Letter From The 2018 Chairman Of The Board: Paul Massimiano, MD
Letter from the 2018 Chairman of the Board
Paul Massimiano, MD 2018 Chairman
Now in our fifth year of operation, The Maryland Cardiac Surgery Quality Initiative continues to focus on our primary goal of improving clinical quality in Maryland’s ten cardiac surgery programs. In our rapidly changing field, with nearly continuous technology driven innovations, the need for rigorous outcomes analyses has become ever more critical. Serious questions arise daily: what are the short and long-term results of what we do? Is the latest technology really better, and how do we know? Does the cost benefit ratio make sense? Are we really finding the solution that the patient wants? Just to name a few. Our mission is to ask the right questions and seek the answers.
The ability to track state wide metrics, disseminate the information
in a real-time peer to peer fashion, and use the data to identify and
promulgate best practices is the hallmark of our collaborative effort and the way in which we seek these answers. Through our committee meetings, research projects and quality initiatives we hope to improve the lives of our patients here in Maryland as well as to share our findings with the national and international cardiac community. This year we have had two papers accepted for oral presentation at the Society of Thoracic Surgeons (STS), truly an international audience, which is a tribute to the hard work of the Research and Writing Committee and all of our member programs.
Just as important as our clinical work is our collaboration with the Maryland Health Care Commission (MHCC) as together we pursue our mutual interests in assuring quality and in controlling cost. The MHCC has given to us the enormous privilege of letting our voice be heard in helping to establish the kinds of thoughtful regulatory oversight of our specialty that is mandated by the state and welcomed by our organization. Our efforts to help the MHCC define the components of cardiac surgery and to establish guidelines for the evaluation of our programs under the Certificate of Ongoing Performance are recent examples of our work together. Our current effort to link quality and cost data from the STS and Health Services Cost Review Commission (HSCRC) respectively promises to be a major step forward in our cost containment strategy.
In this annual report I hope you will find not only interesting and compelling data, but also the spirit of cooperation among our various stakeholders and the sincere desire to help improve the lives of our patients…in other words, the spirit that got us all into this field in the first place!
Paul Massimiano, MD
MCSQI Chairman of the Board – 2018