand the quality of surgical outcomes and regards public reporting as an ethical responsibility of the specialty. STS volunteer leaders have worked diligently to develop a mechanism whereby Database participants can voluntarily report their STS isolated coronary artery bypass grafting (CABG) and isolated aortic valve replacement (AVR) composite star ratings (overall and component domains).
STS has long recognized the importance of taking a leadership role in developing fair and meaningful reporting structures. Evaluations of quality based solely on administrative or claims data is incomplete in the best case scenario, and potentially inaccurate and misleading in the worst. STS methodology for the CABG composite uses more accurate clinical data and includes 11 individual components of clinical care, including mortality and morbidity rates and adherence to NQF-endorsed measures of quality (see documents below for more information). In addition, STS has also developed a composite mortality and morbidity outcomes measure for isolated AVR to be used in quality assessment, provider feedback, public reporting, and performance improvement.
- Public Reporting of Cardiac Surgery Performance: Introduction 
- Public Reporting of Cardiac Surgery Performance: History, Rationale, Consequences 
- Public Reporting of Cardiac Surgery Performance: Implementation 
If you are an STS Adult Cardiac Surgery Database participant and have not yet joined an STS public reporting initiative, please consider signing up  now. If you are included here, thank you!
The Society welcomes all feedback on STS Public Reporting Online. Please send all comments to jhan [at] sts [dot] org.