Performance Measures

STS continues to develop and maintain quality performance measures in the areas of adult cardiac, general thoracic, and congenital heart surgery. STS measures have either been endorsed or are being considered for endorsement by the National Quality Forum. In addition, many of these measures are included in CMS’s Merit-Based Incentive Payment System.

Adult Cardiac Surgery Measures - Participant Level
Measure NQF # Procedure(s) Measure Type
CABG Composite Score

0696

Isolated CABG Outcome, Process, Composite
Postoperative Renal Failure 0114 Isolated CABG Outcome
Surgical Re-exploration 0115 Isolated CABG Outcome
Operative Mortality for CABG 0119 Isolated CABG Outcome
Postoperative Prolonged Intubation (Ventilation) 0129 Isolated CABG Outcome
Deep Sternal Wound Infection 0130 Isolated CABG Outcome
Stroke/Cerebrovascular Accident 0131 Isolated CABG Outcome
CABG Readmission Rate 2514 Isolated CABG Outcome
Operative Mortality for Aortic Valve Replacement 0120 Isolated AVR Outcome
Operative Mortality for Mitral Valve Replacement 0121 Isolated MVR Outcome
Operative Mortality for Mitral Valve
Repair
1501 Isolated MVr Outcome
Aortic Valve Replacement
Composite Score
2561 Isolated AVR Outcome, Composite
Mitral Valve Repair/Replacement
Composite Score
3031 Isolated MVRR Outcome, Composite
Anti-Platelet Medication at Discharge 0116* Isolated CABG Process
Beta Blockade at Discharge 0117 Isolated CABG Process
Anti-Lipid Treatment at Discharge 0118 Isolated CABG Process
Preoperative Beta Blockade 0127 Isolated CABG Process
Use of Internal Mammary Artery
in CABG
0134 Isolated CABG Process
Operative Mortality for Mitral Valve Replacement + CABG Surgery 0122 MVR + CABG Outcome
Operative Mortality for Aortic Valve Replacement + CABG Surgery 0123 AVR + CABG Outcome
Operative Mortality for Mitral Valve
Repair + CABG Surgery
1502 MVr + CABG Outcome
Aortic Valve Replacement
+ CABG Composite Score
2563 AVR + CABG Outcome, Composite
Mitral Valve Repair/Replacement
+ CABG Composite Score
3032 MVRR + CABG Outcome, Composite
Selection of Antibiotic Prophylaxis for Cardiac Surgery Patients 0126* N/A Process
Duration of Antibiotic Prophylaxis for Cardiac Surgery Patients 0128* N/A Process
Participation in a Systematic Database
for Cardiac Surgery
0113* N/A Structure

*NQF Reserve Status

Adult Cardiac Surgery Measures - Surgeon Level
Measure NQF # Procedure(s) Measure Type
Individual Surgeon Composite Measure for Adult Cardiac Surgery 3030 Isolated CABG, Isolated AVR, Isolated MVRR, AVR + CABG, MVRR + CABG Outcome, Composite

 

Congenital/Pediatric Heart Surgery Measures - Participant Level
General Thoracic Surgery Measures - Participant Level
Measure NQF # Procedure Measure Type
Morbidity and Mortality for Lung Resection
for Lung Cancer
1790 Lung Outcome
Participation in a Systematic Database
for General Thoracic Surgery
0456 N/A Structure

 

Special thanks to David M. Shahian, MD and the STS Quality Measurement Task Force for their leadership and contributions.