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PO Box 360
Trenton, NJ 08625-0360
|Poonam Alaigh, MD, MSHCPM, FACP|
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New Jersey’s mortality rate following cardiac surgery remains at its lowest level since the state began collecting data, according to the report Cardiac Surgery in New Jersey 2007 released today by the Department of Health and Senior Services.
The state’s 11th report on coronary artery bypass graft (CABG) surgery examines death rates within 30 days of surgery, infection rates and hospital length-of-stay. In 2007, the overall mortality rate remained at 2 percent -- the same rate as in 2006. This represents a 54 percent decline since the first report covering the years 1994-1995.
According to the 2007 report, the number of CABG surgeries in
Fifteen of the 18 cardiac surgery hospitals had risk-adjusted cardiac surgery death rates in line with the statewide average. Three of the 18 hospitals had a rate that was statistically significantly higher than the statewide average.
No hospital had a significantly lower-than-average rate. It would take a high volume of cases and a very low mortality rate for any one hospital to outperform the rest with a statistically significantly lower-than-average rate.
The Department risk-adjusts all hospital and surgeon rates to, in effect, give “extra credit” to those treating sicker patients. Rates are reported for individual surgeons who have performed at least 100 bypass procedures in one hospital in 2006 and 2007 combined.
As an additional tool for monitoring quality care, the Department requires hospitals to report on infections among patients undergoing CABG.
According to the report, 391 patients, or nearly 8 percent of cases, developed an infection. Pneumonia, urinary tract infections and blood stream infections were the three most common, and blood stream infections were the most deadly.
Infected patients had longer hospital stays – 18.2 days compared with 6.66 for patients without infections. Patients with infections also had a much higher death rate -- 11.5 percent -- while the rate for uninfected patients was 1.2.
In January 2009, hospitals statewide began reporting additional data on health care-associated infections under a state law that mandates reporting. In the fall, the Department will begin publishing data in its annual Hospital Performance Report. DHSS is collecting data on all health care-associated bloodstream infections, and infections related to CABG surgery and abdominal hysterectomy.
In producing the cardiac surgery report, the Department is advised by the Commissioner’s Cardiovascular Health Advisory Panel (CHAP), a group that includes cardiologists, surgeons, nurses and others.
“With the panel’s expert advice, the Department is able to publish reliable, high-quality data that is useful both to consumers and the provider community,” said Commissioner Alaigh. “I thank the panel for their work and for their commitment to improving health care.”
The report is available on the DHSS web site at www.nj.gov/health. Reports are also available by emailing email@example.com or by writing to the New Jersey Department of Health and Senior Services, Office of Health Care Quality Assessment,
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Department of Health
P. O. Box 360, Trenton, NJ 08625-0360