Register today for Advances in Quality & Outcomes: A Data Managers Meeting. We look forward to seeing you in Dallas! Continuing Education Credit

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1 Join us! On behalf of The Society of Thoracic Surgeons Workforce on National Databases, I am pleased to invite you to Advances in Quality & Outcomes: A Data Managers Meeting. This three-day annual event for data managers will be held this year Oct. 4-6 at the Hilton Anatole in Dallas. The AQO conference will focus on all three Databases that compose the STS National Database: Adult Cardiac Surgery, Congenital Heart Surgery, and General Thoracic Surgery. The primary objective of this meeting is to provide attendees with a variety of presentations and discussions to help them improve data collection and patient outcomes. Of particular importance this year to Congenital Heart Surgery Database data managers is a comprehensive overview of the new data specification upgrade that becomes effective Jan. 1, The AQO conference is designed for health care professionals and data collection personnel who are dedicated to delivering and improving quality health care to cardiovascular surgery patients. STS members, STS National Database participants, and STS staff will present at this meeting. Register today for Advances in Quality & Outcomes: A Data Managers Meeting. We look forward to seeing you in Dallas! David M. Shahian, MD Chair, STS Workforce on National Databases Continuing Education Credit Requirements for Contact Hours: To receive continuing nursing education credit, you must attend and evaluate all presentations in a specific session. Credit will not be awarded for overlapping sessions. Please refer to credit designation below. Non-endorsement of Products: Accreditation of activities for contact hours does not imply the approval or endorsement of any product, advertising, or educational content by STS, Corexcel, or the ANCC s Commission on Accreditation. Conflict of Interest Disclosures: Conflicts of interest disclosed by speakers, planning committee members, and others involved in the planning and implementation of the STS AQO meeting can be found in the notebook. Off-Label Discussions: Any discussion of off-label use of pharmaceutical agents or non FDA approved devices has been disclosed by the speakers and is listed in the notebook. Any incidental discussion of such issues will be made known by the speaker during the presentation. Certificates: Continuing education records for STS AQO attendees are kept for a period of seven years. Accreditation: This educational activity is co-provided by STS and Corexcel. Corexcel is accredited as a provider of continuing nursing education by the ANCC s Commission on Accreditation.

2 Corexcel designates this educational activity for a maximum of contact hours as follows: Thursday, October 4, General Thoracic Surgery Database, 6.32 Thursday, October 4, Congenital Heart Surgery Database, 7.07 Friday, October 5, General Session, 2.48 Friday, October 5 & Saturday, October 6, Adult Cardiac Surgery Database, 6.33 STS urges all participants to be aware of their own State Board or Certifying Agency Continuing Education and/or certification requirements, particularly in regard to the length of time a certificate must be kept by the learner. Target Audience The target audience for this meeting is any health care professional devoted to improving the quality of care of cardiothoracic surgery patients. Encouraged to attend are data managers, physicians, registered nurses, perfusionists, and quality improvement personnel involved in STS National Database data collection. Anyone striving to improve the care of the cardiothoracic surgery patients through the use of outcomes data will also benefit by attending. About Dallas The Hilton Anatole is located in the heart of Dallas. Home to the world s third busiest airport, Dallas offers nearly 2,000 flights per day with non-stop service to and from hundreds of domestic destinations. There will be plenty to see and do while you re in town for the AQO meeting, and autumn is the perfect time to visit! Dallas has some of the best shopping in the southwest, top-notch restaurants, and the largest contiguous urban arts district in the nation. Among the attractions are top museums, performance halls, and award-winning architectural designs. Festivals, exhibitions, and shows are featured year-round. Plus, sports fans will feel right at home in this classic sports town, which is home to five major sports teams and boasts some of the best golf courses in the southwest. Learn more about all that Dallas has to offer at AQO Conference Materials Education materials provided at the AQO conference are for the personal and noncommercial use of an individual participant. These materials may not be reproduced, published, adapted, or distributed without the prior written consent of STS. Pre-registered attendees will be ed no later than Oct. 2 with information on obtaining available presentations. Copies of presentations will not be available onsite. If you wish to save the presentations to your laptop, tablet, or other portable device, please download the presentations in advance and come with a fully charged battery. Individual power outlets will not be available in the meeting rooms, nor will wireless Internet. For safety reasons, power cords will not be allowed to span aisles or walkways at any time. If you would like to take notes on handouts, please print the applicable handouts and bring them with you to the meeting. The hotel has a business center where you can print for a fee. A notebook that includes the agenda will be provided to each attendee. Onsite Registration Wednesday, Oct. 3 Thursday, Oct. 4 Friday, Oct. 5 Saturday, Oct. 6 4:00 p.m. 7:00 p.m. 7:00 a.m. 5:00 p.m. 6:30 a.m. 4:00 p.m. 7:00 a.m. 11:00 a.m. Exhibits & Hours Several vendors will exhibit their Database-related products and applications. This unique opportunity will allow attendees to compare and contrast product options while learning about the latest in software, technology, and other equipment. Thursday, Oct. 4 Friday, Oct. 5 Saturday, Oct. 6 7:30 a.m. 3:00 p.m. 7:30 a.m. 3:30 p.m. 7:30 a.m. 12:00 p.m.

