Mission

Transform Cardiovascular Care to Improve Patient Experience and Value

Vision

Optimize Heart Care Outcomes Through National Collaboration, Innovation and Research

Values

Value-Based Best Practices
Collaboration & Transparency
Stewardship of Healthcare & Costs
Quality and Patient Centered
Innovation; Data and Analytic-Driven

Philosophy

Philosophy.png

Vision

Optimize Heart Care Outcomes Through National Collaboration, Innovation and Research

Values

Value-Based Best Practices
Collaboration & Transparency
Stewardship of Healthcare & Costs
Quality and Patient Centered
Innovation; Data and Analytic-Driven

Goals

VCSQI’s goal is to improve clinical quality in all cardiac service programs through outcomes analysis and process improvements. Additionally, VCSQI’s clinical/financial database helps reduce costs through reductions in complications and unnecessary resource utilization. The organization’s two main objectives are the following:

Improve Quality, Patient Care and Cost

VCSQI members collaborate to analyze hospital processes, work to identify opportunities for improvement and help implement relevant best practice protocols. Members believe that by improving quality and patient care costs can be contained. Through the use of its clinical/financial database VCSQI improves the quality of care for cardiology and cardiac surgery patients, reduces complications, better coordinates care across both specialties to improve efficiencies in cardiac services care and ultimately reduces costs.

Enhance Communication

VCSQI is positioned as a reliable statewide source of information. VCSQI serves as the interface to communicate process of care information between member sites, eliminates decision making in silos and connects clinical teams. It augments its regional peer-to- peer interactions with more structured educational media and remote/online technologies.

