{"id":67686,"date":"2019-07-31T21:22:44","date_gmt":"2019-07-31T21:22:44","guid":{"rendered":"https:\/\/www.qualityhealth.org\/scoap\/?page_id=67686"},"modified":"2019-10-22T11:13:22","modified_gmt":"2019-10-22T18:13:22","slug":"hybrid-outcomes-and-analytics-updates","status":"publish","type":"page","link":"https:\/\/www.qualityhealth.org\/scoap\/hybrid-outcomes-and-analytics-updates\/","title":{"rendered":"Hybrid Outcomes and Analytics Updates"},"content":{"rendered":"

[vc_row overlay_dotted=””][vc_column width=”1\/3″ text_alignment=”text-left” css=”.vc_custom_1549070242965{padding-top: 0px !important;padding-bottom: 0px !important;}”]PROGRAM RESOURCES<\/a>[\/vc_column][vc_column width=”1\/3″ css=”.vc_custom_1549070236261{padding-top: 0px !important;padding-bottom: 0px !important;}”]Hybrid Outcomes and Analytics Updates<\/a>[\/vc_column][vc_column width=”1\/3″ css=”.vc_custom_1549070231090{padding-top: 0px !important;padding-bottom: 0px !important;}”]SUPPORT RESOURCES<\/a>[\/vc_column][\/vc_row][vc_row overlay_dotted=”” css=”.vc_custom_1547482717258{padding-right: 140px !important;padding-left: 140px !important;}”][vc_column][vc_empty_space height=”50px”][\/vc_column][\/vc_row][vc_row][vc_column][vc_tta_tour style=”outline” shape=”square” color=”black” spacing=”20″ active_section=”1″ no_fill_content_area=”true”][vc_tta_section title=”October 2019″ tab_id=”1564427659820-7a04cda9-4721″][vc_column_text]<\/p>\n

