Cardiovascular Care
CardioVascular Institute at Beth Israel Deaconess
The Cardiovascular Institute at Beth Israel Deaconess Medical Center is a hospital-within-a-hospital, dedicated exclusively to delivering all aspects of heart and vascular care to you and your family.
This highly integrated organization combines in a single reporting and financial structure cardiovascular medicine, cardiac surgery, interventional cardiology and vascular/endovascular surgery. Learn more about the CardioVascular Institute.
| BIDMC Performance CY 2008 | Comparison CY 2008 |
| National Composite Rating |
3 Stars *** |
Only 15% of STS hospitals received the highest 3 Star Rating (1) |
| Coronary Artery Bypass Grafting (CABG) | BIDMC Performance CY 2008 | Comparison CY 2008 |
Volume of procedures – Total* A higher score is better. |
455 |
≥450 (2) |
| Volume of procedures – Isolated CABG Surgery* |
292 |
Not available |
Mortality Rate – In Hospital A lower score is better. |
1.0% |
1.6% (1) |
Mortality Rate (30 days from surgery- risk adjusted) A lower score is better. |
1.6% |
1.9% (1) |
Length of Stay A lower score is better |
5.7 days |
7.0 days (1) |
| Process of Care Measures (Isolated CABG) | BIDMC Performance FY 2008 | National Comparison FY 2008 (1) |
Aspirin prescribed at discharge A higher score is better. |
99% |
94% |
Beta blockers prescribed at discharge A higher score is better. |
98% |
91% |
Lipid Lowering Therapy prescribed at discharge A higher score is better. |
98% |
90% |
Use of Internal Mammary Artery Graft (IMA) A higher score is better. |
96% |
94% |
| Click here to learn more about Coronary Artery Bypass (CABG) Surgery Care. |
*CABG (Coronary Artery Bypass Surgery) – an operation in which the blocked coronary artery is bypassed with the patient’s own vessel to improve the flow to the heart muscle. Coronary vessels are those vessels that supply the heart muscle with blood and oxygen.
*Isolated CABG(Coronary Artery Bypass Surgery) – a surgical procedure in which CABG is the only major cardiac surgery performed.
| Aortic Valve Replacement (AVR) | BIDMC Performance CY 2008 | Comparison CY 2008 |
Volume of procedures – Total* A higher score is better. |
201 |
>120/year2 |
| Volume of procedures – Isolated AVR Procedures* |
57 |
Not available |
Mortality Rate – In Hospital A lower score is better. |
0% |
2.7% (1) |
Mortality Rate (30 days from surgery- risk adjusted) A lower score is better. |
0% |
3.1% (1) |
Average Post Surgery Length of Stay A lower score is better. |
6.4 days |
8.1 days (1) |
| Volume of procedures – Isolated AVR Procedures* |
276 Includes CY04-CY08 |
Not available |
| Mortality Rate (30 days from surgery- risk adjusted) |
0.7% Includes CY04-CY08 |
Not available |
| Click here to learn more about Aortic Valve Replacement (AVR) Surgry Care. |
*AVR (Aortic Valve Replacement) – an operation for treatment of narrowing (stenosis) or leakage (regurgitation) of the aortic valve. Sometimes, the valve can be repaired, but most often, it is replaced with a valve made of animal tissue or a mechanical valve.
*Isolated AVR (Aortic Valve Replacement) – a surgical procedure in which AVR is the only major cardiac surgery performed.
| Percutaneous Coronary Intervention (PCI) | BIDMC Performance CY 2007 | Comparison |
| Mortality Rate – risk adjusted |
1.20% |
1.19% (4) |
Volume of procedures A higher score is better |
1,175 |
≥ 400/year (5) |
Heart Attack Patients Given PCI Within 90 Minutes Of Arrival A higher score is better. |
86% |
88% (3) |
Length of Stay A lower score is better. |
2.6 days |
2.3 days (4) |
|
*Percutaneous Coronary Intervention (PCI) - the insertion of a balloon tipped tube (catheter) to widen a clogged artery in order to improve blood flow to the heart. Sometimes, a metal stent is inserted to keep the artery propped open.
View BIDMC’s performance on following recommended guidelines for some measures of general heart care: treatment of heart attack and heart failure.
1Society of Thoracic Surgeons Database; January – December, 2008 data and reports
2Leapfrog Hospital Survey on Quality and Safety 2009. For more information go to www.leapfroggroup.org
3The source of the comparison for these measures is Hospital Compare ( www.HospitalCompare.hhs.gov), Centers for Medicare & Medicaid Services, July, 2009. Comparison notes Top 10% Performers
4NCDR® CathPCI Registry™ January – December, 2007 data
5 Smith SC Jr, Feldman TE, Hirshfeld JW Jr, Jacobs AK, Kern MJ, King SB III, Morrison DA, O'Neill WW, Schaff HV, Whitlow PL, Williams DO. ACC/AHA/SCAI 2005 guideline update for percutaneous coronary intervention: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (ACC/AHA/SCAI Writing Committee to Update the 2001 Guidelines for Percutaneous Coronary Intervention). American College of Cardiology Web Site. Available at: http://www.acc.org/clinical/guidelines/percutaneous/update/index.pdf.
Other Useful Specific Services Measures
Last updated: July 31, 2009