David M Shahian

Summary

Affiliation: Massachusetts General Hospital
Country: USA

Publications

  1. doi request reprint Hospital-wide mortality as a quality metric: conceptual and methodological challenges
    David M Shahian
    Center for Quality and Safety and Department of Surgery, Massachusetts General Hospital and Harvard Medical School, Boston, MA 02114, USA
    Am J Med Qual 27:112-23. 2012
  2. ncbi request reprint Development of a clinical registry-based 30-day readmission measure for coronary artery bypass grafting surgery
    David M Shahian
    From the Massachusetts General Hospital and Harvard Medical School, Boston, MA D M S Duke Clinical Research Institute, Durham, NC X H, S M O, E P University of Colorado School of Medicine Anschutz Medical Campus, Aurora, CO, and Denver Department of Veterans Affairs Medical Center, Denver, CO F L G All Children s Hospital, John Hopkins University, Saint Petersburg, FL J P J University of Florida College of Medicine, Jacksonville, FL F H E Children s Hospital of Illinois and the University of Illinois College of Medicine, Peoria, IL K F W Yale New Haven Health Services Corporation Center for Outcomes Research and Evaluation CORE and Yale School of Medicine, New Haven, CT L G S, E D Society of Thoracic Surgeons, Chicago, IL C M S and Centers for Medicare and Medicaid Services, Baltimore, MD L H
    Circulation 130:399-409. 2014
  3. ncbi request reprint The STS AVR+CABG composite score: a report of the STS Quality Measurement Task Force
    David M Shahian
    Department of Surgery and Center for Quality and Safety, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts Electronic address
    Ann Thorac Surg 97:1604-9. 2014
  4. doi request reprint Issues in quality measurement: target population, risk adjustment, and ratings
    David M Shahian
    Massachusetts General Hospital and Harvard Medical School, Boston, Massachusetts 02114, USA
    Ann Thorac Surg 96:718-26. 2013
  5. doi request reprint The Society of Thoracic Surgeons Isolated Aortic Valve Replacement (AVR) Composite Score: a report of the STS Quality Measurement Task Force
    David M Shahian
    Massachusetts General Hospital and Harvard Medical School, Boston, Massachusetts 02114, USA
    Ann Thorac Surg 94:2166-71. 2012
  6. doi request reprint Contemporary performance of U.S. teaching and nonteaching hospitals
    David M Shahian
    Center for Quality and Safety, Massachusetts General Hospital, 55 Fruit St, Boston, MA 02114, USA
    Acad Med 87:701-8. 2012
  7. pmc Predictors of long-term survival after coronary artery bypass grafting surgery: results from the Society of Thoracic Surgeons Adult Cardiac Surgery Database (the ASCERT study)
    David M Shahian
    Department of Surgery and Center for Quality and Safety, Massachusetts General Hospital, 55 Fruit St, Boston, MA 02114, USA
    Circulation 125:1491-500. 2012
  8. doi request reprint Association of National Hospital Quality Measure adherence with long-term mortality and readmissions
    David M Shahian
    Center for Quality and Safety and Department of Surgery, Massachusetts General Hospital, 55 Fruit St, Boston, MA 02114, USA
    BMJ Qual Saf 21:325-36. 2012
  9. ncbi request reprint The Society of Thoracic Surgeons 2008 cardiac surgery risk models: part 1--coronary artery bypass grafting surgery
    David M Shahian
    Massachusetts General Hospital, Boston, Massachusetts 02114, USA
    Ann Thorac Surg 88:S2-22. 2009
  10. ncbi request reprint The Society of Thoracic Surgeons 2008 cardiac surgery risk models: part 3--valve plus coronary artery bypass grafting surgery
    David M Shahian
    Massachusetts General Hospital, Boston, Massachusetts 02114, USA
    Ann Thorac Surg 88:S43-62. 2009

Detail Information

Publications48

  1. doi request reprint Hospital-wide mortality as a quality metric: conceptual and methodological challenges
    David M Shahian
    Center for Quality and Safety and Department of Surgery, Massachusetts General Hospital and Harvard Medical School, Boston, MA 02114, USA
    Am J Med Qual 27:112-23. 2012
    ....