SCOAP\/Spine COAP Hybrid Outcomes2<\/span><\/h2>\n

October 16, 2019 Release Notes<\/span><\/h2>\n

 <\/p>\n

    \n
  1. Global update<\/strong><\/span>\n
      \n
    1. Deleted all edits (cross-outs) from June 2019 data dictionary for clarity<\/span><\/li>\n
    2. Crystalloid and Albumin changed globally to mLs where applicable<\/span><\/li>\n
    3. Added subgroup description to Field Groups throughout data dictionary<\/span><\/li>\n<\/ol>\n<\/li>\n<\/ol>\n
        \n
      1. Abstractor Name<\/strong><\/span>\n
          \n
        1. NOTE:<\/span> Please disregard until the next release, which will include SCOAP and Spine COAP as options<\/span><\/li>\n<\/ol>\n<\/li>\n<\/ol>\n
            \n
          1. Risk Factors<\/strong><\/span>\n
              \n
            1. Removed: History of Cigarette Use \u2013 removed entire cigarette smoking section;<\/span><\/li>\n
            2. Added: History of Nicotine Use \u2013 replaces cigarette smoking questions; the smoking cessation\/counseling questions were removed accidentally and we hope to have these added back in the next release<\/span><\/li>\n
            3. Added: Method of nicotine use – 5 new yes\/no fields: smoking, vaping, chewing tobacco, gum, patch<\/span><\/li>\n<\/ol>\n<\/li>\n<\/ol>\n
                \n
              1. Intra Operative<\/strong><\/span>\n
                  \n
                1. Anesthesia<\/strong><\/span>\n
                    \n
                  1. Refined General anesthesia definition<\/span><\/li>\n
                  2. Added: Neuraxial (spinal\/epidural) with extended definition<\/span><\/li>\n
                  3. Regional \u2013 added detail and removed examples of regional anesthesia; deleted \u201clocal infiltration,\u201d clarified abstraction notes<\/span><\/li>\n
                  4. NOTE:<\/span> \u201cAlready Intubated\u201d to be deleted in next release, please do not abstract variable.<\/span><\/li>\n
                  5. Added: Prophylaxis for Nausea\/Vomiting (Bariatrics and Spine)<\/li>\n<\/ol>\n<\/li>\n<\/ol>\n<\/li>\n<\/ol>\n
                      \n
                    1. Perioperative Interventions<\/strong><\/span>\n
                        \n
                      1. Perioperative Anticoagulation<\/strong><\/span>\n
                          \n
                        1. Anticoag ordered for in-hospital use after the first 24 hrs post-op: Other Interventions<\/span>\n
                            \n
                          1. Added: Aspirin<\/span><\/li>\n<\/ol>\n<\/li>\n
                          2. Perioperative Antibiotics<\/strong><\/span>\n
                              \n
                            1. Clarified Definition: Prophylactic Antibiotics Administered<\/span><\/li>\n<\/ol>\n<\/li>\n
                            2. Postoperative Medications<\/strong><\/span>\n
                                \n
                              1. Added Benzodiazepines<\/span><\/li>\n<\/ol>\n<\/li>\n
                              2. Other Interventions<\/strong><\/span>\n
                                  \n
                                1. Added: Diet Advanced Beyond Clear Liquids (removed from colorectal)<\/span><\/li>\n
                                2. Added: Post Op Day Diet Successfully Advanced (removed from colorectal section as this is now captured for spine, bariatrics too)<\/span><\/li>\n
                                3. Edited & Expanded: RBC Transfusion in Operating Room<\/span>\n
                                    \n
                                  1. Changed timing: added \u201cRBC transfusion in OR,\u201d and \u201c\u2026within 24 hours after leaving OR\u201d<\/span><\/li>\n
                                  2. Note: there is an extraneous “If yes, how many units” after “If yes, how many units within 24 hours after leaving OR\u201d that needs to be deleted in the next release, please do not capture this second variable<\/span><\/li>\n<\/ol>\n<\/li>\n<\/ol>\n<\/li>\n<\/ol>\n<\/li>\n<\/ol>\n<\/li>\n<\/ol>\n
                                      \n
                                    1. Colorectal<\/strong><\/span>\n
                                        \n
                                      1. Deleted in this section and moved to Perioperative Interventions:<\/span>\n
                                          \n
                                        1. Diet Advanced Beyond Clear Liquids<\/span><\/li>\n
                                        2. Post Op Day Diet Successfully Advanced<\/span><\/li>\n<\/ol>\n<\/li>\n<\/ol>\n<\/li>\n<\/ol>\n
                                            \n
                                          1. Spine<\/strong><\/span>\n
                                              \n
                                            1. Spine<\/strong><\/span>\n
                                                \n
                                              1. Added: Radiculopathy \u2013 Not Documented<\/span><\/li>\n
                                              2. Added: Myelopathy \u2013 Not Documented<\/span><\/li>\n<\/ol>\n<\/li>\n
                                              3. Indications for Surgery<\/strong><\/span>\n
                                                  \n
                                                1. Deleted multiple \u201cProximal\u201d and \u201cDistal\u201d for clarity in data dictionary; However, you must still indicate levels for each procedure<\/u><\/span><\/li>\n
                                                2. Deleted: Intertransverse Fusion in Situ \u2013 variable rolled up into Fusion option<\/span><\/li>\n<\/ol>\n<\/li>\n
                                                3. Spine Instrumentation<\/strong><\/span>\n
                                                    \n
                                                  1. Lateral Instrumentation (Lumbar Only)<\/span>\n
                                                      \n
                                                    1. Deleted: Posterior Lumbar Static Plate<\/span><\/li>\n
                                                    2. Deleted: Posterior Lumbar Static Cage<\/span><\/li>\n<\/ol>\n<\/li>\n<\/ol>\n<\/li>\n<\/ol>\n<\/li>\n<\/ol>\n

