Using Vizient database for benchmarking pulmonary resection outcomes

Area of Science:

• Thoracic Surgery
• Health Services Research
• Quality Improvement

Background:

• Benchmarking pulmonary resection outcomes is crucial for hospital performance evaluation and patient care enhancement.
• Existing databases like the American College of Surgeons National Surgical Quality Improvement Program (NSQIP) and the Society of Thoracic Surgeons General Thoracic Surgical Database (GTSD) have limitations.
• The Vizient database's utility for benchmarking lung resection outcomes requires investigation.

Purpose of the Study:

• To evaluate the Vizient database's capability in benchmarking pulmonary resection outcomes.
• To compare the benchmarking performance of the Vizient dashboard against the GTSD.
• To determine if Vizient data accurately captures all pulmonary resections and measures patient risk factors.

Main Methods:

• Retrospective cohort analysis of 184 pulmonary resection cases at a single institution.
• Comparison of data between the Vizient dashboard and the GTSD.
• Assessment of capture rates for pulmonary resections within the Vizient dashboard.
• Analysis of risk factor measurement accuracy in the Vizient dashboard.

Main Results:

• All 184 pulmonary resections were identified in the Vizient dashboard.
• Key factors influencing length of stay (LOS) and mortality included congestive heart failure, pulmonary hypertension, anatomical resection, age, gender, and forced expiratory volume in 1 second (FEV1).
• The Vizient dashboard indicated outcomes better than 95% of similar institutions, while GTSD showed similarity to 89% of programs.

Conclusions:

• The Vizient dashboard offers a valid method for measuring pulmonary resection outcomes.
• Vizient provides superior benchmarking data compared to the GTSD.
• Vizient dashboards can be leveraged to enhance surgical outcomes in pulmonary resection.