  2. ncbi request reprint Development of a clinical registry-based 30-day readmission measure for coronary artery bypass grafting surgery
    David M Shahian
    From the Massachusetts General Hospital and Harvard Medical School, Boston, MA D M S Duke Clinical Research Institute, Durham, NC X H, S M O, E P University of Colorado School of Medicine Anschutz Medical Campus, Aurora, CO, and Denver Department of Veterans Affairs Medical Center, Denver, CO F L G All Children s Hospital, John Hopkins University, Saint Petersburg, FL J P J University of Florida College of Medicine, Jacksonville, FL F H E Children s Hospital of Illinois and the University of Illinois College of Medicine, Peoria, IL K F W Yale New Haven Health Services Corporation Center for Outcomes Research and Evaluation CORE and Yale School of Medicine, New Haven, CT L G S, E D Society of Thoracic Surgeons, Chicago, IL C M S and Centers for Medicare and Medicaid Services, Baltimore, MD L H
    Circulation 130:399-409. 2014
    ..Most readmission risk models and performance measures are based on administrative rather than clinical data...
  3. ncbi request reprint The STS AVR+CABG composite score: a report of the STS Quality Measurement Task Force
    David M Shahian
    Department of Surgery and Center for Quality and Safety, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts Electronic address
    Ann Thorac Surg 97:1604-9. 2014
    ..This manuscript describes the third composite measure in this series, aortic valve replacement (AVR) combined with coronary artery bypass grafting surgery (CABG)...
  4. doi request reprint Issues in quality measurement: target population, risk adjustment, and ratings
    David M Shahian
    Massachusetts General Hospital and Harvard Medical School, Boston, Massachusetts 02114, USA
    Ann Thorac Surg 96:718-26. 2013
    ..We demonstrate the differences in provider classification that may result from these methodologic decisions. ..
  5. doi request reprint The Society of Thoracic Surgeons Isolated Aortic Valve Replacement (AVR) Composite Score: a report of the STS Quality Measurement Task Force
    David M Shahian
    Massachusetts General Hospital and Harvard Medical School, Boston, Massachusetts 02114, USA
    Ann Thorac Surg 94:2166-71. 2012
    ..The current study creates a similar composite measure for isolated aortic valve replacement (AVR)...
  6. doi request reprint Contemporary performance of U.S. teaching and nonteaching hospitals
    David M Shahian
    Center for Quality and Safety, Massachusetts General Hospital, 55 Fruit St, Boston, MA 02114, USA
    Acad Med 87:701-8. 2012
    ..To compare the performance of U.S. teaching and nonteaching hospitals using a portfolio of contemporary, publicly reported metrics...
  7. pmc Predictors of long-term survival after coronary artery bypass grafting surgery: results from the Society of Thoracic Surgeons Adult Cardiac Surgery Database (the ASCERT study)
    David M Shahian
    Department of Surgery and Center for Quality and Safety, Massachusetts General Hospital, 55 Fruit St, Boston, MA 02114, USA
    Circulation 125:1491-500. 2012
    ..We estimate a long-term survival model using data from the Society of Thoracic Surgeons Adult Cardiac Surgery Database and Centers for Medicare and Medicaid Services...
  8. doi request reprint Association of National Hospital Quality Measure adherence with long-term mortality and readmissions
    David M Shahian
    Center for Quality and Safety and Department of Surgery, Massachusetts General Hospital, 55 Fruit St, Boston, MA 02114, USA
    BMJ Qual Saf 21:325-36. 2012
    ..Our investigation addresses methodological concerns with previous studies to better clarify the process-outcomes association for three common conditions...