                                                       <\/p>\n

                                                        \n
                                                      1. In Hospital Events <\/strong><\/span>\n
                                                          \n
                                                        1. Post Operative Occurrences<\/strong><\/span>\n
                                                            \n
                                                          1. Deleted \u201cAtrial Arrythmia\u201d<\/span><\/li>\n
                                                          2. Added \u201cNew Onset Cardiac Rhythm Abnormality Requiring Treatment\u201d<\/span><\/li>\n
                                                          3. Clarified: Unplanned admission to ICU<\/span><\/li>\n
                                                          4. NOTE:<\/span> Acute Kidney Injury to be deleted in next release, please do not abstract variable. We are creating an auto-calculating algorithm (on the backend) so abstractors don\u2019t have to calculate this variable<\/span><\/li>\n
                                                          5. Redefined Renal Failure (Acute Kidney Failure) so that it is in line with RIFLE criteria \u2013 stage 3<\/span><\/li>\n
                                                          6. Clarified Definition: Surgical Site Infection<\/span>\n
                                                              \n
                                                            1. Removed reference to \u201cAntibiotics for SSI.\u201d<\/span><\/li>\n
                                                            2. Made \u201cOrgan Space\u201d available for Spine population infections. For the purposes of Spine abstraction: the brain and spinal cord are considered\u00a0organ space.\u00a0For reporting this will be rolled up with deep SSI.<\/span><\/li>\n<\/ol>\n<\/li>\n<\/ol>\n<\/li>\n
                                                            3. Non Operative Interventions<\/strong><\/span>\n
                                                                \n
                                                              1. Added: Non-Operative Wound Intervention<\/span><\/li>\n
                                                              2. Deleted: Percutaneous Drainage. Will be included in new variable: Drainage for Bleeding\/Hematoma\/Seroma\/Abscess(see Operative Intervention)<\/span><\/li>\n<\/ol>\n<\/li>\n
                                                              3. Operative Intervention<\/strong><\/span>\n
                                                                  \n
                                                                1. Deleted: Abscess Drainage. Will be included in new variable: Drainage for Bleeding\/Hematoma\/Seroma\/Abscess<\/span><\/li>\n
                                                                2. Deleted: Operative Drainage Placement. Will be included in new variable: Drainage for Bleeding\/Hematoma\/Seroma\/Abscess<\/span><\/li>\n
                                                                3. Deleted: Wound Revision<\/span><\/li>\n
                                                                4. Deleted: Reoperation for Bleeding\/Hematoma. Will be included in new variable: Drainage for Bleeding\/Hematoma\/Seroma\/Abscess<\/span><\/li>\n
                                                                5. Added new variable: Drainage for Bleeding\/Hematoma\/Seroma\/Abscess. Past cases that included one or more than one of the deactivated variables will be taken into account when calculating prior data.<\/span><\/li>\n<\/ol>\n<\/li>\n<\/ol>\n<\/li>\n<\/ol>\n
                                                                    \n
                                                                  1. Discharge<\/strong><\/span>\n
                                                                      \n
                                                                    1. Discharge Analgesia<\/span>\n
                                                                        \n
                                                                      1. Added: Benzodiazepines<\/span><\/li>\n<\/ol>\n<\/li>\n<\/ol>\n<\/li>\n<\/ol>\n
                                                                          \n
                                                                        1. Post-Discharge Events<\/strong><\/span>\n
                                                                            \n
                                                                          1. Post Discharge Occurrences<\/strong><\/span>\n
                                                                              \n
                                                                            1. Deleted \u201cAtrial Arrythmia\u201d<\/span><\/li>\n
                                                                            2. Added \u201cNew Onset Cardiac Rhythm Abnormality Requiring Treatment\u201d<\/span><\/li>\n
                                                                            3. Redefined Renal Failure (Acute Kidney Failure) so that it is in line with RIFLE criteria \u2013 stage 3<\/span><\/li>\n
                                                                            4. NOTE:<\/span> Acute Kidney Injury to be deleted in next release, please do not abstract variable. We are creating an auto-calculating algorithm (on the backend) so abstractors don\u2019t have to calculate this variable<\/span><\/li>\n
                                                                            5. Clarified definition of New Neurological Deficit (Spine)<\/span><\/li>\n
                                                                            6. Clarified Definition: Surgical Site Infection<\/span>\n
                                                                                \n
                                                                              1. Made \u201cOrgan Space\u201d available for Spine population infections. For the purposes of Spine abstraction: the brain and spinal cord are considered\u00a0organ space.\u00a0For reporting this will be rolled up with deep SSI.<\/span><\/li>\n<\/ol>\n<\/li>\n<\/ol>\n<\/li>\n
                                                                              2. Non Operative Interventions<\/strong><\/span>\n
                                                                                  \n
                                                                                1. Added: Non-Operative Wound Intervention<\/span><\/li>\n
                                                                                2. NOTE:<\/span> Operative Wound Revision to be deleted in next release, please do not abstract variable. Please use the new variable Drainage for Bleeding\/ Hematoma\/Seroma\/Abscess<\/span><\/li>\n
                                                                                3. Deleted: Percutaneous Drainage – included in new variable: Drainage for Bleeding\/ Hematoma\/Seroma\/Abscess<\/span><\/li>\n<\/ol>\n<\/li>\n
                                                                                4. Operative Intervention<\/strong><\/span>\n
                                                                                    \n
                                                                                  1. Deleted: Operative Drainage Placement. Included in new variable: Drainage for Bleeding\/ Hematoma\/Seroma\/Abscess<\/span><\/li>\n
                                                                                  2. Deleted: Abscess Drainage. Included in new variable: Drainage for Bleeding\/ Hematoma\/Seroma\/Abscess<\/span><\/li>\n
                                                                                  3. Deleted: Reoperation for Bleeding\/Hematoma. Included in new variable: Drainage for Bleeding\/Hematoma\/Seroma\/Absces<\/span><\/li>\n
                                                                                  4. Added new variable: Drainage for Bleeding\/ Hematoma\/Seroma\/Abscess. Past cases that included one\/more than one of the deactivated variables will be taken into account when calculating old data<\/span><\/li>\n
                                                                                  5. NOTE:<\/span> Operative Wound Intervention to be deleted in next release, please do not abstract variable. Please use the new variable, Drainage for Bleeding\/ Hematoma\/Seroma\/Abscess<\/span><\/li>\n<\/ol>\n<\/li>\n
                                                                                  6. ReOperative Intervention<\/strong><\/span>\n
                                                                                      \n
                                                                                    1. Deleted: Wound Revision<\/span><\/li>\n<\/ol>\n<\/li>\n<\/ol>\n<\/li>\n<\/ol>\n

