STS Congenital Quality Module - Center Data

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1 STS Congenital Quality Module - Center Data Version 1.0 This document current as of: 05/21/2012 2:00:11 PM STS Congenital Quality Module - Center Data Version: 1.0 Bedside multidisciplinary rounds BedRounds Section Name: Center Data (Structure Measures) SeqNo: 100 Indicate whether your institution has bedside multidisciplinary rounds (including cardiac surgery, cardiology, critical care, and nursing) on all pediatric and congenital cardiac surgery patients who are in the intensive care unit. Recommended participation includes but not limited to: cardiac surgery, cardiology, critical care, primary caregiver, family, nurses, pharmacist and respiratory therapist. Involvement of the family is encouraged. Minimum daily participation to satisfy the measure must include participation by ALL of the following rounding at the bedside as a group: cardiac surgery, cardiology, critical care, and nursing. Cardiac surgery, cardiology, and critical care participation must include participation by the attending physician; fellow or resident participation alone does not satisfy the measure. Participation of a physician double boarded in critical care and cardiology satisfies the requirement for both cardiology and critical care participation. Nursing participation requires routine participation by both the Charge Nurse and the patient s bedside nurse. Parent Integer 1 Yes 2 No Page 1 of 15

2 Bedside multidisciplinary rounds frequency BedRoundsFreq Section Name: Center Data (Structure Measures) SeqNo: 110 Indicate how frequently your institution has bedside multidisciplinary rounds (including cardiac surgery, cardiology, critical care, and nursing) on all pediatric and congenital cardiac surgery patients who are in the intensive care unit. Parent Bedside multidisciplinary rounds Integer BedRounds = "Yes" 1 Every day 2 Weekdays only 3 Variable, >50% of days overall for this harvest period 4 Variable, <=50% of days overall for this harvest period Bedside multidisciplinary rounds - cardiac surgery RoundsCardSurg Section Name: Center Data (Structure Measures) SeqNo: 120 Indicate whether cardiac surgery attends the bedside multidisciplinary rounds on all pediatric and congenital cardiac surger patients who are in the intensive care unit. Parent Bedside multidisciplinary rounds Integer BedRounds = "No" 1 Attends rounds 2 Does not attend rounds Page 2 of 15

3 Bedside multidisciplinary rounds - cardiology RoundsCardio Section Name: Center Data (Structure Measures) SeqNo: 130 Indicate whether cardiology attends the bedside multidisciplinary rounds on all pediatric and congenital cardiac surger patients who are in the intensive care unit. Parent Bedside multidisciplinary rounds Integer BedRounds = "No" 1 Attends rounds 2 Does not attend rounds Bedside multidisciplinary rounds - critical care RoundsCritCare Section Name: Center Data (Structure Measures) SeqNo: 140 Indicate whether critical care attends the bedside multidisciplinary rounds on all pediatric and congenital cardiac surger patients who are in the intensive care unit. Parent Bedside multidisciplinary rounds Integer BedRounds = "No" 1 Attends rounds 2 Does not attend rounds Page 3 of 15

4 Bedside multidisciplinary rounds - nursing RoundsNursing Section Name: Center Data (Structure Measures) SeqNo: 150 Indicate whether nursing attends the bedside multidisciplinary rounds on all pediatric and congenital cardiac surger patients who are in the intensive care unit. Parent Bedside multidisciplinary rounds Integer BedRounds = "No" 1 Attends rounds 2 Does not attend rounds Extracorporeal Life Support Program ECLS Section Name: Center Data (Structure Measures) SeqNo: 160 Indicate whether your institution has a pediatric Extracorporeal Life Support (ECLS) Program for pediatric and congenital cardiac surgery patients. An ECLS program includes ECMO equipment and support staff, and/or Ventricular Assist Devices. Parent Integer 1 Yes 2 No Page 4 of 15