  9. ncbi request reprint The Society of Thoracic Surgeons 2008 cardiac surgery risk models: part 1--coronary artery bypass grafting surgery
    David M Shahian
    Massachusetts General Hospital, Boston, Massachusetts 02114, USA
    Ann Thorac Surg 88:S2-22. 2009
    ..To adjust for these and other changes, all STS risk models have undergone periodic revisions. This report provides a detailed description of the 2008 STS risk model for coronary artery bypass grafting surgery (CABG)...
  10. ncbi request reprint The Society of Thoracic Surgeons 2008 cardiac surgery risk models: part 3--valve plus coronary artery bypass grafting surgery
    David M Shahian
    Massachusetts General Hospital, Boston, Massachusetts 02114, USA
    Ann Thorac Surg 88:S43-62. 2009
    ..These models specifically address both perioperative morbidity and mitral valve repair, and they are based on contemporary data...
  11. doi request reprint Association of hospital coronary artery bypass volume with processes of care, mortality, morbidity, and the Society of Thoracic Surgeons composite quality score
    David M Shahian
    Department of Surgery and Center for Quality and Safety, Massachusetts General Hospital, Harvard Medical School, Boston, Mass 02114, USA
    J Thorac Cardiovasc Surg 139:273-82. 2010
    ..This study examines the association of hospital coronary artery bypass procedural volume with mortality, morbidity, evidence-based care processes, and Society of Thoracic Surgeons composite score...
  12. doi request reprint Public reporting of cardiac surgery performance: Part 1--history, rationale, consequences
    David M Shahian
    Department of Surgery and Center for Quality and Safety, Massachusetts General Hospital, Boston, Massachusetts 02114, USA
    Ann Thorac Surg 92:S2-11. 2011
    ..Finally, the potential unintended adverse consequences of public reporting must be monitored, particularly to assure that hospitals and surgeons remain willing to care for high-risk patients...
  13. doi request reprint Variability in the measurement of hospital-wide mortality rates
    David M Shahian
    Massachusetts General Hospital, and Harvard Medical School, Boston, MA 02114, USA
    N Engl J Med 363:2530-9. 2010
    ..Massachusetts policymakers recently requested an assessment of methods to calculate this aggregate mortality metric for use as a measure of hospital quality...
  14. doi request reprint Predictors of nonadherence to national hospital quality measures for heart failure and pneumonia
    David M Shahian
    Massachusetts General Hospital, Center for Quality and Safety, Department of Surgery, Harvard Medical School, Boston, 02114, USA
    Am J Med 124:636-46. 2011
    ..Understanding factors associated with process measure nonadherence may improve both patient care and future measure design...
  15. doi request reprint Public reporting of cardiac surgery performance: Part 2--implementation
    David M Shahian
    Department of Surgery and Center for Quality and Safety, Massachusetts General Hospital, Boston, Massachusetts 02114, USA
    Ann Thorac Surg 92:S12-23. 2011
    ..This may also help to mitigate risk aversion, the avoidance of high-risk patients...
  16. doi request reprint Low-volume coronary artery bypass surgery: measuring and optimizing performance
    David M Shahian
    Department of Surgery, Center for Quality and Safety, and Institute for Health Policy, Massachusetts General Hospital, and Harvard Medical School, Boston, MA 02114, USA
    J Thorac Cardiovasc Surg 135:1202-9. 2008
  17. ncbi request reprint The Society of Thoracic Surgeons 2008 cardiac surgery risk models: part 2--isolated valve surgery
    Sean M O'Brien
    Duke Clinical Research Institute, Durham, North Carolina, USA
    Ann Thorac Surg 88:S23-42. 2009
    ..Expanding upon existing valve models, the new STS models include several nonfatal complications in addition to mortality...
