The Cardiothoracic Surgery Program at Nationwide Children’s Hospital is dedicated to treating all patients, from fetus to adult. We help patients with congenital heart defects - from the most straightforward cases to the extremely complex.
To ensure our program is held to the highest standards, we participate in several national databases, registries and advisory panels where patient outcomes are reviewed. Through these groups, we share best practices with other providers from around the country and develop new quality improvement initiatives and measures that will continue to enhance cardiac care.
We provide this information publicly by reporting our volumes and outcomes data each year. In doing so, we hope to give patients and families the information they need to choose the right health care partner for their child’s journey.
- Volume data is the number of procedures a hospital has performed and can be a good indication of experience.
- Outcomes data uses several factors to evaluate the success of a hospital’s clinical practices.
We hope this information provides you with full transparency on our cardiac program.
Congenital heart surgeons perform more than 200 different types of procedures on fewer than 1 million patients each year in the United States. This makes comparing survival outcomes difficult.
The Heart Center at Nationwide Children’s participates in public reporting through the Society of Thoracic Surgeons (STS), which updates surgical data once per year. The STS groups different types of pediatric cardiothoracic surgeries and procedures based on complexity.
STAT Level 1 procedures are the least complex. STAT Level 5 procedures are the most complex.
Please note that STAT categories do not take into consideration how sick a child is. A very sick child may need a lower-category procedure, but the risk is higher because of the underlying condition of the child.
Cardiothoracic Surgical Survival Rates by STAT Category of Complexity
(STAT Category 1-5: Level 1, least complex; Level 5, most complex)
||Surgeries||Deaths||Mortality Rate||Surgeries||Deaths||Mortality Rate||Surgeries||Deaths||Mortality Rate|
|STAT Level 1||65||0||0.00%||64||0||0.00%||78||0||0.00%||113||0||0.00%|
|STAT Level 2||119||0||0.00%||114||1||0.88%||109||1||0.92%||97||4||4.12%|
|STAT Level 3||30||0||0.00%||20||0||0.00%||42||0||0.00%||35||2||5.71%|
|STAT Level 4||63||3||4.76%||78||4||5.13%||62||5||8.06%||60||4||6.67%|
|STAT Level 5||21||3||14.29%||16||0||0.00%||33||6||18.18%||39||3||7.69%|
In 2019, Nationwide Children’s sponsored the Pediatric Congenital Heart Association’s Summit on Transparency and Public Reporting of Pediatric and Congenital Heart Disease Outcomes. Here, national experts in congenital heart disease gathered to discuss the importance of good public reporting.
Several metrics are used to monitor the growth and quality of surgical programs:
- Case mix describes the types of cases seen in the program.
- Volume describes how many patients are seen in different populations.
By sharing these data for Cardiothoracic Surgery and Interventional Cardiology, we offer families an objective measure of our experience with certain types of cases and ages of patients.
The Heart Center at Nationwide Children’s is a high-volume, comprehensive center focused on delivering best outcomes to children living with congenital heart conditions. From our fetal interventions to our adult congenital heart disease clinics, we are here to provide a lifetime of care. The table below shows our volumes for specialty services other than surgery and interventional cardiology.
|— Other Noninvasive||17,330||17,420||19,283||20,877||20,813||21,668|
|Adult Congenital Heart Disease||1,501||1,846||2,258||1,824||2,108||2,403|
We are committed to the safety and care of every patient. Our goal is zero preventable harm. The idea of zero harm is achieved through many quality improvement measures and has led to us being a national leader with our “Zero Hero” program. As a hospital, we study measures around the prevention of medication errors, infections and hand hygiene.
With more than 35 ongoing projects to improve outcomes in heart care, we are always trying to better ourselves to provide the best possible care for our patients and their families.
The Preventable Harm Index below shows how we’ve decreased preventable harm from 2015 to 2019.
Concerns related to patient radiation exposure have led The Heart Center to create quality initiatives to reduce median radiation dosage during catheterization and electrophysiology (EP) procedures. As a result of the actions we’ve taken over the last few years, the year to date (YTD) median dose continues to decline.
You play an important role in your child’s health care. If you have questions about our outcomes at Nationwide Children’s, feel free to ask your child’s care team or contact us directly.