You are the CMO (Chief Medical Officer) at major hospital and you are hearing of another infection in the Cardiac Surgery department. You knew of a previous infection rate in the department and heard that these were isolated CABG cases and that cases were performed by surgeon Samuel Smith. Isolated CABG surgical site infection is one of the measures used in payer performance plans and in public reporting.
The cardiac surgical program at your hospital is a high volume adult cardiac surgery center performing over 1,100 cases per year. The case mix includes elective and emergent cases across coronary procedures, valve procedures, and through clinical trials including cardiac devices and transcatheter procedures. The cardiac surgery program at your hospital has a reputation for being one of the best programs in the country.
Your hospital is part of a large health system. Your hospital is located in NY State. Your hospital participates in some inpatient bundle payments including care bundles in cardiac surgery. Cardiac surgery programs in the U.S. have published outcomes in several public reporting forums (US News, Hospital Compare, NY State, STS Database) for many years.
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