Bibliography


Regional Collaboration as a Model for Fostering Accountability and Transforming Healthcare. Speir AM, Rich JB, Crosby IK, Fonner E. Seminars in Thoracic and Cardiovascular Surgery 21 (2009):12-19. Additive Cost of Postoperative Complications for Isolated Coronary Artery Bypass Grafting Patients in Virginia. Speir AM, Kasirajan V, Barnett SD, Fonner E. Annals of Thoracic Surgery 88.1 (2009): 40-46. Presented at the 45th annual meeting of the Society of Thoracic Surgeons, San Francisco CA, January 2009. Making a Business Case for Quality by Regional Information Sharing Involving Cardiothoracic Surgery. Rich, JB, Speir AM, Fonner E. The American Heart Hospital Journal, 4, no. 2 (Spring 2006): 142-147. Preoperative Beta Blocker Correlates with Worse Outcomes in Patients Undergoing Aortic Valve Replacement. Schubert S, Hawkins RB, Mehaffey JH, Fonner CE, Rich JB, Speir AM, Quader MA, Kron IL, Yarboro LT, Ailawadi G. The Journal of Thoracic and Cardiovascular Surgery (2019). Impact of Transfer Status on Real World Outcomes in Non-Elective Cardiac Surgery. Beller JP, Hawkins RB, Mehaffey JH, Chancellor WZ, Fonner CE, Speir AM, Quader MA, Rich JB, Yarboro LT, Teman NR, Ailawadi G. The Journal of Thoracic and Cardiovascular Surgery (2019). Current Quality Reporting Methods Are Not Adequate For Salvage Cardiac Operations. Chancellor WZ, Mehaffey JH, Beller JP, Krebs E, Hawkins RB, Yount K, Fonner CE, Speir AM, Quader MA, Rich JB, Yarboro LT. The Journal of Thoracic and Cardiovascular Surgery (2019). Preoperative Statin Use Not Associated with Improved Outcomes After Ascending Aortic Repair. Tyerman Z, Hawkins RB, Mehaffey JH, Quader MA, Speir AM, Yarboro LT, Ailawadi G. Seminars in Thoracic and Cardiovascular Surgery. WB Saunders (2018). A Propensity Matched Analysis of Robotic, Minimally Invasive, and Conventional Mitral Valve Surgery. Hawkins RB, Mehaffey JH, Mullen MM, Nifong WL, Chitwood WR, Katz MR, Quader MA, Kiser AC, Speir AM, Ailawadi G. Heart, pp.heartjnl (2018). Is Routine Extubation Overnight Safe in Cardiac Surgery Patients? Krebs ED, Hawkins RB, Mehaffey JH, Fonner CE, Speir AM, Quader MA, Rich JB, Yarboro LT, Teman NR, Ailawadi G. Journal of Thoracic and Cardiovascular Surgery (2018). “Preoperative Statin Use Not Associated with Improved Outcomes After Ascending Aortic Repair.” Tyerman Z, Hawkins RB, Mehaffey JH, Quader MA, Speir AM, Yarboro LT, Ailawadi G. Seminars in Thoracic and Cardiovascular Surgery. WB Saunders, 2018. A Propensity Matched Analysis of Robotic, Minimally Invasive, and Conventional Mitral Valve Surgery. Hawkins RB, Mehaffey JH, Mullen MM, Nifong WL, Chitwood WR, Katz MR, Quader MA, Kiser AC, Speir AM, Ailawadi G. Heart, pp.heartjnl-2018. Good at One or Good at All? Variability of Coronary and Valve Operation Outcomes Within Centers. Johnston LE, Downs EA, Hawkins RB, Quader MA, Speir AM, Rich JB, Yarboro LT, Ailawadi G. Annals of Thoracic Surgery 105.6 (2018), 1678-1683. Maximize Reimbursement and Minimize Risk Under the Medicare Access and Children’s Health Insurance Program Reauthorization Act (MACRA) and the Quality Payment Program (QPP). Rich JB, Fonner CE, Eller J, Berkel I, Nadzam D. Annals of Thoracic Surgery 105.5 (2018), 1299-1303. Postoperative Atrial Fibrillation Is Associated with Increased Morbidity and Resource Utilization After Left Ventricular Assist Device Placement. Hawkins RB, Mehaffey JH, Guo A, Charles EJ, Speir AM, Rich JB, Quader MA, Ailawadi G, Yarboro LT. The Journal of Thoracic and Cardiovascular Surgery (2018). Contemporary Outcomes in Reoperative Mitral Valve Surgery. Mehaffey JH, Hawkins RB, Schubert S, Fonner CE, Yarboro LT, Quader M, Speir AM, Rich JB, Kron IL, Ailawadi G. Heart 104.8 (2018): 652-656. Coronary Artery Bypass Grafting Bundled Payment Proposal will have Significant