Alliance Physio Solutions, is one of the largest integrated, healthcare services provider in the country. Alliance aspires to drive clinical excellence through continuous improvement and enhancement of its clinical care and services.
Clinical Outcomes are the globally agreed upon, evidence based measurable changes in health or quality of life resulting from patient care. Reporting of outcomes and its continuous monitoring provides an opportunity for both assessing and improving quality of patient care.
“Fortis Escorts Heart Institute, Okhla is the first hospital in Asia to put validated ICHOM (International Consortium for Health Outcomes Measurement) results on our website and open to public audit and scrutiny. These outcome measures reaffirm our excellence in cardiac care comparable to the best in the world and constantly encourage us to deliver the highest level skills, expertise and patient care practices all round to give the ‘Best’ to our patients.”
-Dr. Ashok Seth, Padmabhusan awardee, Chairman & Chief Cardiologist, Fortis Escorts Heart Institute.
Jul’14 - Dec’14
Jan’15 -Jun’15
Jul’15 - Dec’15
Jan’16 -Jun’16
Benchmarks
Emergency CABG for failed procedure
0.07 %
0.06 %
0 %
0 %
1.2 %*
Vascular complication at puncture site requiring intervention (beyond simple compression)
0 %
0.06 %
0.07 %
0 %
1.1 %*
Acute vessel occlusion requiring emergency re-intervention
0 %
0 %
0 %
0.06 %
-
Post procedure neurological stroke
0 %
0.13 %
0.13 %
0.06 %
0.284 % **
Post procedure Renal failure requiring hemodialysis
0 %
0 %
0.07 %
0.13 %
-
Any Bleeding event requiring transfusion/intervention (within 72 hrs.)
0.07 %
0.06 %
0.07 %
0.51 %
4.0 %*
Delayed vascular complication at puncture site
0 %
0 %
0.07 %
0 %
-
Readmission with acute Myocardial Infarction within 30 days
0 %
0 %
0 %
0.13 %
-
Mortality during same hospital admission
0.26 %
0.97 %
0.26 %
1.34 %
1.7 %*
References:
* US National Registry Data 2013
** Cleveland Clinic Outcomes Report 2014
CORONARY ARTERY BYPASS GRAFT (CABG) |
Jul’14 - Dec’14 |
Jan’15 -Jun’15 |
Jul’15 - Dec’15 |
Jan’16 - Jun’16 |
Benchmarks |
Use of left Internal Thoracic Artery graft |
78.50 % |
77.36 % |
79.01 % |
80.25 % |
74.20%* |
Need for a Bail out Intra Aortic Balloon Pump (IABP) |
1.31 % |
0.99 % |
0.64 % |
0.31 % |
- |
Perioperative Myocardial Infarction |
0.16 % |
0.50 % |
0 % |
0 % |
0.96 %** |
Post procedure neurological stroke |
0 % |
0 % |
0.48 % |
3.40 % |
0.80 %* |
Need of Re-exploration surgery |
1.97 % |
3.31 % |
3.50 % |
0.46 % |
3.50 %* |
Deep sternal wound infection |
0.33 % |
0.50 % |
0 % |
0.15 % |
0.20 %* |
Predicted mortality (using Euroscore II) |
2.24 % |
2.21 % |
2.25 % |
2.20 % |
- |
Observed mortality |
2.30 % |
1.82 % |
2.54 % |
2.01 % |
- |
References:
* Cleveland Clinic Outcomes Report 2014
** Texas Heart Institute 2014
PERCUTANEOUS TRANSLUMINAL CORONARY ANGIOPLASTY (PTCA) |
Jan’16 -Jun’16 |
Jul’16 -Dec’16 |
Benchmarks |
Emergency CABG for failed procedure |
0.12 % |
0 % |
1.2 %* |
Vascular complication at puncture site requiring intervention (beyond simple compression) |
0.12 % |
0.24 % |
1.1 %* |
Acute vessel occlusion requiring emergency re-intervention |
0 % |
0 % |
- |
Post procedure neurological stroke |
0 % |
0 % |
0.284 % ** |
Post procedure Renal failure requiring hemodialysis |
0 % |
0 % |
- |
Any Bleeding event requiring transfusion/intervention (within 72 hrs.) |
0.12 % |
0 % |
4.0 %* |
Delayed vascular complication at puncture site |
0.12 % |
0 % |
- |
Readmission with acute Myocardial Infarction within 30 days |
0.12 % |
0 % |
- |
Mortality during same hospital admission |
2.02 % |
1.45 % |
1.7 %* |
References:
* US National Registry Data 2013
** Cleveland Clinic Outcomes Report 2014
CORONARY ARTERY BYPASS GRAFT (CABG) |
Jan’16 - Jun’16 |
Jul’16 - Dec’16 |
Benchmarks |
Use of left Internal Thoracic Artery graft |
72 % |
72.16 % |
74.20%* |
Need for a Bail out Intra Aortic Balloon Pump (IABP) |
7.97 % |
5.11 % |
- |
Perioperative Myocardial Infarction |
0 % |
0.85 % |
0.96 %** |
Post procedure neurological stroke |
0 % |
0 % |
0.80 %* |
Need of Re-exploration surgery |
0.27 % |
0.28 % |
3.50 %* |
Deep sternal wound infection |
2.2 % |
2.56 % |
0.20 %* |
Predicted mortality (using Euroscore II) |
6.83 % |
3.60 % |
- |
Observed mortality |
1.92 % |
0.57 % |
- |
References:
* Cleveland Clinic Outcomes Report 2014
** Texas Heart Institute 2014
PERCUTANEOUS TRANSLUMINAL CORONARY ANGIOPLASTY (PTCA) |
Jan’16 -Jun’16 |
Benchmarks |
Emergency CABG for failed procedure |
0.33 % | 1.2 %* |
