The following templates are available for your use when promoting STS Public Reporting three-star ratings. Templates are available for Adult Cardiac Surgery (AVR+CABG, isolated CABG, isolated AVR, MVRR+CABG, and isolated MVRR), and General Thoracic Surgery (lobectomy for lung cancer).

The Congenital Heart Surgery Database uses a "Better than expected," "As expected," or "Worse than expected" rating. 

If you have any questions, contact Director of Communications Kathy Cummings.

AVR+CABG Surgery

[STS NATIONAL DATABASE PARTICIPANT*] has earned a distinguished three-star rating from The Society of Thoracic Surgeons (STS) for its patient care and outcomes in aortic valve replacement (AVR) combined with coronary artery bypass grafting (CABG). The three-star rating, which denotes the highest category of quality, places [PARTICIPANT] among the elite for AVR+CABG surgery in the United States and Canada.

The STS star rating system is one of the most sophisticated and highly regarded overall measures of quality in health care, rating the benchmarked outcomes of cardiothoracic surgery programs in the United States and Canada. The star rating is calculated using a combination of quality measures for specific procedures performed by an STS Adult Cardiac Surgery Database participant.

Historically, approximately 4%–7% of participants receive the three-star rating for AVR+CABG surgery. The latest analysis of data for AVR+CABG surgery covers a 3-year period, from [MONTH/YEAR] to [MONTH/YEAR], and includes [NUMBER] participants. 

“The Society of Thoracic Surgeons congratulates STS National Database participants who have received three-star ratings,” said David M. Shahian, MD, chair of the Task Force on Quality Measurement. “Participation in the Database and public reporting demonstrates a commitment to quality improvement in health care delivery and provides patients and their families with meaningful information to help them make informed decisions about health care.”

The STS National Database was established in 1989 as an initiative for quality improvement and patient safety among cardiothoracic surgeons. The Database includes four components: the Adult Cardiac Surgery Database (ACSD), the Congenital Heart Surgery Database (CHSD), the General Thoracic Surgery Database (GTSD), and the mechanical circulatory support database (Intermacs). The STS ACSD houses approximately 6.9 million surgical records and gathers information from more than 3,800 participating physicians, including surgeons and anesthesiologists from more than 90% of hospitals that perform heart surgery in the US. STS public reporting online enables STS ACSD participants to voluntarily report to each other and the public their heart surgery scores and star ratings.

About STS

Founded in 1964, The Society of Thoracic Surgeons is a not-for-profit organization representing more than 7,700 cardiothoracic surgeons, researchers, and allied healthcare professionals worldwide who are dedicated to ensuring the best possible outcomes for surgeries of the heart, lung, and esophagus, as well as other surgical procedures within the chest. The Society’s mission is to enhance the ability of cardiothoracic surgeons to provide the highest quality patient care through education, research, and advocacy.

[*User note: An STS National Database “Participant” is a cardiothoracic surgeon or group of cardiothoracic surgeons who agree to submit case records for analysis and comparison with benchmarking data for quality improvement initiatives. At the option of the surgeon or surgical group, the Participant can include a hospital and/or associated anesthesiologists (ACSD and CHSD).]

A Word document of the AVR+CABG surgery template is available.

Isolated CABG Surgery

[STS NATIONAL DATABASE PARTICIPANT*] has earned a distinguished three-star rating from The Society of Thoracic Surgeons (STS) for its patient care and outcomes in isolated coronary artery bypass grafting (CABG) procedures. The three-star rating, which denotes the highest category of quality, places [PARTICIPANT] among the elite for heart bypass surgery in the United States and Canada.

The STS star rating system is one of the most sophisticated and highly regarded overall measures of quality in health care, rating the benchmarked outcomes of cardiothoracic surgery programs across the United States and Canada. The star rating is calculated using a combination of quality measures for specific procedures performed by an STS Adult Cardiac Surgery Database participant.

Approximately 20% of participants receive the three-star rating for isolated CABG surgery. The latest analysis of data for CABG surgery covers a 3-year period, from [MONTH/YEAR] to [MONTH/YEAR], and includes [NUMBER] participants. 

“The Society of Thoracic Surgeons congratulates STS National Database participants who have received three-star ratings,” said David M. Shahian, MD, chair of the Task Force on Quality Measurement. “Participation in the Database and public reporting demonstrates a commitment to quality improvement in health care delivery and helps provide patients and their families with meaningful information to help them make informed decisions about health care.”