Financial Impact on Hospitals. Hawkins RB, Mehaffey JH, Yount KW, Yarboro LT, Fonner CE, Kron IL, Quader M, Speir A, Rich J, Ailawadi G; Investigators for the Virginia Cardiac Services Quality Initiative. Journal of Thoracic and Cardiovascular Surgery 155.1 (2018),182-188. doi: 10.1016/j.jtcvs.2017.07.035. Epub 2017 Jul 29. Impact of Regional Collaboration on Quality Improvement and Associated Cost Savings in Coronary Artery Bypass Grafting. Rich JB, Fonner CE, Quader MA, Ailawadi G, Speir AM. Annals of Thoracic Surgery (2018). Outcomes for low-risk surgical aortic valve replacement: A benchmark for aortic valve technology. Johnston LE, Downs EA, Hawkins RB, Quader MA, Speir AM, Rich JB, Ghanta RK, Yarboro LT, Ailawadi G. Annals of Thoracic Surgery 104.4 (2017), 1282-1288. Cost of Individual Complications Following Coronary Artery Bypass Grafting. Mehaffey JH, Hawkins RB, Fonner CE, Kron IL, Quader MA, Speir AM, Rich JB, Ailawadi G. The Journal of Thoracic and Cardiovascular Surgery 155.3 (2018), 875-882. The Costs of Our Traditional Yardsticks for Quality: Is Value Improving in Cardiac Surgery? Yount KW, Rich JB, Lau CL, Ghanta RK, Yarboro LT, Kern JA, Fonner CE, Speir AM, Ailawadi G. 42nd Annual Western Thoracic Surgery Association, Waikoloa, Hawaii (2016). Development of a Risk Prediction Model and Clinical Risk Score for Isolated Tricuspid Valve Surgery. LaPar DJ, Likosky DS, Zhang M, Theurer PF, Fonner CE, Kern JA, Bolling SF, Drake DH, Speir AM, Rich JB, Kron IL, Prager RL, Ailawadi G. Annals of Thoracic Surgery 106.1 (2018), 129-136. Obesity Increases Risk-Adjusted Morbidity, Mortality and Cost following Cardiac Surgery. Ghanta RK, LaPar DJ, Zhang Q, Devarkonda V, Isbell JM, Yarboro LT, Kern, JA, Kron IL, Speir AM, Fonner CE, Ailawadi G. Journal of the American Heart Association 6.3 (2017): e003831. Impact of Medicaid Expansion on Cardiac Surgery Volume and Outcomes. Charles EJ, Johnston LE, Herbert MA, Mehaffey JH, Yount KW, Likosky DS, Theurer PF, Fonner CE, Rich JB, Speir AM, Ailawadi G. Annals of Thoracic Surgery (2017). Impact of Transcatheter Technology on Surgical Aortic Valve Replacement Volume, Outcomes, and Cost. Hawkins RB, Downs EA, Johnston LE, Mehaffey JH, Fonner CE, Ghanta RK, Speir AM, Rich JB, Quader MA, Yarboro LT, Ailawadi G. Annals of Thoracic Surgery 103.6 (2017), 1815-1823. Impact of Preoperative Glycemic Control on Long-Term Mechanical Circulatory Support Device Implantation. Downs EA, Johnston LE, LaPar DJ, Yarboro LT, Kern, JA, Kirby JL, Mazimba S, Speir AM, Rich JB, Quader MA, Ailawadi G. The Journal of Heart and Lung Transplantation 35, no. 4 (2016): S377. Impact of Preoperative Statin Use on Ascending Aortic Aneurysm Repair Outcomes. Hawkins RB, Mehaffey JH, Guo A, Fonner CE, Speir AM, Rich JB, Yarboro LT, Ghanta RK, Ailawadi G. Circulation 134, no. Suppl 1 (2016): A17230-A17230. Delayed Sternal Closure after Left Ventricle Assist Device Implantation: Analysis of Risk Factors and Impact on Outcomes and Costs. Quader MA, LaPar DJ, Wolfe LG, Ailawadi G, Rich JB, Speir AM, Fonner CE, Kasirajan V. ASAIO Journal (American Society for Artificial Internal Organs) 62.4 (2016), 432-437. Minimally Invasive Mitral Valve Surgery Provides Excellent Outcomes Without Increased Cost: A Multi-Institutional Analysis. Downs EA, Johnston LE, LaPar DJ, Ghanta RK, Kron IL, Speir AM, Fonner CE, Kern JA, Ailawadi G. Annals of Thoracic Surgery 102.1 (2016), 14-21. Equivalent Mortality but Higher Morbidity in Patients Receiving Temporary Mechanical Support Prior to Permanent LVAD Implantation. Johnston LE, Ailawadi G, Downs EA, Rich JB, Speir AM, Quader AM, Kennedy JL, Yarboro LT, Kern JA, Mazimba S. The Journal of Heart and Lung Transplantation 35.4 (2016): S153. Preoperative Renal Function Predicts Hospital Costs and Length of Stay in