  18. doi request reprint Variation in ventilation time after coronary artery bypass grafting: an analysis from the society of thoracic surgeons adult cardiac surgery database
    Jeffrey P Jacobs
    Johns Hopkins Children s Heart Surgery, All Children s Hospital and Florida Hospital for Children, Saint Petersburg, FL 33701, USA
    Ann Thorac Surg 96:757-62. 2013
    ..Short postoperative ventilation times are accepted as a marker of quality. This analysis assesses center level variation in postoperative ventilation time in a subset of patients undergoing isolated coronary artery bypass grafting (CABG)...
  19. ncbi request reprint Quality measurement in adult cardiac surgery: part 1--Conceptual framework and measure selection
    David M Shahian
    Tufts University School of Medicine, Boston, Massachusetts, USA
    Ann Thorac Surg 83:S3-12. 2007
  20. doi request reprint Successful linking of the Society of Thoracic Surgeons database to social security data to examine survival after cardiac operations
    Jeffrey Phillip Jacobs
    The Congenital Heart Institute of Florida CHIF, All Children s Hospital, University of South Florida College of Medicine, Cardiac Surgical Associates of Florida CSAoF, Saint Petersburg, Florida 33701, USA
    Ann Thorac Surg 92:32-7; discussion 38-9. 2011
    ..This study demonstrates the feasibility of linking the STS Database to the SSDMF and examines longitudinal survival after cardiac operations...
  21. ncbi request reprint Quality measurement in adult cardiac surgery: part 2--Statistical considerations in composite measure scoring and provider rating
    Sean M O'Brien
    Duke Clinical Research Institute, Durham, North Carolina, USA
    Ann Thorac Surg 83:S13-26. 2007
  22. ncbi request reprint Comparison of clinical and administrative data sources for hospital coronary artery bypass graft surgery report cards
    David M Shahian
    Tufts University School of Medicine, Boston, Mass, USA
    Circulation 115:1518-27. 2007
    ..Using logistic regression and hierarchical models, we compared hospital cardiac surgery profiling results based on clinical data with those derived from contemporaneous administrative data...
  23. doi request reprint Repeat coronary revascularization after coronary artery bypass surgery in older adults: the Society of Thoracic Surgeons' national experience, 1991-2007
    Emil L Fosbøl
    Duke Clinical Research Institute, 2400 Pratt St, Durham, NC 27705, USA
    Circulation 127:1656-63. 2013
    ....
  24. ncbi request reprint Comparing teaching versus nonteaching hospitals: the association of patient characteristics with teaching intensity for three common medical conditions
    David M Shahian
    Dr Shahian is professor of surgery, Harvard Medical School, and Vice President, Center for Quality and Safety, Massachusetts General Hospital, Boston, Massachusetts Ms Liu is senior research analyst, Center for Quality and Safety, Massachusetts General Hospital, Boston, Massachusetts Dr Meyer is executive vice president for population health and chief clinical officer, Dartmouth Hitchcock Medical Center, Lebanon, New Hampshire Dr Normand is professor of health care policy, Harvard Medical School, and professor of biostatistics, Harvard School of Public Health, Boston, Massachusetts
    Acad Med 89:94-106. 2014
    ..To quantify the role of teaching hospitals in direct patient care, the authors compared characteristics of patients served by hospitals of varying teaching intensity...
  25. doi request reprint The society of thoracic surgeons national database
    David M Shahian
    Department of Surgery and Center for Quality and Safety, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts, USA
    Heart 99:1494-501. 2013
    ....
  26. doi request reprint Effects of institutional volumes on operative outcomes for aortic root replacement in North America
    G Chad Hughes
    Society of Thoracic Surgeons Database, Durham, NC, USA
    J Thorac Cardiovasc Surg 145:166-70. 2013
    ..The present study sought to evaluate the relationship between the volume of aortic root replacement procedures and the operative results for centers in North America...
