3701-84-40 Patient selection/utilization.

(A) The provider of an open heart surgery service shall have established criteria that cardiologists and surgeons must utilize for the purposes of patient selection and appropriateness.

(B) All open heart surgery patient selection and appropriateness criteria shall be consistent with the 2011 American college of cardiology/American heart association (ACC/AHA) guideline update for coronary artery bypass graft surgery, available at www.cardiosource.org.

(C) Each open heart surgery service should meet a volume goal of at least two hundred and fifty open heart procedures per year by the second full year of operation to ensure efficiency and a minimum floor of competency.

(D) Volume goals shall be considered by the director in conjunction with other indicators of quality and not as the sole indicator of service performance.

(E) Failure to meet a volume goal for two consecutive years will trigger an extended review of the open heart surgery service by the director, including possible inspections.

(F) No minimum per surgeon volume is recommended, however, the combination of high risk adjusted mortality and low volume shall trigger a thorough internal review of an individual physician by the provider of the open heart surgery service.

Effective: 06/21/2012
R.C. 119.032 review dates: 04/05/2012 and 05/01/2017
Promulgated Under: 119.03
Statutory Authority: 3702.11, 3702.13
Rule Amplifies: 3702.11, 3702.12, 3702.13 , 3702.14, 3702.141, 3702.15, 3702.16, 3702.18, 3702.19, 3702.20
Prior Effective Dates: 3/20/1997, 3/24/03, 5/15/08