Coronary Artery Bypass Grafting. LaPar DJ, Rich JB, Isbell JM, Brooks CH, Crosby IK, Yarboro LT, Ghanta RK, Kern JA, Brown M, Quader MA, Speir AM, Ailawadi G. Annals of Thoracic Surgery 101.2 (2016), 606-612. Contemporary Costs Associated With Transcatheter Aortic Valve Replacement. Ailawadi G, LaPar DJ, Speir AM, Ghanta RK, Yarboro LT, Crosby IK, Lim DS, Quader MA, Rich JB. Annals of Thoracic Surgery 101.1 (2016), 154-161. Cost, Quality, and Value in Coronary Artery Bypass Grafting. Osnabrugge RLJ, Speir AM, Head SJ, Jones PG, Ailawadi G, Fonner CE, Fonner E, Kappetein AP, Rich JB. Journal of Thoracic and Cardiovascular Surgery 148.6 (2014), 2729-2735. Prediction of Costs and Length of Stay in Coronary Artery Bypass Grafting. Osnabrugge RLJ, Speir AM, Head SJ, Jones PG, Ailawadi G, Fonner CE, Fonner E, Kappetein AP, Rich JB. Annals of Thoracic Surgery 98.4 (2014): 1286-1293. Costs for Surgical Aortic Valve Replacement According to Preoperative Risk Categories. Osnabrugge RLJ, Speir AM, Head SJ, Fonner CE, Fonner E, Ailawadi G, Kappetein AP, Rich JB. Annals of Thoracic Surgery 96.2 (2013): 500-506. A Contemporary Cost Analysis of Postoperative Morbidity Following Coronary Artery Bypass Grafting With and Without Concomitant Aortic Valve Replacement to Improve Patient Quality and Cost Effective Care. LaPar DJ, Crosby IK, Rich JB, Fonner E, Kron IL, Ailawadi G, Speir AM. Annals of Thoracic Surgery 96.5 (2013): 1621-1627. Postoperative Atrial Fibrillation Significantly Increases Mortality, Hospital Readmission, and Hospital Costs. LaPar DJ, Speir AM, Crosby IK, Fonner E, Brown M, Rich JB, Quader MA, Kern JA, Kron IL, Ailawadi G. Annals of Thoracic Surgery 98.2 (2014): 527-533. Presented at STSA 2013, Scottsdale, AZ. Blood Product Conservation Is Associated with Improved Outcomes and Reduced Costs Following Cardiac Surgery. LaPar DJ, Crosby IK, Ailawadi G, Ad N, Choi E, Spiess BD, Rich JB, Kasirajan V, Fonner E, Kron IL, Speir AM. Journal of Thoracic and Cardiovascular Surgery 145.3 (2013): 796-804. Presented at AATS 2012, San Francisco, CA. Delayed Sternal Closure after Left Ventricle Assist Device Implantation: Analysis of Risk Factors, Impact on Outcomes and Costs. Quader MA, LaPar DJ, Wolfe LG, Ailawadi G, Rich JB, Speir AM, Fonner CE, Kasirajan V. ASAIO Journal (American Society for Artificial Internal Organs: 1992) (2016). Impact of Preoperative Statin Use on Ascending Aortic Aneurysm Repair Outcomes. Hawkins RB, Mehaffey JH, Guo A, Fonner CE, Speir AM, Rich JB, Yarboro LT, Ghanta RK, Ailawadi G. Circulation 134, no. Suppl 1 (2016): A17230-A17230. Impact of Preoperative Glycemic Control on Long-Term Mechanical Circulatory Support Device Implantation. Downs EA, Johnston LE, LaPar DJ, Yarboro LT, Kern, JA, Kirby JL, Mazimba S, Speir AM, Rich JB, Quader MA, Ailawadi G. The Journal of Heart and Lung Transplantation 35, no. 4 (2016): S377. Minimally Invasive Mitral Valve Surgery Provides Excellent Outcomes without Increased Cost: A Multi-Institutional Analysis. Downs EA, Johnston L, LaPar DJ, Ghanta RK, Kron IL, Speir AM, Fonner CE, Kern JA, Ailawadi G. Annals of Thoracic Surgery (2016). Equivalent Mortality but Higher Morbidity in Patients Receiving Temporary Mechanical Support Prior to Permanent LVAD Implantation. Johnston LE, Ailawadi G, Downs EA, Rich JB, Speir AM, Quader AM, Kennedy JL, Yarboro LT, Kern JA, Mazimba S. The Journal of Heart and Lung Transplantation 35.4 (2016): S153. Minimally Invasive Mitral Valve Surgery Has Superior Outcomes to Conventional Sternotomy Without Increased Costs. Downs EA, Johnston LE, LaPar DJ, Ghanta RK, Kron IL, Fonner CE, Kern J, Speir AM, Ailawadi G. Annals of Thoracic Surgery, (2016). Institutional Variation in Mortality After Stroke After Cardiac Surgery: An Opportunity for Improvement. LaPar DJ, Quader MA, Rich