David M Shahian

Summary

Country: USA

Publications

  1. 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
  2. doi 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
  3. doi 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
  4. 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
  5. 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
  6. 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
  7. 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
  8. 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
  9. 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
  10. 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

Detail Information

Publications33

  1. 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
  2. doi 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...
  3. doi 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)...
  4. 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)...
  5. 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...
  6. 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...
  7. 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
    ....
  8. 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. ..
  9. 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...
  10. 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...
  11. 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...
  12. 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)...
  13. 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...
  14. 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
    ....
  15. 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...
  16. 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...
  17. 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
  18. 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...
  19. 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...
  20. doi 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...
  21. 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...
  22. 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...
  23. doi 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...
  24. 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...
  25. 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
  26. 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
  27. 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...
  28. 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
  29. 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
  30. 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...
  31. ncbi request reprint Improving cardiac surgery quality--volume, outcome, process?
    David M Shahian
    JAMA 291:246-8. 2004
  32. 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
  33. 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...