1. Update on Cardiac Surgery at
St Francis
Robert Poston, MD
Chairman, Cardiothoracic Surgery

2. 0
0.5
1
1.5
2
2.5
3
3.5
Mortality Mortality and Morbidity
Outcomes for Heart
Bypass at St Francis
Feb ‘15 – March ‘16 (n=204)
15%
14.5
14
13.5
13
12.5
12
3%
2.5
2
1.5
1
0.5
0
Observed Expected
O/E
0.88
O/E
0.94

3. 0
0.2
0.4
0.6
0.8
1
1.2
1.4
1.6
1.8
stroke deep SWI
Highly Morbid Complications
After Bypass at St. Francis
Feb ‘15 to March ‘16 (n=204)
SFMC OLOL STS
0% 0%

4. 0
2
4
6
8
10
12
14
return to OR renal failure prolonged vent
Other Major Complications
After Bypass at St. Francis
Feb ‘15 to March ‘16 (n=204)
SFMC OLOL STS

5. 0
2
4
6
8
10
12
14
16
% receiving RBC
Blood Transfusions After
Bypass at St. Francis
Feb ’15 to March ‘16 (n=204)
SFMC OLOL STS
45%
42.5
40
37.5
35
32.5
30
27.5

6. 0
2
4
6
8
10
12
14
16
18
Mortality Mort&Morb
Outcomes for All Cardiac Surgical
Cases Done at St. Francis
Feb ‘15 to March ‘16 (n=247)
Observed Expected
O/E
1.25
O/E
0.96

8. Expectations
Time
Performance
Low
High
Low
High
Disillusionment
1st case …Nth case
Robotic program
introduced
Learning curve
Status quo
Life Cycle of Innovation