                                                                                      [\/vc_column_text][\/vc_tta_section][vc_tta_section title=”September 2019″ tab_id=”1571706736514-e8cf303f-bad8″][vc_column_text]Hybrid Analytics (Reporting):\u00a0<\/strong><\/p>\n

                                                                                        \n
                                                                                      1. Aggregate Reports:\u00a0<\/strong>For those that are able to run reports, you should now have the ability to run the\u00a0Aggregate Report Comparison<\/u>as it is finally fixed in Hybrid.\u00a0 You just have to choose the dropdown, \u201cSurgical Care and Outcomes Assessment Program\u201d at the very top rather than your specific site, then choose your site under Group 1 and \u201cAll Sites\u201d under Group 2 to compare to the aggregate.\u00a0 Please let me know if you need a copy of the Hybrid report manual.<\/span><\/li>\n
                                                                                      2. Data tables<\/strong>: are available to those reporting users who would like them.\u00a0 These provide the user an ability to query the live database at the site level.\u00a0 I\u2019ve promised canned queries to analysts that would like these for both the denominator population as well as the outlier group for each metric (old and new).\u00a0 I\u2019m continuing to build these out; please let me know if you\u2019re looking for a specific metric and I can prioritize it in the build process.<\/span><\/li>\n
                                                                                      3. Spine COAP variables now\u00a0available in Hybrid. Updated definitions are in the data dictionary.<\/span><\/span><\/strong>\n
                                                                                          \n
                                                                                        1. Antibiotics Given within 60 minutes of Incision<\/span><\/li>\n
                                                                                        2. Antibiotics Discontinued within 24 hrs of Closure<\/span><\/li>\n
                                                                                        3. DVT Prophylaxis w\/in 24 hrs of Incision<\/span><\/li>\n
                                                                                        4. DVT Prophylaxis Post-op<\/span><\/li>\n
                                                                                        5. Mechanical DVT Prophylaxis<\/span><\/li>\n<\/ol>\n<\/li>\n<\/ol>\n