The STS National Database was established in 1989 as an initiative for quality improvement and patient safety among cardiothoracic surgeons. The Database includes four components: the Adult Cardiac Surgery Database (ACSD), the Congenital Heart Surgery Database (CHSD), the General Thoracic Surgery Database (GTSD), and the mechanical circulatory support database (Intermacs). The STS ACSD houses approximately 6.9 million surgical records and gathers information from more than 3,800 participating physicians, including surgeons and anesthesiologists from more than 90% of groups that perform heart surgery in the US. STS public reporting online enables STS ACSD participants to voluntarily report to each other and the public their heart surgery scores and star ratings.

About STS

Founded in 1964, The Society of Thoracic Surgeons is a not-for-profit organization representing more than 7,700 cardiothoracic surgeons, researchers, and allied healthcare professionals worldwide who are dedicated to ensuring the best possible outcomes for surgeries of the heart, lung, and esophagus, as well as other surgical procedures within the chest. The Society’s mission is to enhance the ability of cardiothoracic surgeons to provide the highest quality patient care through education, research, and advocacy.

[*User note: An STS National Database “Participant” is a cardiothoracic surgeon or group of cardiothoracic surgeons who agree to submit case records for analysis and comparison with benchmarking data for quality improvement initiatives. At the option of the surgeon or surgical group, the Participant can include a hospital and/or associated anesthesiologists (ACSD and CHSD).]

A Word document of the isolated CABG surgery template is available.

Isolated AVR Surgery

[STS NATIONAL DATABASE PARTICIPANT*] has earned a distinguished three-star rating from The Society of Thoracic Surgeons (STS) for its patient care and outcomes in isolated aortic valve replacement (AVR) surgery. The three-star rating, which denotes the highest category of quality, places [PARTICIPANT] among the elite for AVR surgery in the United States and Canada.

The STS star rating system is one of the most sophisticated and highly regarded overall measures of quality in health care, rating the benchmarked outcomes of cardiothoracic surgery programs in the United States and Canada. The star rating is calculated using a combination of quality measures for specific procedures performed by an STS Adult Cardiac Surgery Database participant.

Historically, approximately 4%–8% of participants receive the three-star rating for isolated AVR surgery. The latest analysis of data for AVR surgery covers a 3-year period, from [MONTH/YEAR] to [MONTH/YEAR], and includes [NUMBER] participants. 

“The Society of Thoracic Surgeons congratulates STS National Database participants who have received three-star ratings,” said David M. Shahian, MD, chair of the Task Force on Quality Measurement. “Participation in the Database and public reporting demonstrates a commitment to quality improvement in health care delivery and helps provide patients and their families with meaningful information to help them make informed decisions about health care.”

The STS National Database was established in 1989 as an initiative for quality improvement and patient safety among cardiothoracic surgeons. The Database includes four components: the Adult Cardiac Surgery Database (ACSD), the Congenital Heart Surgery Database (CHSD), the General Thoracic Surgery Database (GTSD), and the mechanical circulatory support database (Intermacs). The STS ACSD houses approximately 6.9 million surgical records and gathers information from more than 3,800 participating physicians, including surgeons and anesthesiologists from more than 90% of groups that perform heart surgery in the US. STS Public Reporting Online enables STS ACSD participants to voluntarily report to each other and the public their heart surgery scores and star ratings.

About STS

Founded in 1964, The Society of Thoracic Surgeons is a not-for-profit organization representing more than 7,700 cardiothoracic surgeons, researchers, and allied healthcare professionals worldwide who are dedicated to ensuring the best possible outcomes for surgeries of the heart, lung, and esophagus, as well as other surgical procedures within the chest. The Society’s mission is to enhance the ability of cardiothoracic surgeons to provide the highest quality patient care through education, research, and advocacy.

[*User note: An STS National Database “Participant” is a cardiothoracic surgeon or group of cardiothoracic surgeons who agree to submit case records for analysis and comparison with benchmarking data for quality improvement initiatives. At the option of the surgeon or surgical group, the Participant can include a hospital and/or associated anesthesiologists (ACSD and CHSD).]

 A Word document of the isolated AVR surgery template is available.

