Principal Investigator	PI Home Department	Source of Support	Dates	Total Cost
Zhongmin Li, Ph.D.	CHSRPC	OSHPD	5/1/2004 - 6/30/2007	$1,717,676

The CABG Project has been charged to do the following: 1) assist OSHPD in clinical data collection and validation; 2) use California CABG clinical data 2000-2002, collected under the California CABG Mortality Reporting Program, to develop a public report of hospital-level adjusted mortality rates; 3) use multiple years of CABG data to conduct multilevel analyses on volume-outcome relationships; 4) use the CCORP 2003, 2004 and 2005 data to create annual hospital-level public reports on risk-adjusted mortality rates for all California hospitals that performed CABG surgery; 5) use CCORP 2003-2004 data to develop public report of surgeon-level risk adjusted mortality rates; 6) use CCMRP, CCORP, and hospital administrative data to study the impact of public reporting on CABG outcomes in California; 7) evaluate preliminary complication measures for public reporting; 8) evaluate adequacy and appropriateness of using process measures for public reporting; and 9) study appropriateness of CABG surgery. The first year of the project involved the development of the public report, which includes CABG outcomes data from 77 hospitals who volunteered in reporting. Of these, 60 performed "as expected", 8 performed "better than expected", and 9 performed "worse than expected" after adjusting for the clinical severity of their patients. The 2000-2002 report tracks 73 percent of CABG surgeries performed in California's hospitals and shows that volunteer hospitals perform better as do hospitals with higher surgery volume (> 200 per year). As of 2006, surgeon-specific risk adjusted mortality rates will be added to the annual public report.