The purpose of this assignment is to provide students with an opportunity to analyze data that was collected by the New York State Department of Health for all Isolated Coronary Artery Bypass Graft (CABG) procedures that occurred during 2011 thru 2013.
Assignment Instructions:
1. Read the Cardiac Case
Actions and the article “Adult Cardiac Surgery in New York State”Actions. Pay particular attention to Table 6 (Page 25) of this article, where data for each surgeon is presented.
2. After you have completed reading the article mentioned above, open up the Excel file that is called “Analyzing Cardiac Surgery Data Download Analyzing Cardiac Surgery DataOpen this document with ReadSpeaker docReader”. This is essentially the data that you see in the article. I have removed all surgeons who did less than 10 procedures at any hospital. I have also removed the category of surgeons called “All Others” which you see in Table 6 of the article referenced above.
3. Based on the data that is presented in “Analyzing Cardiac Surgery Data”, please submit your Written Assignment
ActionsAnalyzing Cardiac Surgery Data – New York State – 2011 – 2013. Please remember: Questions 5 and 6 do not have a “right/wrong” answer. These questions require you to do some analysis and to think about different alternatives when analyzing the data.
4. Please submit your Excel file template you analyzed/manipulated/created Pivot Tables for as part of the Written Assignment here.
WrttenAssignment-1.docx
technical-assignment-week-04-cardiac-surgery-new-york-state-2011-2013.xlsx
CardiacCase.pptx
reading-assignment-week-04-adult-cardiac-surgery-ny-2011-2013.pdf
Rutgers Department of Health Informatics
School of Health Professions Health Information Management Program
BINF 5520 Health Data Analytics
Analyzing Cardiac Surgery Data New York State 2011 – 2013.
The purpose of this assignment is to provide students with an opportunity to analyze data that was collected by the New York State Department of Health for all Isolated Coronary Artery Bypass Graft (CABG) procedures that occurred during 2011 thru 2013. To complete this assignment, do the following:
1. Read the article that is on Canvas as “Adult Cardiac Surgery in New York State 2011-2013”. Pay particular attention to Table 6 (Page 25) of this article where the data for each surgeon is presented.
2. After you have completed reading the article mentioned above, open up the Excel file that is on Canvas called “Analyzing Cardiac Surgery Data”. This is essentially the date that you see in the article. I have removed all surgeons who did less than 10 procedures at any hospital. I have also removed the category of surgeons called “All Others” which you see in Table 6 of the article referenced above.
3. Based on the data that is presented in “Analyzing Cardiac Surgery Data”, please answer the following questions:
1) How many surgeons who performed 200 or more procedures during the time-period in Question had five or fewer deaths within 30 days of surgery?
2) Please create a Pivot Table, which summarizes the data, using the Hospital Name as the Row Label, the Region as the Column Label and the Sum of Cases as the Value. Which Region, Upstate or Downstate, performed more Open Heart Procedures?
3) Please create a Pivot Table, which summarizes the data using the Surgeon Name as the Row Label, the Hospital Name as the second Row Label and the Sum of Cases as the Value. You do not need to provide a Column Label. How many surgeons performed Open Heart Procedures in more than one hospital?
Analyzing Open Heart Risk Stratification Data (Continued)
4) Does the definition of the Risk Adjusted Mortality Rate (RARM), that is discussed on page 4 of the reading assignment make intuitive sense to you as an observer of this data?
5) Does the use of a 30-day window for calculating the Risk Adjusted Mortality Rate seem to you to be a useful metric for rating surgeons and/or hospitals?
6) Based on the data presented here, which surgeon and hospital would you advise your 65 year old family member, who had a number of different pre-operative risk factors (see page 13 for discussion of the calculation of a risk-adjusted mortality rate) to perform the isolated CABG procedure?
,
Data
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Hospital
Surgeon
Cases
Deaths
OMR
EMR
RAMR
Region
Albany Medical Center
Akujuo A
46
0
0.00
2.25
0.00
Upstate
Albany Medical Center
Bennett E
65
0
0.00
1.33
0.00
Upstate
Albany Medical Center
Britton L
162
1
0.62
1.94
0.48
Upstate
Albany Medical Center
Depan H
241
2
0.83
2.17
0.58
Upstate
Albany Medical Center
