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The Society of Thoracic Surgeons Next Generation STS National Database, Updates to Public Reporting

Based on feedback from diverse groups of stakeholders withing the congenital community regarding public reporting of risk-adjusted outcomes in The Society of Thoracic Surgeons’ Congenital Heart Surgery Database (CHSD), the following recommendations for changes are intended to be introduced by Q1 2020 during the phase 1 rollout of the Next Generation STS National Database:

  1. Update public reporting format: Supplement the STS Public Reporting website to include risk-adjusted outcomes and annual hospital case volumes and complexity for the most commonly performed (i.e., benchmark) congenital heart procedures (ASD, VSD, TOF, etc.).
  2. Report center-level all-patient risk-adjusted mortality: Remove the “star ratings” graphic. Report institutional volumes, observed-to-expected ratios, and confidence intervals. Display procedures stratified by STAT category and benchmark procedures.
  3. Revamp the STS Public Reporting website for the CHSD: Refine, improve, and better explain the text, tables, and graphics on the STS Public Reporting website to better meet the needs of the medical community and the public.

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