What’s New What’s Old in TVT Metrics - 2020 Quality Summit presentation (Non-CE)-What’s New What’s Old in TVT Metrics

Video Transcription

Video Summary

In this video presentation, Joan Michaels, the program manager for the STS ACC TVT registry, discusses the new metrics, modifications, and retirements in version 3.0 of the TVT registry. She emphasizes the importance of metrics in measuring program performance and the value of benchmarking for quality improvement. Michaels also provides background information on the data collected so far, including the number of participating sites and records. She explains that the current risk models will be retired in favor of a comprehensive risk model called the morbidity-mortality composite risk model, which includes 50 covariates. Michaels highlights the baseline KCCQ and 5-meter walk test as important metrics in the composite risk model. She encourages sites to strive for a high percentage of completion in these metrics and provides data showing improving rates. Michaels introduces the concept of the hierarchical composite risk model, which categorizes outcomes from worst to best, and shares a preview of the public reporting report that hospitals will receive. She then moves on to discuss the new, retired, and modified metrics in version 3.0 for the TAVR, MITRA, and tricuspid modules. Examples include the addition of metrics for pacemaker rates, cardiac rehabilitation referrals, observed mortality, stroke, and other outcomes. Michaels concludes by mentioning ongoing work on risk models for the mitral clip and one-year post-TAVR outcomes. No credits are mentioned in the video transcript.

Keywords

Joan Michaels

STS ACC TVT registry

metrics

version 3.0

benchmarking