Department of Urology | Outcomes

Ureteral implantation: Big data show best-in-class outcomes

Tracking surgical outcomes is part of Boston Children’s Hospital’s clinical fabric.

Our nationally recognized Program for Patient Safety and Quality (PPSQ) utilizes a scientifically sound, clinically driven data management strategy to monitor and track clinical outcomes.

PPSQ data show Boston Children’s Urology Department, part of the #1-ranked children's hospital by U.S.News & World Report, has an A+ ranking (success rates of 99 percent or better) for ureteral implantation for primary vesicoureteral reflux.

"From a practical standpoint, all of us want to know that the treatments and procedures that we perform and prescribe are having the desired effect. Here at Boston Children’s, we have the data and they show our ureteral implantation success rates have been consistently excellent,” says Caleb P. Nelson, MD, MPH, pediatric urologist and director, Quality and Patient Safety, for the Department of Urology.

"We track everything prospectively, and our data show that, if you are going to have surgery, you have a very high probability of success if you have the procedure at the Boston Children’s Department of Urology,” he says.

Outcomes data trail

At Boston Children’s, urology surgical outcome data are stratified by complexity and surgeon, collected and stored via a database management system, then analyzed.

"All implants for primary VUR are flagged, post-operative cystograms are reviewed, and we then identify those patients with resolution of VUR after surgery."

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Click to expand

This chart is an example of results data for open anti-reflux surgery stratified by attending surgeon, with success determined by results on post-operative cystogram.

According to Nelson, Boston Children’s ureteral implantation success rates, coupled with the quality and safety data produced, sets Boston Children’s apart from other children’s hospitals.

"We are actively and prospectively tracking clinical outcomes, and there are very few places that I am aware of, assessing hospital-wide performances like this,” he says.

High standards and commitment to excellence

At Boston Children’s Hospital, we believe that referring physicians deserve to know whether the hospital they recommend meets the highest standards and is committed to excellence.

As a way of measuring and improving our quality and safety, Boston Children’s adopted the Institute of Medicine’s definition of high-quality care, which supports principles of:

  • safety
  • effectiveness
  • patient-centeredness
  • timeliness
  • efficiency
  • equitability

In addition to our quality and outcomes initiatives designed to grade hospital-wide performance, there are a number of national and state organizations that report Boston Children’s performance publicly, including Leapfrog, American Nurses Credentialing Center and more.

Boston Children’s Hospital has been:

  • named one of Leapfrog’s “Top Hospitals” based on quality, safety and efficiency
  • awarded Magnet status for nursing excellence by the American Nurses Credentialing Center (ANCC).  Only 6 percent of hospitals in the country have achieved this status.
  • ranked #1 pediatric hospital in the nation by U.S. News & World Report, 2014-15 and ranked top children’s hospital in the country for urology
  • named a recipient of the 2011 Path to Excellence award by NRC Picker (NRCP), a division of National Research Corporation

For information about ureteral implantation or to refer a patient to Boston Children’s Urology Department, please call us at 617-355-7796 option 1.