Challenges in outlier surgeon assessment in the era of public reporting
Aortic Valve Insufficiency
Blood Vessel Prosthesis Implantation
Organ Sparing Treatments
Reconstructive Surgical Procedures
Sinus of Valsalva
The choices of outlier assessment method, time window for assessment and data aggregation have an intertwined impact on detecting outlier surgeons, often representing different value assumptions toward patient protection and provider penalty. It is desirable to use different methods as sensitivity analyses, avoid aggregating procedures and avoid rare-event endpoints if possible.