Missouri Baptist Medical Center was the only cardiac surgery program in Missouri to receive three-star ratings from the Society of Thoracic Surgeons (STS) for both coronary bypass surgery (CABG) and aortic valve replacement (AVR) surgery. STS publicly reports ratings for only CABG and AVR procedures voluntarily reported by physician groups and/or hospitals.
Only 24 hospitals nationwide achieved a three-star rating for both surgeries, which reflects the highest level of quality care delivered for these cardiovascular surgical procedures as measured by the organization. Of the 994 hospitals reporting data to STS, 14 percent received a three-star rating for CABG, and 5 percent scored a three-star rating for AVR surgery.
The STS, a nonprofit professional organization, is widely considered the gold standard of databases for cardiac surgery with more than 4.5 million surgical records, representing 94 percent of all adult cardiac surgery centers in the United States.
“This recognition demonstrates the quality of our entire team at MoBap,” says MBMC cardiac surgeon Nicholas Kouchoukos, MD, past president of the STS and author of the leading textbook on cardiac surgery. “This ranking by the STS has far more impact than that of any other ranking agency, since it is a rating analyzed and granted by those most knowledgeable to evaluate the quality of heart surgery. Receiving a three-star rating illustrates that our approach to cardiovascular care is highly effective.”
In 2012, the cardiac surgery program at MBMC, which performs twice as many cardiac surgeries as the national average, had one of its best years in terms of operative mortality for CABG, achieving a risk-adjusted mortality of only 0.8 percent, compared to a national average of 2.1 percent.
“The STS database and ratings help us identify where we can improve and give us insights on what improvements help patients recover faster,” explains Michael Mauney, MD, cardiac surgeon and author of the group’s annual outcomes report. “For example, we focused on reducing our blood transfusions, and our blood utilization has dropped almost 30 percent in CABG since 2010.
“In addition, we have been able to track a shortened time to wean patients off the ventilator after surgery, which helps speed recovery,” Dr. Mauney adds. “We measure more than 250 factors per patient to help us track any trending that may help us identify areas for improvement. We’re extremely grateful to the team that supports us and enables us to achieve these outcomes.”