3 Business Casual Attire While we will do our best to have the hotel maintain a comfortable temperature within the meeting rooms, we suggest that you dress in layers to accommodate temperature variations within the hotel. AQO CONFERENCE PLANNING COMMITTEES AND CONFERENCE SPEAKERS *Denotes Conference Speaker Adult Cardiac Surgery Database Session Planning Committee Jennifer A. Bobbitt, BSN, RN, Adult Cardiac Surgery Database Core Group, The Baptist Health System, San Antonio, Tex. Katherine F. Cornelius, BSN, RN, Adult Cardiac Surgery Database Core Group, University of Alabama at Birmingham Health System Richard S. D Agostino, MD, Adult Cardiac Surgery Database Task Force, Lahey Clinic, Burlington, Mass. Carrie Kilgore, RN, Adult Cardiac Surgery Database Core Group, The University of Kansas Hospital, Kansas City Dorothy J. Latham, RN, BSN, Adult Cardiac Surgery Database Core Group, Port Huron Hospital, Mich. Ann Lovett, RN, MA, Adult Cardiac Surgery Database Core Group, Massachusetts Data Analysis Center for the Mass. Cardiac Study, Boston Melinda Offer, RN, MSN, Adult Cardiac Surgery Database Core Group, DASpecialists LLC, Burlington, N.C. Cynthia A. Piotter, MBA, CCP-LP, Adult Cardiac Surgery Database Core Group, Northwestern Memorial Hospital, Chicago, Ill. *Richard L. Prager, MD, Chair, Adult Cardiac Surgery Database Task Force, University of Michigan Hospitals, Ann Arbor Syma L. Prince, RN, BSN, Adult Cardiac Surgery Database Core Group, Cardiopulmonary Research Science and Technology Institute, Dallas, Tex. *David M. Shahian, MD, Chair, Workforce on National Databases, Massachusetts General Hospital, Boston Patricia F. Theurer, RN, CRNFA, Adult Cardiac Surgery Database Core Group, Michigan Society of Thoracic and Cardiovascular Surgeons Quality Collaborative, East Lansing Amy C. Dancisak, BS, Senior Coordinator, STS National Database, Chicago, Ill. *Donna McDonald, MPH, RN, Senior Manager, STS National Database and Patient Safety, Chicago, Ill. *Rachel S. Dokholyan, MPH, Project Manager, Duke Clinical Research Institute, Durham, N.C. *Paul A. Meehan, BS, Supervisor, Data Management, Duke Clinical Research Institute, Durham, N.C. Congenital Heart Surgery Database Session Planning Committee *Barbara P. Gross, RN, MSN, NEA-BC, Congenital Heart Surgery Database Core Group, Children s Hospital Los Angeles, Calif. *Jeffrey P. Jacobs, MD, Chair, Congenital Heart Surgery Database Task Force, The Congenital Heart Institute of Florida, St. Petersburg, Fla. *Marshall L. Jacobs, MD, Congenital Heart Surgery Database Task Force, Cleveland Clinic, Ohio *Janet Kreutzer, RN, MSN, Congenital Heart Surgery Database Core Group, St. Joseph s Children s Hospital, Tampa, Fla. *Ruth E. Lemus, RN, Congenital Heart Surgery Database Core Group, Children s Hospital Los Angeles, Calif. *Julie Martchenke, RN, MSN, PNP, Congenital Heart Surgery Database Core Group, Doernbecher Children s Hospital, Portland, Ore. *David M. Overman, MD, Congenital Heart Surgery Database Task Force, The Children s Heart Clinic, Minneapolis, Minn. *Sara K. Pasquali, MD, Congenital Heart Surgery Database Task Force, University of Michigan Congenital Heart Center, Ann Arbor, Mich. David F. Vener, MD, Texas Children s Hospital, Houston Amy C. Dancisak, BS, Senior Coordinator, STS National Database, Chicago, Ill. *Donna McDonald, MPH, RN, Senior Manager, STS National Database and Patient Safety, Chicago, Ill. *Rachel S. Dokholyan, MPH, Project Manager, Duke Clinical Research Institute, Durham, N.C. *Paul A. Meehan, BS, Supervisor, Data Management, Duke Clinical Research Institute, Durham, N.C.

