Accelerator Overview

The Coronary Artery Bypass Graft (CABG) Surgery Analytic Accelerator provides data to guide improvement in the perioperative and post-hospital management and care of patients requiring CABG surgery. Typical implementations focus on ensuring readiness for surgery, improving infection prevention, adhering to a “Heart Team” management approach, and adopting standard best practices shown to reduce intraoperative complications.

Organizations that choose to implement typically do so in response to these pressures:

  • The increasing complexity of the CABG patient population warrants improvement interventions targeting specific patient subpopulations. While previous improvement efforts targeting CABG mortality were generally successful in lowering national in-hospital mortality rates, today candidates for CABG are older with more complex disease and more comorbidities. This makes CABG riskier and management more complex.
  • CABG readmissions are penalized by CMS. To reduce readmissions and avoid penalties, hospitals will need to decrease the incidence of postoperative infection and adverse cardiac events.
  • Guideline adherence is far from optimal, especially for patient selection and post-discharge care. Increasing provider adherence to guideline-recommended best practices—including selection of patients for CABG, cardiac rehabilitation, and post-discharge medications for secondary prevention—and following best practice for care transitions will improve outcomes and reduce readmissions.

Benefits and Features

Gain a rich and comprehensive view of the quality of care and its impact.

The application dashboard visualizes outcome and process metrics in an easy-to-consume, one-page summary. This allows you to see trends as they develop—and take timely action to address issues. The application also drives a focus on aspects of care that are targeted for improvement. Outcome metrics typically include mortality rate, readmission rate, length of stay (LOS), complications, and cost-per-case. Typical process metrics include percentage of eligible patients receiving all readiness-for-surgery care practices, percentage participating in shared decision-making, percentage receiving the appropriate antibiotic prophylaxis, and physician adherence to blood-management/transfusion protocol. The result? Your team understands the priorities and can help solve problems that stand in the way of improvement.

Start faster with meaningful, scalable clinical definitions.

The cohorts, definitions, and process measures that come with the accelerator are clinically relevant, standard, and meaningful across domains, ready for customization or adoption in your organization. Instead of spending months debating the definition of LOS or the parameters for average glucose, your teams can quickly begin improvement work. What’s more, the work is scalable: you have only one source of truth to maintain as definitions change.

Do more than monitor: understand.

Detailed analytics of each bundle provide dynamic data exploration, real-time filtering, and drill-down to patient-level detail. A Comorbidities tab enriches understanding of the patient and the appropriateness of the care they receive. The application also provides export or print capability for the patient list, metric performance, etc. so you can share and follow up.

Compare and contrast.

A Compare tab lets you review patient and care variables—demographics, variation in care, performance in different units, etc.—to determine what’s working and not working to improve outcomes. This feature also allows you to gauge the ROI of improvement work in particular areas: what could you achieve if every unit and provider standardized to match your best performance?