  27. doi request reprint Aortic sclerosis is associated with mortality and major morbidity in patients undergoing coronary artery bypass surgery
    Aidan W Flynn
    Cardiac Ultrasound Laboratory, Division of Cardiology, Massachusetts General Hospital, Harvard University, 55 Fruit Street, Boston, MA 02114, USA
    Heart 99:247-52. 2013
    ..In this study, we aim to investigate the association between aortic sclerosis and mortality and major morbidity in patients with established coronary artery disease undergoing coronary artery bypass grafting (CABG)...
  28. ncbi request reprint Hospital teaching intensity and mortality for acute myocardial infarction, heart failure, and pneumonia
    David M Shahian
    Massachusetts General Hospital, Boston, MA Dartmouth Hitchcock Medical Center, Lebanon, NH Harvard Medical School and Harvard School of Public Health, Boston, MA
    Med Care 52:38-46. 2014
    ..Furthermore, although they serve vital roles in education, research, management of complex diseases, and care of vulnerable populations, debate continues as to whether teaching hospitals deliver better outcomes for common conditions...
  29. doi request reprint The STS-ACC transcatheter valve therapy national registry: a new partnership and infrastructure for the introduction and surveillance of medical devices and therapies
    John D Carroll
    University of Colorado School of Medicine, Aurora, Colorado, USA
    J Am Coll Cardiol 62:1026-34. 2013
    ....
  30. doi request reprint Comparison of "risk-adjusted" hospital outcomes
    David M Shahian
    Center for Quality and Safety, Department of Surgery, and Institute for Health Policy, Massachusetts General Hospital, and Harvard Medical School, Boston, MA 02115, USA
    Circulation 117:1955-63. 2008
    ..The concept of "risk-adjusted" outcomes is frequently misunderstood, particularly when it is used to justify the direct comparison of performance at 2 specific institutions...
  31. doi request reprint STS database risk models: predictors of mortality and major morbidity for lung cancer resection
    Benjamin D Kozower
    Department of Surgery, University of Virginia Health System, Charlottesville, Virginia 22908 0679, USA
    Ann Thorac Surg 90:875-81; discussion 881-3. 2010
    ..The aim of this study is to create models for perioperative risk of lung cancer resection using the STS GTDB (Society of Thoracic Surgeons General Thoracic Database)...
  32. doi request reprint Incremental value of the preoperative echocardiogram to predict mortality and major morbidity in coronary artery bypass surgery
    Jonathan Afilalo
    Cardiac Ultrasound Laboratory, Division of Cardiology, Massachusetts General Hospital, Harvard University, Boston, MA 02114, USA
    Circulation 127:356-64. 2013
    ..Although echocardiography is commonly performed before coronary artery bypass surgery, there has yet to be a study examining the incremental prognostic value of a complete echocardiogram...
  33. ncbi request reprint Gender-specific practice guidelines for coronary artery bypass surgery: perioperative management
    Fred H Edwards
    Division of Cardiothoracic Surgery, University of Florida, Jacksonville, Florida 32209, USA
    Ann Thorac Surg 79:2189-94. 2005
    ..As with all practice guidelines, our goal is to gather the most important information, analyze the information in a logical and unbiased fashion, and make recommendations based solely on the available evidence...
  34. ncbi request reprint The Society of Thoracic Surgeons Practice Guideline Series: Antibiotic Prophylaxis in Cardiac Surgery, Part I: Duration
    Fred H Edwards
    Division of Cardiothoracic Surgery, University of Florida, Jacksonville, Florida 32209, USA
    Ann Thorac Surg 81:397-404. 2006
  35. ncbi request reprint Massachusetts cardiac surgery report card: implications of statistical methodology
    David M Shahian
    Department of Surgery, Caritas St Elizabeth s Medical Center, Boston, Massachusetts 02135, USA
    Ann Thorac Surg 80:2106-13. 2005
    ..Theoretically, the use of hierarchical models should result in more accurate representation of provider performance...