5 Location of primary care for non-neonatal pediatric and congenital cardiac surgical patients during post-operative peirod NNPostopPtCare SeqNo: 200 Indicate the location at your institution where non-neonatal pediatric and congenital cardiac surgical patients are primarily cared for during the post-operative period. Parent Harvest Codes and Value Definitions: 1 Free standing pediatric cardiac intensive care unit 2 General pediatric intensive care unit 3 General pediatric intensive care unit, by a specialized cardiac team 4 Combined adult and pediatric cardiac intensive care unit 5 Other (including combination of the above) Integer A unit in a physically separate location from the general pediatric ICU dedicated to the care of pediatric cardiac patients (may also include adults with congenital heart disease.) An ICU that cares for a variety of pediatric patients, including cardiac patients. A specialized cardiac team must include participation by ALL of the following cardiac surgery, cardiology, critical care, and a nursing team dedicated primarily to cardiac patients. The physical location of this type of unit is within the general pediatric ICU; there may be a distinct bedspace for cardiac patients or the cardiac beds may be located throughout the general ICU. An ICU that cares for both pediatric and adult cardiac patients. (Note, adult in this case refers to adults undergoing surgery for acquired cardiac disease such as coronary artery bypass grafting, valve surgery, etc., rather than only adult patients with congenital heart disease.) Page 5 of 15

6 Location of primary care for non-neonatal pediatric and congenital cardiac surgical patients during post-operative peirod - specify NNPostopPtCareSp SeqNo: 210 Indicate the other location at your institution where non-neonatal pediatric and congenital cardiac surgical patients are primarily cared for during the post-operative period. Parent Location of primary care for non-neonatal pediatric and congenital cardiac surgical patients during postoperative peirod Text NNPostopPtCare = "Other (including combination of the above)" Non-neonatal primary care physician coverage in ICU NNInHouseAttend SeqNo: 240 Indicate whether the intensive care unit where your pediatric cardiac post-operative non-neonatal patients are primarily cared for has in-house attending physician coverage for all 24 hours in the day. In-house attending coverage is defined as in-house availability of any of the following physicians: critical care, cardiology, double boarded critical care/cardiology, neonatology, cardiac surgery. Parent Integer 1 Yes, seven days per week 2 Yes, only on weekdays 3 Yes, occasionally, depending on patient acuity Page 6 of 15

7 4 No Non-neonatal primary care location - Percent of overnigh/evening coverage provided by critical care NNAttendPctCritCare SeqNo: 250 Indicate the proportion of time overnight/evening coverage is provided by critical care for nonneonatal patients Parent Non-neonatal primary care NNInHouseAttend Non-neonatal primary care location - Percent of overnigh/evening coverage provided by cardiology NNAttendPctCard SeqNo: 260 Indicate the proportion of time overnight/evening coverage is provided by cardiology for nonneonatal patients Parent Non-neonatal primary care NNInHouseAttend Page 7 of 15

8 Non-neonatal primary care location - Percent of overnigh/evening coverage provided by double boarded critical care/cardiology NNAttendPctDouble SeqNo: 270 Indicate the proportion of time overnight/evening coverage is provided by double boarded critical care/cardiology for non-neonatal patients Parent Non-neonatal primary care NNInHouseAttend Non-neonatal primary care location - Percent of overnigh/evening coverage provided by neonatology NNAttendPctNeonat SeqNo: 280 Indicate the proportion of time overnight/evening coverage is provided by neonatology for nonneonatal patients Parent Non-neonatal primary care NNInHouseAttend Page 8 of 15

9 Non-neonatal primary care location - Percent of overnigh/evening coverage provided by cardiac surgery NNAttendPctCardSurg SeqNo: 290 Indicate the proportion of time overnight/evening coverage is provided by cardiac surgery for nonneonatal patients Parent Non-neonatal primary care NNInHouseAttend Non-neonatal primary care location - Percent of overnigh/evening coverage provided by others NNAttendPctOther SeqNo: 300 Indicate the proportion of time overnight/evening coverage is provided by some other sub-specialty or medical staff department for non-neonatal patients Parent Non-neonatal primary care NNInHouseAttend Page 9 of 15