Vascular complication at puncture site requiring intervention (beyond simple compression) |
0.65 % | 1.1 %* |
Acute vessel occlusion requiring emergency re-intervention |
0.65 % | - |
Post procedure neurological stroke |
0 % | 0.284 % ** |
Post procedure Renal failure requiring hemodialysis |
0.65 % | - |
Any Bleeding event requiring transfusion/intervention (within 72 hrs.) |
0.33 % | 4.0 %* |
Delayed vascular complication at puncture site |
0 % | - |
Readmission with acute Myocardial Infarction within 30 days |
0.33 % | - |
Mortality during same hospital admission |
1.63 % | 1.7 %* |
References:
* US National Registry Data 2013
** Cleveland Clinic Outcomes Report 2014
CORONARY ARTERY BYPASS GRAFT (CABG) |
Jan’16 - Jun’16 |
Benchmarks |
Use of left Internal Thoracic Artery graft |
85.48 % |
74.20%* |
Need for a Bail out Intra Aortic Balloon Pump (IABP) |
7.88 % |
- |
Perioperative Myocardial Infarction |
0.83 % |
0.96 %** |
Post procedure neurological stroke |
0 % |
0.80 %* |
Need of Re-exploration surgery |
1.24 % |
3.50 %* |
Deep sternal wound infection |
0.41 % |
0.20 %* |
Predicted mortality (using Euroscore II) |
2.07 % |
- |
Observed mortality |
2.07 % |
- |
References:
* Cleveland Clinic Outcomes Report 2014
** Texas Heart Institute 2014
CORONARY ARTERY BYPASS GRAFT (CABG) |
Jan’16 - Jun’16 |
Benchmarks |
Use of left Internal Thoracic Artery graft |
94.78 % |
74.20%* |
Need for a Bail out Intra Aortic Balloon Pump (IABP) |
1.30 % |
- |
Perioperative Myocardial Infarction |
0 % |
0.96 %** |
Post procedure neurological stroke |
0 % |
0.80 %* |
Need of Re-exploration surgery |
0.43 % |
3.50 %* |
Deep sternal wound infection |
0 % |
0.20 %* |
Predicted mortality (using Euroscore II) |
2.67 % |
- |
Observed mortality |
3.91 % |
- |
References:
* Cleveland Clinic Outcomes Report 2014
** Texas Heart Institute 2014
CORONARY ARTERY BYPASS GRAFT (CABG) |
Jan’16 - Jun’16 |
Benchmarks |
Use of left Internal Thoracic Artery graft |
94.65 % |
74.20%* |
Need for a Bail out Intra Aortic Balloon Pump (IABP) |
1.07 % |
- |
Perioperative Myocardial Infarction |
0.53 % |
0.96 %** |
Post procedure neurological stroke |
0.53 % |
0.80 %* |
Need of Re-exploration surgery |
2.67 % |
3.50 %* |
Deep sternal wound infection |
1.60 % |
0.20 %* |
Predicted mortality (using Euroscore II) |
1.99 % |
- |
Observed mortality |
5.35 % |
- |
References:
* Cleveland Clinic Outcomes Report 2014
** Texas Heart Institute 2014
PERCUTANEOUS TRANSLUMINAL CORONARY ANGIOPLASTY (PTCA) |
Jan’16 -Jun’16 |
Benchmarks |
Emergency CABG for failed procedure |
0.41 % |
1.2 %* |
Vascular complication at puncture site requiring intervention (beyond simple compression) |
0.41 % |
1.1 %* |
Acute vessel occlusion requiring emergency re-intervention |
0 % |
- |
Post procedure neurological stroke |
0 % |
0.284 % ** |
Post procedure Renal failure requiring hemodialysis |
0 % |
- |
Any Bleeding event requiring transfusion/intervention (within 72 hrs.) |
0 % |
4.0 %* |
Delayed vascular complication at puncture site |
0 % |
- |
Readmission with acute Myocardial Infarction within 30 days |
0 % |
- |
Mortality during same hospital admission |
1.23 % |
1.7 %* |
References:
* US National Registry Data 2013
** Cleveland Clinic Outcomes Report 2014
CORONARY ARTERY BYPASS GRAFT (CABG) |
Jan’16 - Jun’16 |
Benchmarks |
Use of left Internal Thoracic Artery graft |
96 % |
74.20%* |
Need for a Bail out Intra Aortic Balloon Pump (IABP) |
2.67 % |
- |
Perioperative Myocardial Infarction |
0 % |
0.96 %** |
Post procedure neurological stroke |
0 % |
0.80 %* |
Need of Re-exploration surgery |
0 % |
3.50 %* |
Deep sternal wound infection |
0 % |
0.20 %* |
Predicted mortality (using Euroscore II) |
1.48 % |
- |
Observed mortality |
0 % |
- |
References:
* Cleveland Clinic Outcomes Report 2014
** Texas Heart Institute 2014
Patient and Graft survival is the most accepted clinical outcome parameter for measuring success of a kidney transplant surgery. At Fortis, transplant recipients are followed up by means of consultations and checkups at regular basis to assess their general well-being and functioning of the transplanted kidney. The 1 year survival rate of our patients is mentioned below along with the international benchmarks.
Kidney transplant - One year patient survival rate
One year survival rate of Kidney Transplant patients |
Apr’14 - Mar’15 |
Apr’15 - Mar’16 |
Benchmarks |
One year survival |
94.87 % |
98.57 % |
90-95%* |
References:
* Kidney Research, UK
** Kidney Foundation of Canada
** National Kidney Foundation, USA
