Bostick Heart Center

Measuring the Quality of Cardiovascular Surgery and Cardiac Interventions at Winter Haven Hospital

Winter Haven Hospital’s Bostick Heart Center provides high quality cardiovascular surgery (vessel bypass and valve repair or replacement) and cardiac interventions (vessel repair) that save lives and improve the well-being of the people in our communities.

The Bostick Heart Center’s Cardiovascular Surgery program consistently ranks in the top 10-15% of hospitals in the nation. Cardiac services at Winter Haven Hospital are recognized by Blue Cross/Blue Shield as superior through the BC/BS Heart Center of Distinction program. There is no need to go to Boston, Cleveland or Houston for the best heart surgery. You can receive the best care close to home!

Surgeons, anesthesiologists, perfusionists, nurses, social workers and others work as a team with you and your family to assure good outcomes and follow-up. In addition, Winter Haven Hospital now offers outpatient Cardiac Rehabilitation to help you achieve your personal cardiovascular fitness goals.

Before you decide where to have your heart surgery, review the data below.

All numbers and rates listed below are for July 1, 2008 through June 30, 2009

Condition	Surgeries at Bostick Heart Center
Coronary artery bypass graft	178
Valve replacement or repair	33
CABG and valve replacement or repair	38
Other heart surgeries	40
Total heart surgeries	289

Excellence in heart surgery is measured by

• Outcomes (percent of patients without complications, percent discharged home)
• Best practices (reduced time on the heart bypass pump, shorter time on a ventilator and less time in the ICU)
• Patient satisfaction with care received.

The Society of Thoracic Surgery maintains a database of quality indicators for   hospitals across the nation. The data is obtained through chart review.  Care received by patients at Winter Haven Hospital is compared with 896 hospitals in the nation.

The Society of Thoracic Surgeons has recently developed a comprehensive rating system that allows for comparisons regarding the quality of cardiac surgery among hospitals across the country.  Approximately 13% of hospitals receive the “3 star” rating, which denotes the highest category of quality.

The data below shows Bostick Heart Center compared with other hospitals using the STS database who were hospitalized from July 1, 2008 through June 30, 2009.

Outcome Measures

Measure	Bostick Heart Center	All STS Hospitals	Rank «««top rating «« average
Overall Quality	97.5%	95.3%	«««top rating
Avoidance of mortality	98.3%	98%	«« average
Patients without complications	92.9%	84.4%	«««top rating
Deep sternal wound infections	0	0.4%	Best

Best Practice Measures

Measure	Bostick Heart Center	All STS Hospitals	Comparison
Time on the bypass pump	49.5 minutes	94.3 minutes	52% shorter
Initial ventilation less than 6 hrs.	76.1%	36.9%	48% fewer patients on ventilators longer than 6 hrs.
Total ICU hrs greater than 24 hrs.	57.6%	72.9%	Less time in ICU
Medications used meet guidelines	85.6%	73.9%	««« average

Cardiac Interventions

Intervention	Cases
Coronary Artery Interventions	725
Pacemaker insertions	310

Outcomes of Interventions

Measure	Winter Haven Hospital	American College of Cardiology average
Acute myocardial infarction: Time from arrival to intervention started less than or equal to 90 minutes	81.8%	78.9%
Complications of the involved blood vessels	1.2%	1.5%
Success in repairing the blood vessel	99.7%	99.3%

Patient Satisfaction with Care:

Patient satisfaction is measured using Medicare’s national survey (HCAHPS). Patients in all types of hospital care are compared across the nation. The data shown is for October 1, 2008 through September 30, 2009.

Measure (Drivers of satisfaction)	Bostick Heart Center (patients staying in the Cardiac Intervention Unit or Cardiovascular Unit)	Top 10% of Nation
Overall satisfaction	90.06	87.28
Recommend to family/ friends	93.41	91.49
Pain management	90.03	89.20
Outcome	84.45	84.20