e7 kimberly mckinley - digging out more from nsqip data
TRANSCRIPT
NSQIP SAR Basics Semi-Annual Report (SAR) Gold standard of NSQIP comparison data Compares your site with the NSQIP benchmark (>500
hospital in North America) Risk-adjusted, one year of data, released every 6
months Gives you a solid foundation of where to start with
Quality Improvement initiatives
But is there more? Each site has thousands of cases of raw data
Can access any amount of these data at any time (two years worth or 2 weeks worth)
Cases details are download into an excel spreadsheet
Whew! There is a lot
of Data
Raw Data Some information is available through other sources
but using the NSQIP case details, it can be tied into outcome data as well
NSQIP patients are followed for 30 days post operatively, so you have access to information that cannot be found in the hospital system
I’ll keep digging the data until I’m blue in the face!
Examples
LOS and outcome OR Wait Times and outcome Inpatient vs outpatient outcomes LOS for patients with no outcome vs LOS of patients
with an outcome Time from OR to outcome Age and subspecialty and outcome Lap vs open procedure and outcome
0
1
2
3
4
5
6
7
8
No Outcome Pneumonia SSI UTI
Day
s Averages LOS: General Surgery Patients
2012
0
10
20
30
40
50
60
70
80
90
100
No Events 1 Event 2 Events 3 Events >3 Events
Percent of Inpatient Vs Outpatient by Number of Events
InpatientOutpatient
0 5 10 15 20 25 30 35
100803
100469
100683
100794
100631
100148
100548
100161
100513
100536
100421
100020
100284
100030
100419
100908
Time in Days
Time to UTI Diagnosis in Gyne Inpatients
In Hospital
Home
UTI
Spend Time with the Data Don’t be afraid to
play around with a case details report
Think about the questions you want answered an see if you can find out more from the NSQIP data
Come on Data, let’s
play!!
Drill Down is Key SAR is only a starting
point
Pinpointing specifics like when or where a patient has a specific outcome is a better use of time than targeting all possible situations
I pinpointed a specific outcome
Limitations of NSQIP Data You can only work with what is collected on the NSQIP
workstation – but information that is not explicitly provided can sometimes be calculated
Case details reports are large excel files that need to be prepared carefully before manipulating them
Information specific to occurrences are provided on a separate file and need to be combined with the details data
Lessons Learned So Far
SAR only scratches the surface
Raw data holds a wealth of detailed information about your patient populations
Don’t be afraid to
dig into the Data
See what happens
when you dig deep