This document provides an update from the Chairman of Cardiothoracic Surgery at St. Francis Hospital on outcomes for heart bypass and other cardiac surgical cases from February 2015 to March 2016. Several graphs show mortality, complication rates, and transfusion rates for St. Francis are equal to or below national benchmarks. The chairman also discusses the typical life cycle of innovation when a new program such as robotics is introduced, with an initial learning curve followed by maintaining or improving results over time.

1. Update on Cardiac Surgery at
St Francis
Robert Poston, MD
Chairman, Cardiothoracic Surgery

2. 0
0.5
1
1.5
2
2.5
3
3.5
Mortality Mortality and Morbidity
Outcomes for Heart
Bypass at St Francis
Feb ‘15 – March ‘16 (n=204)
15%
14.5
14
13.5
13
12.5
12
3%
2.5
2
1.5
1
0.5
0
Observed Expected
O/E
0.88
O/E
0.94

3. 0
0.2
0.4
0.6
0.8
1
1.2
1.4
1.6
1.8
stroke deep SWI
Highly Morbid Complications
After Bypass at St. Francis
Feb ‘15 to March ‘16 (n=204)
SFMC OLOL STS
0% 0%

4. 0
2
4
6
8
10
12
14
return to OR renal failure prolonged vent
Other Major Complications
After Bypass at St. Francis
Feb ‘15 to March ‘16 (n=204)
SFMC OLOL STS

5. 0
2
4
6
8
10
12
14
16
% receiving RBC
Blood Transfusions After
Bypass at St. Francis
Feb ’15 to March ‘16 (n=204)
SFMC OLOL STS
45%
42.5
40
37.5
35
32.5
30
27.5

6. 0
2
4
6
8
10
12
14
16
18
Mortality Mort&Morb
Outcomes for All Cardiac Surgical
Cases Done at St. Francis
Feb ‘15 to March ‘16 (n=247)
Observed Expected
O/E
1.25
O/E
0.96

8. Expectations
Time
Performance
Low
High
Low
High
Disillusionment
1st case …Nth case
Robotic program
introduced
Learning curve
Status quo
Life Cycle of Innovation