17:55 PM

Dr. Natalie Jayaram Awarded Grant to Study Characteristics for Congenital Heart Surgery Between Centers That Do and Do Not Publicly Report Outcomes

Natalie Jayaram, MD, Heart Center, was recently awarded a two-year, $267,724 KL2 Clinical Research Scholar grant from Frontiers: University of Kansas Clinical and Translational Science Institute.

Dr. Jayaram’s study will use data from the State Inpatient Database (SID) to compare the characteristics and the case-mix complexity for congenital heart surgery between centers that do and do not publicly report their outcomes. It will also determine the effects of public reporting over time on outcomes among those centers that voluntarily report outcomes for congenital heart surgery versus those that do not.

“In an era where the public demands increased transparency related to health care outcomes, both voluntary and mandatory public reporting are becoming increasingly common. Proponents of public reporting contend that it creates pressure to improve outcomes, while detractors suggest that it discourages providers from treating higher-risk patients who may benefit most from treatment. The data regarding the impact of public reporting on improving care, however, is mixed and whether or not public reporting clearly results in improved patient outcomes is not well understood,” Dr. Jayaram said. “It is thus critical to define the impact of public reporting on patient selection and outcomes and to define methods for transparent disclosure that minimize unintended consequences, while providing consumers with accurate and actionable data that helps them make informed decisions regarding their care.”

As Dr. Jayaram explains, congenital heart disease (CHD) is the most common type of congenital anomaly occurring in approximately 1% of all live births. She hopes that, through what is learned in her study, she can elevate the quality of care for children with CHD.

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Children’s Mercy Kansas City is ranked as one of “America's Best Children's Hospitals” in nine specialties rated by U.S. News & World Report and has received MagnetTM recognition for excellence in nursing services five consecutive times. With 386 licensed beds and a medical staff of more than 750 pediatric subspecialists, we care for children from all 50 states and from around the world. In addition, our leadership in pediatric genomic medicine and individualized pediatric therapeutics is driving research and innovation in neonatology, nephrology, endocrinology, gastroenterology, neurology, heart, cancer and other subspecialties to transform outcomes for children. Children’s Mercy also is nationally recognized for innovation in psychosocial care and creating a family-centered environment focused on the unique needs of hospitalized children and their families. Our love for children powers everything we do, inspiring our research, innovations and our everyday care. Because love has no limits. And with it, neither do we.