Miller S
177
4
2.26
1.82
1.88
Upstate
Arnot Ogden Medical Center
Balsam L
129
1
0.78
0.94
1.24
Upstate
Arnot Ogden Medical Center
Deanda A
112
3
2.68
0.81
4.97
Upstate
Arnot Ogden Medical Center
Loulmet D
24
1
4.17
1.04
6.05
Upstate
Arnot Ogden Medical Center
Nast E
127
1
0.79
1.45
0.82
Upstate
Arnot Ogden Medical Center
Raudat C
96
3
3.13
1.58
2.98
Upstate
Bassett Hospital
Kelley J
131
2
1.53
1.45
1.59
Upstate
Bassett Hospital
Lancey R
92
0
0.00
1.61
0.00
Upstate
Buffalo General Hospital
Aldridge J
109
6
5.50
1.45
5.71
Upstate
Buffalo General Hospital
Ashraf M
325
6
1.85
1.31
2.13
Upstate
Buffalo General Hospital
Grosner G
659
10
1.52
1.40
1.64
Upstate
Champlain Valley Hospital
Cahill A
173
3
1.73
1.16
2.25
Upstate
Champlain Valley Hospital
El Amir
14
0
0.00
0.78
0.00
Upstate
Ellis Hospital
Choumarov K
224
2
0.89
1.26
1.07
Upstate
Ellis Hospital
Reich H
110
2
1.82
1.37
2.00
Upstate
Ellis Hospital
Singh C
193
1
0.52
1.44
0.54
Upstate
Erie County Medical Center
Downing S
154
0
0.00
1.29
0.00
Upstate
Good Samaritan Hospital
Lundy E
144
1
0.69
1.62
0.65
Downstate
Good Samaritan Hospital
Salenger R
160
2
1.25
1.29
1.46
Downstate
Lenox Hill Hospital
Patel N
556
4
0.72
1.22
0.89
Downstate
Lenox Hill Hospital
Plestis K
67
3
4.48
1.34
5.05
Downstate
Lenox Hill Hospital
Subramanian V
95
2
2.11
2.38
1.34
Downstate
Long Island Jewish Medical Center
Graver L
186
3
1.61
1.76
1.38
Downstate
Long Island Jewish Medical Center
Palazzo R
167
0
0.00
1.28
0.00
Downstate
Long Island Jewish Medical Center
Scheinerman S
135
1
0.74
2.02
0.55
Downstate
Maimonides Medical Center
Abrol S
131
1
0.76
2.00
0.58
Downstate
Maimonides Medical Center
Crooke G
86
2
2.33
1.81
1.94
Downstate
Maimonides Medical Center
Jacobowitz I
269
2
0.74
2.06
0.54
Downstate
Maimonides Medical Center
Ribakove G
84
2
2.38
2.24
1.60
Downstate
Maimonides Medical Center
Saunders P
50
1
2.00
1.46
2.07
Downstate
Maimonides Medical Center
Stephens G
37
0
0.00
1.38
0.00
Downstate
Maimonides Medical Center
Vaynblat M
135
1
0.74
1.52
0.73
Downstate
Mercy Hospital
Bell-Thomson J
394
7
1.78
1.37
1.95
Upstate
Mercy Hospital
Downing S
250
5
2.00
1.50
2.01
Upstate
Mercy Hospital
Lico S
342
4
1.17
1.33
1.32
Upstate
Millard Fillmore Hospital
Aldridge J
17
0
0.00
1.15
0.00
Upstate
Millard Fillmore Hospital
Ashraf M
250
2
0.80
1.46
0.83
Upstate
Montefiore – Weiler Campus
Bello R
183
0
0.00
1.40
0.00
Downstate
Montefiore – Weiler Campus
Derose J
292
3
1.03
1.17
1.33
Downstate
Montefiore – Weiler Campus
Goldstein D
51
0
0.00
1.34
0.00
Downstate
Montefiore Moses Campus
Bello R
10
0
0.00
2.36
0.00
Downstate
Montefiore Moses Campus
Dallesandro D
216
2
0.93
1.29
1.08
Downstate
Montefiore Moses Campus
Derose J
26
0
0.00
2.06
0.00
Downstate
Montefiore Moses Campus
Goldstein D
124
2
1.61
1.29
1.89
Downstate
Montefiore Moses Campus
Jakobleff W
105
3
2.86
1.28
3.38
Downstate
Montefiore Moses Campus
Michler R
83
0
0.00
1.10
0.00
Downstate
Mount Sinai – Beth Israel Campus
Geller C
56
0
0.00
1.73
0.00
Downstate
Mount Sinai – Beth Israel Campus
Hoffman D
149
2
1.34
1.04
1.94
Downstate
Mount Sinai – Beth Israel Campus
Tranbaugh R
250
2
0.80
0.96
1.25
Downstate
Mount Sinai – St Lukes Campus
Balaram S
80
1
1.25
2.07
0.91
Downstate
Mount Sinai – St Lukes Campus
Swistel D
258
4
1.55
1.82
1.28
Downstate
Mount Sinai Medical Center
Adams D
17
0
0.00
0.82
0.00
Downstate
Mount Sinai Medical Center
Anyanwu A
48
2
4.17
1.34
4.70
Downstate
Mount Sinai Medical Center
Chikwe J
154
2
1.30
1.08
1.81
Downstate
Mount Sinai Medical Center
Filsoufi F
269
3
1.12
1.03
1.63
Downstate
Mount Sinai Medical Center
Milla F
58
0
0.00
1.04
0.00
Downstate
Mount Sinai Medical Center
Reddy R
306
7
2.29
1.30
2.65
Downstate
Mount Sinai Medical Center
Stelzer P
44
1
2.27
0.88
3.91
Downstate
Mount Sinai Medical Center
Tannous H
56
0
0.00
0.89
0.00
Downstate
Mount Sinai Medical Center
Varghese R
46
0
0.00
0.57
0.00
Downstate
North Shore University Hospital
Esposito R
267
1
0.37
1.45
0.39
Downstate
North Shore University Hospital
Hall M
189
2
1.06
1.74
0.92
Downstate
North Shore University Hospital
Hartman A
34
0
0.00
1.33
0.00
Downstate
North Shore University Hospital
Kalimi R
78
2
2.56
1.66
2.32
Downstate
North Shore University Hospital
Pogo G
162
5
3.09
1.81
2.58
Downstate
North Shore University Hospital
Vatsia S
192
5
2.60
1.55
2.53
Downstate
NY Methodist Hospital
Gulkarov I
80
0
0.00
1.21
0.00
Downstate
NY Methodist Hospital
Tortolani A
135
3
2.22
1.13
2.97
Downstate
NYP-Columbia Presbyterian
Argenziano M
185
2
1.08
0.93
1.75
Downstate
NYP-Columbia Presbyterian
Naka Y
242
2
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