4 General Thoracic Surgery Database Session Planning Committee AnnMarie Bowman, RN, General Thoracic Surgery Database Core Group, MidMichigan Medical Center, Midland, Mich. Kristen M. Henry, RN, BSN, General Thoracic Surgery Database Core Group, University of Kansas Hospital, Kansas City Sheila Knoll, BSN, General Thoracic Surgery Database Core Group, Massachusetts General Hospital, Boston *John C. Kucharczuk, MD, General Thoracic Surgery Database Task Force, Hospital of the University of Pennsylvania, Philadelphia *Mitchell J. Magee, MD, General Thoracic Surgery Database Task Force, Medical City Dallas Hospital, Tex. *Todd S. Weiser, MD, General Thoracic Surgery Database Task Force, White Plains Hospital Center, New York *Cameron D. Wright, MD, Chair, General Thoracic Surgery Database Task Force, Massachusetts General Hospital, Boston Amy C. Dancisak, BS, Senior Coordinator, STS National Database, Chicago, Ill. *Donna McDonald, MPH, RN, Senior Manager, STS National Database and Patient Safety, Chicago, Ill. *Rachel S. Dokholyan, MPH, Project Manager, Duke Clinical Research Institute, Durham, N.C. *Paul A. Meehan, BS, Supervisor, Data Management, Duke Clinical Research Institute, Durham, N.C. The General Session is planned with input from all members of the above Committees. Additional Conference Speakers Pamela R. Carlock, RN, Children s Healthcare of Atlanta, Ga. James R. Edgerton, MD, The Heart Hospital Baylor Plano, Texas G. V. Gonzalez-Stawinski, MD, Baylor University Medical Center, Dallas, Tex. Baron L. Hamman, MD, Baylor University Medical Center, Dallas, Tex. Elizabeth Holper, MD, Medical City Dallas Hospital, Tex. Michael J. Mack, MD, STS Immediate Past President, Heart Hospital Baylor Plano, Tex. Andrea Parrish, MPH, CCRC, Seattle Children s Hospital, Wash. DeLaine S. Schmitz, MSHL, RN, Director of Quality, STS, Chicago, Ill. Gerard M. Tarafa, MBA, Operations Manager, STS National Database, Chicago, Ill. Sikirat A. Tijani, Research Manager, STS, Chicago, Ill. Jean M. Wilhelm, RN, BSN, All Children s Hospital, St. Petersburg, Fla.

5 Registration: 7:00 a.m. 5:00 p.m. Breakfast: 7:00 a.m. 7:45 a.m. Program: 8:00 a.m. 5:00 p.m. Exhibits: 7:30 a.m. 3:00 p.m. Thursday, October 4, 2012 General Thoracic Surgery Database (concurrent session) This session will focus on the General Thoracic Surgery Database and will examine how to improve data collection and advance participant database coding skills in the new version of the General Thoracic Surgery Database (GTSD) that became effective Jan. 1, Objectives: Upon completion of the General Thoracic Surgery Session, participants will be able to: Describe and understand the new data collection forms for the GTSD; Understand what is included in the GTSD audit and how to prepare for it; Understand the staging, diagnoses, and procedures for the esophagus and lung; Understand and be able to assign Zubrod & ASA scores to patients; Understand the GTSD risk adjustment models; Use the GTSD for quality improvement in an individual program; and Understand how to ascertain 30-day mortality status 7:00 a.m. Continental Breakfast Provided 8:00 a.m. Welcome & Announcements Cameron D. Wright, MD 8:10 a.m. Outline of the New Data Collection Forms Cameron D. Wright, MD 8:30 a.m Audit Results Mitchell J. Magee, MD 8:40 a.m. How to Make Data Collection Better: Lessons Learned from Audit Mitchell J. Magee, MD 10:00 a.m. Break Please visit exhibits! 10:30 a.m. Staging Esophageal Cancer & Coding Esophageal Procedures Case Presentations: Esophageal John C. Kucharczuk, MD 11:30 a.m. Open Forum Q & A John C. Kucharczuk, MD, Mitchell J. Magee, MD, Todd S. Weiser, MD, and Cameron D. Wright, MD 12:00 p.m. Lunch Provided 1:00 p.m. Staging Lung Cancer & Coding Lung Procedures Case Presentations: Lung Todd S. Weiser, MD 2:00 p.m. Zubrod Score and ASA Score What They Are & How to Use Them Cameron D. Wright, MD