                                                                                          Hybrid Outcomes (Data Entry):<\/strong><\/span><\/p>\n

                                                                                            \n
                                                                                          1. Surgeon Aliases:\u00a0<\/strong>Most surgeon aliases\u00a0have been updated for those surgeons with NPIs that did not have such an identifier assigned to them in the database.\u00a0Surgeon aliases are used for de-identified reporting at the surgeon level.\u00a0If a surgeon does not have an NPI, they cannot obtain a surgeon alias, so please be sure that this information is filled in appropriately in the data collection tool for your site.\u00a0<\/span><\/li>\n
                                                                                          2. Database Updates as of Monday, September 23:\u00a0<\/strong><\/span>\n
                                                                                              \n
                                                                                            1. Duplicate NPIs have been merged. Please let us know if you see any more duplicates.<\/span><\/li>\n
                                                                                            2. The crystalloid and albumin fields in the perioperative section have an updated field description that reflects the capture of the number of\u00a0milliliters<\/u>\u00a0rather than liters.\u00a0 We will be following up with sites that we\u2019ve noted as capturing Liters up to this point.<\/span><\/li>\n
                                                                                            3. The data label for highest creatinine during hospital stay now is updated to show that we need to capture the highest\u00a0postoperative<\/u>\u00a0creatinine during the hospital stay (this was always in the data definition, but just not spelled out in the label).<\/span><\/li>\n
                                                                                            4. The data label for Date\/Time of Surgery now indicates that this should be the time of incision (again, always in the data definition, but just not spelled out in the label on the online collection form)<\/span><\/li>\n
                                                                                            5. The data label for Reoperation due to Bleeding\/Hematoma is now updated to \u201cDrainage for Bleeding\/Hematoma\/Seroma\/Abscess.\u201d<\/span><\/li>\n
                                                                                            6. The data label for Regional anesthesia is now updated to \u201cRegional (tap block, brachial plexus, wound block)\u201d<\/span><\/li>\n
                                                                                            7. The data label for the \u201cPost Discharge Drainage for Bleeding\/Hematoma\u201d is updated to \u201cPost Discharge Drainage for Bleeding\/Hematoma\/Seroma\/Abscess.<\/span><\/li>\n
                                                                                            8. The long name for woundreop originally noted as WoundReop is changed to Wound Revision.<\/span><\/li>\n<\/ol>\n<\/li>\n<\/ol>\n

                                                                                              [\/vc_column_text][\/vc_tta_section][\/vc_tta_tour][\/vc_column][\/vc_row]<\/p>\n<\/div>","protected":false},"excerpt":{"rendered":"[vc_row overlay_dotted=””][vc_column width=”1\/3″ text_alignment=”text-left” css=”.vc_custom_1549070242965{padding-top: 0px !important;padding-bottom: 0px !important;}”][\/vc_column][vc_column width=”1\/3″ css=”.vc_custom_1549070236261{padding-top: 0px !important;padding-bottom: 0px !important;}”][\/vc_column][vc_column width=”1\/3″ css=”.vc_custom_1549070231090{padding-top: 0px !important;padding-bottom: 0px !important;}”][\/vc_column][\/vc_row][vc_row overlay_dotted=”” css=”.vc_custom_1547482717258{padding-right: 140px !important;padding-left: 140px !important;}”][vc_column][vc_empty_space height=”50px”][\/vc_column][\/vc_row][vc_row][vc_column][vc_tta_tour style=”outline” shape=”square” color=”black” spacing=”20″ active_section=”1″ no_fill_content_area=”true”][vc_tta_section title=”October 2019″ tab_id=”1564427659820-7a04cda9-4721″][vc_column_text] SCOAP\/Spine COAP Hybrid Outcomes2 October 16, 2019 Release Notes   Global update Deleted all edits (cross-outs) from June…","protected":false},"author":4,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_bbp_topic_count":0,"_bbp_reply_count":0,"_bbp_total_topic_count":0,"_bbp_total_reply_count":0,"_bbp_voice_count":0,"_bbp_anonymous_reply_count":0,"_bbp_topic_count_hidden":0,"_bbp_reply_count_hidden":0,"_bbp_forum_subforum_count":0,"footnotes":""},"class_list":["post-67686","page","type-page","status-publish","hentry"],"aioseo_notices":[],"_links":{"self":[{"href":"https:\/\/www.qualityhealth.org\/scoap\/wp-json\/wp\/v2\/pages\/67686","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.qualityhealth.org\/scoap\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.qualityhealth.org\/scoap\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.qualityhealth.org\/scoap\/wp-json\/wp\/v2\/users\/4"}],"replies":[{"embeddable":true,"href":"https:\/\/www.qualityhealth.org\/scoap\/wp-json\/wp\/v2\/comments?post=67686"}],"version-history":[{"count":29,"href":"https:\/\/www.qualityhealth.org\/scoap\/wp-json\/wp\/v2\/pages\/67686\/revisions"}],"predecessor-version":[{"id":68019,"href":"https:\/\/www.qualityhealth.org\/scoap\/wp-json\/wp\/v2\/pages\/67686\/revisions\/68019"}],"wp:attachment":[{"href":"https:\/\/www.qualityhealth.org\/scoap\/wp-json\/wp\/v2\/media?parent=67686"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}