MVRR+CABG Surgery

[STS NATIONAL DATABASE PARTICIPANT*] has earned a distinguished three-star rating from The Society of Thoracic Surgeons (STS) for its patient care and outcomes in mitral valve replacement and repair (MVRR) surgery combined with coronary artery bypass grafting (CABG). The three-star rating, which denotes the highest category of quality, places [PARTICIPANT] among the elite for MVRR+CABG surgery in the United States and Canada.

The STS star rating system is one of the most sophisticated and highly regarded overall measures of quality in health care, rating the benchmarked outcomes of cardiothoracic surgery programs in the United States and Canada. The star rating is calculated using a combination of quality measures for specific procedures performed by an STS Adult Cardiac Surgery Database participant.

The latest analysis of data for MVRR+CABG surgery covers a 3-year period, from [MONTH/YEAR] to [MONTH/YEAR], and includes [NUMBER] participants. 

“The Society of Thoracic Surgeons congratulates STS National Database participants who have received three-star ratings,” said David M. Shahian, MD, chair of the Task Force on Quality Measurement. "Participation in the Database and public reporting demonstrates a commitment to quality improvement in health care delivery and provides patients and their families with meaningful information to help them make informed decisions about health care.”

The STS National Database was established in 1989 as an initiative for quality improvement and patient safety among cardiothoracic surgeons. The Database includes four components: the Adult Cardiac Surgery Database (ACSD), the Congenital Heart Surgery Database (CHSD), the General Thoracic Surgery Database (GTSD), and the mechanical circulatory support database (Intermacs). The STS ACSD houses approximately 6.9 million surgical records and gathers information from more than 3,800 participating physicians, including surgeons and anesthesiologists from more than 90% of hospitals that perform heart surgery in the US. STS public reporting online enables STS ACSD participants to voluntarily report to each other and the public their heart surgery scores and star ratings.

About STS
Founded in 1964, The Society of Thoracic Surgeons is a not-for-profit organization representing more than 7,700 cardiothoracic surgeons, researchers, and allied healthcare professionals worldwide who are dedicated to ensuring the best possible outcomes for surgeries of the heart, lung, and esophagus, as well as other surgical procedures within the chest. The Society’s mission is to enhance the ability of cardiothoracic surgeons to provide the highest quality patient care through education, research, and advocacy.

[*User note: An STS National Database “Participant” is a cardiothoracic surgeon or group of cardiothoracic surgeons who agree to submit case records for analysis and comparison with benchmarking data for quality improvement initiatives. At the option of the surgeon or surgical group, the Participant can include a hospital and/or associated anesthesiologists (ACSD and CHSD).]

A Word document of the MVRR+CABG template is available.

Isolated MVRR Surgery

[STS NATIONAL DATABASE PARTICIPANT*] has earned a distinguished three-star rating from The Society of Thoracic Surgeons (STS) for its patient care and outcomes in isolated mitral valve replacement and repair (MVRR) surgery. The three-star rating, which denotes the highest category of quality, places [PARTICIPANT] among the elite for MVRR surgery in the United States and Canada.

The STS star rating system is one of the most sophisticated and highly regarded overall measures of quality in health care, rating the benchmarked outcomes of cardiothoracic surgery programs in the United States and Canada. The star rating is calculated using a combination of quality measures for specific procedures performed by an STS Adult Cardiac Surgery Database participant. 

The latest analysis of data for MVRR surgery covers a 3-year period, from [MONTH/YEAR] to [MONTH/YEAR], and includes [NUMBER] participants. 

“The Society of Thoracic Surgeons congratulates STS National Database participants who have received three-star ratings,” said David M. Shahian, MD, chair of the Task Force on Quality Measurement. “Participation in the Database and public reporting demonstrates a commitment to quality improvement in health care delivery and helps provide patients and their families with meaningful information to help them make informed decisions about health care.”

The STS National Database was established in 1989 as an initiative for quality improvement and patient safety among cardiothoracic surgeons. The Database includes four components: the Adult Cardiac Surgery Database (ACSD), the Congenital Heart Surgery Database (CHSD), the General Thoracic Surgery Database (GTSD), and the mechanical circulatory support database (Intermacs). The STS ACSD houses approximately 6.9 million surgical records and gathers information from more than 3,800 participating physicians, including surgeons and anesthesiologists from more than 90% of groups that perform heart surgery in the US. STS Public Reporting Online enables STS ACSD participants to voluntarily report to each other and the public their heart surgery scores and star ratings.