6 2:30 p.m. Break Please visit exhibits! 3:00 p.m. Understanding the GTSD Risk-Adjustment Models John C. Kucharczuk, MD 3:30 p.m. Using Data for Program Quality Improvement Cameron D. Wright, MD 4:00 p.m. Best Practices for Ascertaining 30-Day Mortality Status Todd S. Weiser, MD 4:30 p.m. Open Forum Q & A John C. Kucharczuk, MD, Mitchell J. Magee, MD, Todd S. Weiser, MD, and Cameron D. Wright, MD 5:00 p.m. Session Adjourns 5:15 p.m. Networking Reception Cash bar. Suggested attire: cowboy hats and boots. Registration: 7:00 a.m. 5:00 p.m. Breakfast: 7:00 a.m. 7:45 a.m. Program: 8:15 a.m. 5:00 p.m. Exhibits: 7:30 a.m. 3:00 p.m. Thursday, October 4, 2012 Congenital Heart Surgery Database (concurrent session) This session will focus on increasing the knowledge base of the Congenital Heart Surgery Database (CHSD) participant on clinical topics and ways to improve data collection. Presentation topics range from understanding the CHSD Feedback Report to understanding the newest version of the CHSD. Objectives: Upon completion of the Congenital Heart Surgery Session, participants will be able to: Identify changes and upgrades to the new version of the data definitions in the CHSD that become effective in 2013; Understand how morbidity is analyzed in the CHSD; Describe how the CHSD can be used for quality improvement; and Understand the role of the audit process in improving the CHSD. 7:00 a.m. Continental Breakfast Provided 7:30 a.m. New Congenital Data Managers Janet Kreutzer, RN, MSN and Jean M. Wilhelm, RN, BSN 8:00 a.m. Break 8:15 a.m. Welcome & Announcements Jeffrey P. Jacobs, MD and Marshall L. Jacobs, MD 8:25 a.m. Spec Upgrade: Pre-op Factors and Non-Cardiac Anomalies Jeffrey P. Jacobs, MD, Marshall L. Jacobs, MD, Janet Kreutzer, RN, MSN, David M. Overman, MD, Andrea Parrish, MPH, CCRC, Sara Pasqualli, MD, and Jean M. Wilhelm, RN, BSN

7 9:20 a.m. Spec Upgrade: Diagnoses and Procedures Jeffrey P. Jacobs, MD, Marshall L. Jacobs, MD, Janet Kreutzer, RN, MSN, David M. Overman, MD, Andrea Parrish, MPH, CCRC, Sara K. Pasqualli, MD, and Jean M. Wilhelm, RN, BSN 10:15 a.m. Break Please visit exhibits! 10:45 a.m. Spec Upgrade: Operative Variables and Complications Jeffrey P. Jacobs, MD, Marshall L. Jacobs, MD, Janet Kreutzer, RN, MSN, David M. Overman, MD, Andrea Parrish, MPH, CCRC, Sara K. Pasqualli, MD, and Jean M. Wilhelm, RN, BSN 12:00 p.m. Lunch Provided 1:00 p.m. Analyzing Morbidity Marshall L. Jacobs, MD 1:30 p.m. Quality Improvement Using the STS Congenital Heart Surgery Database Pamela R. Carlock, RN, Ruth E. Lemus, RN, Julie Martchenke, RN, MSN, PNP, and Sara K. Pasqualli, MD 2:15 p.m. How I Read and Use the STS Congenital Heart Surgery Database Feedback Report Jeffrey P. Jacobs, MD Attendees should bring a copy of their individual institutional Feedback Report for reference. 2:45 p.m. Break Please visit exhibits! 3:15 p.m. Audit Lessons: Clearing Up the Grey Zones Barbara P. Gross, RN, MSN, Julie Martchenke, RN, MSN, PNP, and David M. Overman, MD 3:45 p.m. Open Forum Q & A Jeffrey P. Jacobs, MD, Marshall L. Jacobs, MD, David M. Overman, MD, and Sara K. Pasqualli, MD 5:00 p.m. Session Adjourns 5:15 p.m. Networking Reception Cash bar. Suggested attire: cowboy hats and boots. Registration: 6:30 a.m. 4:00 p.m. Breakfast: 7:00 a.m. 7:45 a.m. Program: 8:00 a.m. 11:30 a.m. Exhibits: 7:30 a.m. 3:30 p.m. Friday Morning, October 5, 2012 General Session Friday morning s General Session will provide participants with important updates about current and future STS National Database initiatives, regional group activities, and essential Database operations information. Objectives: Upon completion of the General Session, participants will be able to: Describe and understand the operations procedures for the STS National Database; Understand the quality initiatives efforts surrounding the STS National Database; and Understand the process for requesting data from the STS National Database. 7:00 a.m. Breakfast Provided

