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:
- 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.).
- 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.
- 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.
- The Society of Thoracic Surgeons: https://www.sts.org/media/news-releases/news-about-congenital-heart-surgery-database-and-public-reporting