  36. ncbi request reprint Measuring performance for treating heart attacks and heart failure: the case for outcomes measurement
    Harlan M Krumholz
    Yale University School of Medicine, New Haven, Connecticut, USA
    Health Aff (Millwood) 26:75-85. 2007
    ..Recent developments in the methodology and standards for outcomes measurement have laid the groundwork for incorporating outcomes into performance monitoring efforts for these conditions...
  37. ncbi request reprint Implementation of a cardiac surgery report card: lessons from the Massachusetts experience
    David M Shahian
    Department of Surgery, Caritas St Elizabeth s Medical Center, Boston, MA 02135, USA
    Ann Thorac Surg 80:1146-50. 2005
    ..These include the choice of a statistical model and analytical technique, national versus regional reference population, and whether individual surgeon profiling is required...
  38. doi request reprint Guidelines for reporting mortality and morbidity after cardiac valve interventions
    Cary W Akins
    The American Association for Thoracic Surgery, Beverly, Massachusetts, USA
    Ann Thorac Surg 85:1490-5. 2008
  39. doi request reprint Guidelines for reporting mortality and morbidity after cardiac valve interventions
    Cary W Akins
    Massachusetts General Hospital, 55 Fruit St, Boston, MA 02114, USA
    J Thorac Cardiovasc Surg 135:732-8. 2008
  40. ncbi request reprint Current outcomes of simultaneous carotid endarterectomy and coronary artery bypass graft surgery in North America
    Sunil M Prasad
    Division of Cardiothoracic Surgery, University of Illinois at Chicago, 840 South Wood, CSB 417, Chicago, IL 60612, USA
    World J Surg 34:2292-8. 2010
    ..Although no strict comparison group is available, this study defines current outcomes of SCC, compared qualitatively to two reference categories...
  41. doi request reprint Blueprint for a new American College of Surgeons: National Surgical Quality Improvement Program
    John D Birkmeyer
    Department of Surgery, University of Michigan, Ann Arbor, MI, USA
    J Am Coll Surg 207:777-82. 2008
  42. ncbi request reprint The Society of Thoracic Surgeons practice guideline series: transmyocardial laser revascularization
    Charles R Bridges
    Division of Cardiothoracic Surgery, Department of Surgery, University of Pennsylvania Medical Center, Philadelphia, Pennsylvania, USA
    Ann Thorac Surg 77:1494-502. 2004
    ....
  43. ncbi request reprint Cardiac surgery risk models: a position article
    David M Shahian
    Lahey Clinic, Burlington, Massachusetts 01805, USA
    Ann Thorac Surg 78:1868-77. 2004
    ..Risk models may be used to assess the impact of specific predictors on outcome, to aid in patient counseling and treatment selection, to profile provider quality, and to serve as the basis of continuous quality improvement activities...
  44. ncbi request reprint The Society of Thoracic Surgeons practice guideline series: aspirin and other antiplatelet agents during operative coronary revascularization (executive summary)
    Victor A Ferraris
    University of Kentucky Chandler Medical Center, Lexington, Kentucky 40536, USA
    Ann Thorac Surg 79:1454-61. 2005
  45. ncbi request reprint Improving cardiac surgery quality--volume, outcome, process?
    David M Shahian
    JAMA 291:246-8. 2004
  46. ncbi request reprint The volume-outcome relationship: from Luft to Leapfrog
    David M Shahian
    Department of Thoracic and Cardiovascular Surgery, Lahey Clinic, Burlington, Massachusetts 01805, USA
    Ann Thorac Surg 75:1048-58. 2003
    ..The Leapfrog Group has established a minimum volume requirement of 500 procedures for coronary artery bypass grafting. In view of the questionable basis for this recommendation, we suggest that it be reevaluated...
  47. doi request reprint Transparency: a mandatory requirement for risk models
    David M Shahian
    J Am Coll Surg 206:1240-2; author reply 1242-5. 2008
  48. doi request reprint Guidelines for reporting mortality and morbidity after cardiac valve interventions
    Cary W Akins
    Eur J Cardiothorac Surg 33:523-8. 2008