8 8:00 a.m. Welcome & Announcements DeLaine S. Schmitz, MSHL, RN 8:15 a.m. The Next Generation in Outcomes Reporting: The STS-ACC TVT Registry and Beyond Michael J. Mack, MD 8:35 a.m. Percutaneous Coronary Intervention in Women: Are We Really So Different? Elizabeth Holper, MD 9:00 a.m. Database Operations: Updates and Reminders Gerard M. Tarafa, MBA 9:20 a.m. Clinical Registries: Why We do What We Do David M. Shahian, MD 9:40 a.m. Break Please visit exhibits! 10:10 a.m. STS National Database Data Requests: How They are Reviewed Sikirat A. Tijani 10:30 a.m. Data Manager Survey Results Donna E. McDonald, MPH, RN 11:15 a.m. Texas Regional Group Welcome & Raffle 11:30 a.m. Session Adjourns Lunch Provided Registration: 6:30 a.m. 4:00 p.m. Program: 1:00 p.m. 5:00 p.m. Exhibits: 7:30 a.m. 3:30 p.m. Friday Afternoon, October 5, 2012 Adult Cardiac Surgery Database Friday afternoon and Saturday will focus solely on the Adult Cardiac Surgery Database (ACSD) and will examine how to improve data collection and advance participant database coding skills in v2.73 of the ACSD that became effective July 1, It will provide information about changes in the scope of cardiothoracic practice. Objectives: Upon completion of the Adult Cardiac Surgery Session, participants will be able to: Interpret and improve understanding of the v2.73 data definitions in the ACSD; Understand the importance of data elements and processes involved in the ACSD; and Define and better understand highlighted clinical procedures in the ACSD and how to code associated data elements. 1:00 p.m. Welcome & Announcements Richard L. Prager, MD 1:15 p.m. MAZE Procedure James R. Edgerton, MD 1:45 p.m. New York Heart Association Classification Richard S. D Agostino, MD and Dorothy J. Latham, RN, BSN

9 2:15 p.m. Anginal Classification Richard S. D Agostino, MD and Dorothy J. Latham, RN, BSN 2:45 p.m. Break Please visit exhibits! 3:15 p.m. Procedure Identification Rachel S. Dokholyan, MPH, Paul A. Meehan, BS, and Cynthia A. Piotter, MBA, CCP-LP 3:45 p.m. Canceled Cases and Unplanned Procedures Rachel S. Dokholyan, MPH and Cynthia A. Piotter, MBA, CCP-LP 5:00 p.m. Session Adjourns Registration: 7:00 a.m. 11:00 a.m. Breakfast: 7:00 a.m. 7:45 a.m. Program: 8:00 a.m. 12:00 p.m. Exhibits: 7:30 a.m. 12:00 p.m. 7:00 a.m. Continental Breakfast Provided 8:00 a.m. Welcome & Announcements Richard L. Prager, MD Saturday, October 6, 2012 Adult Cardiac Surgery Database 8:10 a.m. Valvular Coding Baron L. Hamman, MD and Jennifer A. Bobbitt, BSN, RN 9:10 a.m. The CABG Grid: Goals, Perceptions, and Challenges Richard L. Prager, MD and Patricia F. Theurer, RN, CRNFA 9:40 a.m. Break Please visit exhibits! 10:10 a.m. Ventricular Assist Devices G. V. Gonzalez-Stawinski, MD and Cynthia A. Piotter, MBA, CCP-LP 10:40 a.m. Submitted Case Scenarios Richard L. Prager, MD and Melinda Offer, RN, MSN 11:45 a.m. Meeting Wrap-Up 12:00 p.m. Meeting Adjourns

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