As per GOI’s circular on price-capping of stents by NPPA(National Pharmaceutical Pricing Authority), new prices of coronary stents have been implemented effective 14th February, 2017. For details on stent pricing, across our hospitals. CLICK HERE

Clinical Outcomes at Fortis Healthcare

Fortis Healthcare Limited, is one of the largest integrated, healthcare services provider in the country. Fortis 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.

To strengthen its core value of Patient Centricity, all Fortis hospitals continuously monitor and evaluate their clinical outcomes for multiple procedures and disciplines, namely:

  1. Coronary Artery Bypass Graft (CABG)
  2. Percutaneous Transluminal Coronary Angioplasty (PTCA)
  3. Kidney Transplant
  4. Total Knee Replacement
  5. Radiation Oncology
  6. Endoscopic Retrograde Cholangio Pancreatography (ERCP)
  7. Maternal and Child Health

 Clinical outcomes of more procedures are constantly being monitored and will be added in phases.

 

“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.

 

PERCUTANEOUS TRANSLUMINAL CORONARY ANGIOPLASTY (PTCA)

 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

 

    
             FEHI Vital Health Certificate
                         
     Interview - Thomas Kelly, ICHOM Head, Europe - Asia
           
         ICHOM implementation at Fortis

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%*
90-95%**
97%***

References:

Kidney Research, UK

** Kidney Foundation of Canada

** National Kidney Foundation, USA

 

Our Key Doctors