10 Location of primary care for neonatal pediatric and congenital cardiac surgical patients during post-operative peirod NeoPostopPtCare SeqNo: 310 Indicate the location at your institution where neonatal pediatric and congenital cardiac surgical patients are primarily cared for during the post-operative period. Parent Harvest Codes and Value Definitions: Integer 1 Free standing pediatric cardiac intensive care unit 2 General pediatric intensive care unit 3 General pediatric intensive care unit, by a specialized cardiac team 4 Combined adult and pediatric cardiac intensive care unit A unit in a physically separate location from the general pediatric ICU dedicated to the care of pediatric cardiac patients (may also include adults with congenital heart disease.) An ICU that cares for a variety of pediatric patients, including cardiac patients. A specialized cardiac team must include participation by ALL of the following cardiac surgery, cardiology, critical care, and a nursing team dedicated primarily to cardiac patients. The physical location of this type of unit is within the general pediatric ICU; there may be a distinct bedspace for cardiac patients or the cardiac beds may be located throughout the general ICU. An ICU that cares for both pediatric and adult cardiac patients. (Note, adult in this case refers to adults undergoing surgery for acquired cardiac disease such as coronary artery bypass grafting, valve surgery, etc., rather than only adult patients with congenital heart disease.) 5 Neonatal intensive care unit An ICU that cares for a variety of neonatal patients, including cardiac patients. 6 Other (including combination of the above) Page 10 of 15

11 Location of primary care for neonatal pediatric and congenital cardiac surgical patients during post-operative peirod - specify NeoPostopPtCareSp SeqNo: 320 Indicate the other location at your institution where neonatal pediatric and congenital cardiac surgical patients are primarily cared for during the post-operative period. Parent Location of primary care for neonatal pediatric and congenital cardiac surgical patients during postoperative peirod Text NeoPostopPtCare = "Other (including combination of the above)" Neonatal primary care physician coverage in ICU NeoInHouseAttend SeqNo: 330 Indicate whether the intensive care unit where your pediatric cardiac post-operative neonatal patients are primarily cared for has in-house attending physician coverage for all 24 hours in the day. In-house attending coverage is defined as in-house availability of any of the following physicians: critical care, cardiology, double boarded critical care/cardiology, neonatology, cardiac surgery. Parent Integer 1 Yes, seven days per week 2 Yes, only on weekdays 3 Yes, occasionally, depending on patient acuity Page 11 of 15

12 4 No Neonatal primary care location - Percent of overnigh/evening coverage provided by critical care NeoAttendPctCritCare SeqNo: 340 Indicate the proportion of time overnight/evening coverage is provided by critical care for neonatal patients Parent Neonatal primary care NeoInHouseAttend Neonatal primary care location - Percent of overnigh/evening coverage provided by cardiology NeoAttendPctCard SeqNo: 350 Indicate the proportion of time overnight/evening coverage is provided by cardiology for neonatal patients Parent Neonatal primary care NeoInHouseAttend Page 12 of 15

13 Neonatal primary care location - Percent of overnigh/evening coverage provided by double boarded critical care/cardiology NeoAttendPctDouble SeqNo: 360 Indicate the proportion of time overnight/evening coverage is provided by double boarded critical care/cardiology for neonatal patients Parent Neonatal primary care NeoInHouseAttend Neonatal primary care location - Percent of overnigh/evening coverage provided by neonatology NeoAttendPctNeonat SeqNo: 370 Indicate the proportion of time overnight/evening coverage is provided by neonatology for neonatal patients Parent Neonatal primary care NeoInHouseAttend Page 13 of 15

14 Neonatal primary care location - Percent of overnigh/evening coverage provided by cardiac surgery NeoAttendPctCardSur g SeqNo: 380 Indicate the proportion of time overnight/evening coverage is provided by cardiac surgery for neonatal patients Parent Neonatal primary care NeoInHouseAttend Neonatal primary care location - Percent of overnigh/evening coverage provided by others NeoAttendPctOther SeqNo: 390 Indicate the proportion of time overnight/evening coverage is provided by some other sub-specialty or medical staff department for neonatal patients Parent Neonatal primary care NeoInHouseAttend Page 14 of 15

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