JB, Kron IL, Crosby IK, Kern JA, Tribble CG, Speir AM, Ailawadi G. Annals of Thoracic Surgery (2015). Blood Product Utilization With Left Ventricular Assist Device Implantation: A Decade of Statewide Data. Quader MA, Wolfe LG, Ailawadi G, Rich JB, Speir AM, LaPar DJ, Fonner CE, Kasirajan V. The Journal for Heart and Lung Transplantation 34.4 (2015): S14. Bilateral IMA Use for Coronary Artery Bypass Grafting Remains Underutilized: A Propensity Matched Multi-Institution Analysis. LaPar DJ, Crosby IK, Rich JB, Quader MA, Speir AM, Kern JA, Tribble C, Kron IL, Ailawadi G. Annals of Thoracic Surgery 100.1 (2015): 8-15. Multicenter Evaluation of High-Risk Mitral Valve Operations: Implications for Novel Transcatheter Valve Therapies. LaPar DJ, Isbell JM, Crosby IK, Kern J, Lim DS, Fonner E, Speir AM, Rich JB, Kron IL, Ailawadi G. Annals of Thoracic Surgery 98.6 (2014): 2032-2038. Isolated Aortic Valve Replacement with Bio-Prostheses in Patients Age 50 to 65 Years: A Decade of Statewide Data on Cost and Patient Outcomes. Quader MA, Wolfe LG, Medina A, Fonner CE, Ailawadi G, Crosby IK, Speir AM, Rich JB, LaPar DJ, Kasirajan V. Journal of Cardiovascular Surgery, 2014 Sept. 12 [E-publication]. Performance of EuroSCORE II in a Large US Database: Implications for Transcatheter Aortic Valve Implantation. Osnabrugge RLJ, Speir AM, Head SJ, Fonner CE, Fonner E, Kappetein AP, Rich JB. European Journal of Cardio-Thoracic Surgery 46.3 (2014): 400-408. Nonagenarians Undergoing Cardiac Surgery. Davis JP, LaPar DJ, Crosby IK, Kern JA, Lau CL, Kron IL, Ailawadi G. Journal of Cardiac Surgery 29.5 (2014): 600-604. Hospital Variation in Mortality From Cardiac Arrest After Cardiac Surgery: An Opportunity for Improvement? LaPar DJ, Ghanta RK, Kern JA, Crosby IK, Rich JB, Speir AM, Kron IL, Ailawadi G. Annals of Thoracic Surgery 98.2 (2014): 534-540. Presented at STSA 2013, Scottsdale, AZ. Predictors of Operative Mortality in Cardiac Surgical Patients with Prolonged Intensive Care Unit Duration. LaPar DJ, Gillen JR, Crosby IK, Sawyer RG, Lau CL, Kron IL, Ailawadi G. JACS 216(6): 1116-1123. Preoperative Beta-Blocker Use Should Not Be a Quality Metric for Coronary Artery Bypass Grafting. LaPar DJ, Crosby IK, Kron IL, Kern JA, Fonner E, Rich JB, Speir AM, Ailawadi G. Annals of Thoracic Surgery 96.5 (2013): 1539-1545. Concomitant Tricuspid Valve Operations Affect Outcomes Following Mitral Operations: A Multiinstitutional, Statewide Analysis. LaPar DJ, Mulloy DP, Stone M, Crosby I, Lau CL, Kron IL, Ailawadi G. Annals of Thoracic Surgery 94.1 (2012): 52-58. Presented at STSA 2011, San Antonio, TX. Previous Percutaneous Coronary Intervention Increases Morbidity After Coronary Artery Bypass Grafting. Mehta GS, LaPar DJ, Bhamidipati CM, Kern JA, Kron IL, Upchurch GR, Ailawadi G. Surgery 152.1 (2012): 5-11. Contemporary Outcomes for Surgical Mitral Valve Repair: A Benchmark for Evaluating Emerging Mitral Valve Technology. LaPar DJ, Mulloy DP, Crosby IK, Lim DS, Kern JA, Kron IL, Ailawadi G. Journal of Thoracic and Cardiovascular Surgery 143.4 (2012): S12-S16. Presented at AATS Mitral Conclave 2011, New York. Small Prosthesis Size in Aortic Valve Replacement Does Not Affect Mortality. LaPar DJ, Ailawadi G, Bhamidipati CM, Stukenborg GJ, Crosby IK, Kern JA, Kron IL. Annals of Thoracic Surgery 92.3 (2011): 880-888. Elective Thoracic Aortic Aneurysm Surgery: Better Outcomes from High-Volume Centers. Gazoni LM, Speir AM, Kron IL, Fonner CE, Crosby IK. JACS 210.5 (2010): 855-860. Does urgent or emergent status influence choice in mitral valve operations? An analysis of outcomes from the Virginia Cardiac Surgery Quality Initiative. LaPar DJ, Hennessy S, Fonner CE, Kern JA, Kron IL, Ailawadi G. Annals of Thoracic Surgery 90.1 (2010): 153-160.




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