About STS
Founded in 1964, The Society of Thoracic Surgeons is a not-for-profit organization representing more than 7,700 cardiothoracic surgeons, researchers, and allied healthcare professionals worldwide who are dedicated to ensuring the best possible outcomes for surgeries of the heart, lung, and esophagus, as well as other surgical procedures within the chest. The Society’s mission is to enhance the ability of cardiothoracic surgeons to provide the highest quality patient care through education, research, and advocacy.

[*User note: An STS National Database “Participant” is a cardiothoracic surgeon or group of cardiothoracic surgeons who agree to submit case records for analysis and comparison with benchmarking data for quality improvement initiatives. At the option of the surgeon or surgical group, the Participant can include a hospital and/or associated anesthesiologists (ACSD and CHSD).]

A Word document of the isolated MVRR template is available.

Congenital Heart Surgery

Recent data analysis of The Society of Thoracic Surgeons (STS) Congenital Heart Surgery Database (CHSD) shows that [STS NATIONAL DATABASE PARTICIPANT*] has achieved better than expected outcomes for their case mix. A hospital's case mix considers different patient factors such as age, weight, procedure types, and existing health conditions (e.g., prior heart operations, non-cardiac congenital abnormalities, chromosomal abnormalities, syndromes, and preoperative risk factors). Some hospitals may treat more patients with more complicated and higher-risk conditions than other hospitals and, therefore, operate on patients with a lower chance of survival.

CHSD participants’ performance is calculated based on overall risk-adjusted operative mortality for all patients undergoing pediatric and/or congenital heart surgery performed by an STS CHSD participant.

Historically, approximately 16% of participants have better than expected outcomes for congenital heart surgery. The latest analysis of data for congenital heart surgery covers a 4-year period, from [MONTH/YEAR] to [MONTH/YEAR], and includes [NUMBER] participants. 

“The Society of Thoracic Surgeons congratulates STS National Database participants who achieve better than expected outcomes,” said David M. Shahian, MD, chair of the Task Force on Quality Measurement. “Participation in the Database and public reporting demonstrates a commitment to quality improvement in health care delivery and helps provide patients and their families with meaningful information to help them make informed decisions about health care.”

The STS National Database was established in 1989 as an initiative for quality improvement and patient safety among cardiothoracic surgeons. The Database includes four components: the Adult Cardiac Surgery Database (ACSD), the Congenital Heart Surgery Database (CHSD), the General Thoracic Surgery Database (GTSD), and the mechanical circulatory support database (Intermacs). The CHSD contains more than 650,000 congenital heart surgery operations and has more than 1,100 participating physicians, including surgeons and anesthesiologists, from more than 95% of the hospitals that perform congenital surgery in the US. STS public reporting online enables STS CHSD participants to voluntarily report to each other and the public their heart surgery scores and star ratings.

About STS

Founded in 1964, The Society of Thoracic Surgeons is a not-for-profit organization representing more than 7,700 cardiothoracic surgeons, researchers, and allied healthcare professionals worldwide who are dedicated to ensuring the best possible outcomes for surgeries of the heart, lung, and esophagus, as well as other surgical procedures within the chest. The Society’s mission is to enhance the ability of cardiothoracic surgeons to provide the highest quality patient care through education, research, and advocacy.

[*User note: An STS National Database “Participant” is a cardiothoracic surgeon or group of cardiothoracic surgeons who agree to submit case records for analysis and comparison with benchmarking data for quality improvement initiatives. At the option of the surgeon or surgical group, the Participant can include a hospital and/or associated anesthesiologists (ACSD and CHSD).] 

A Word document of the congenital heart surgery template is available.

Resection for Primary Lung Cancer

[STS NATIONAL DATABASE PARTICIPANT*] has earned a distinguished three-star rating from The Society of Thoracic Surgeons (STS) for its patient care and lung cancer resection outcomes. The three-star rating, which denotes the highest category of quality, places [PARTICIPANT] among the elite for general thoracic surgery in the United States and Canada.

The STS star rating system is one of the most sophisticated and highly regarded overall measures of quality in health care, rating the benchmarked outcomes of cardiothoracic surgery programs in the United States and Canada. The General Thoracic Surgery Database (GTSD) star ratings are derived by testing whether the participant's composite or domain score is significantly different from the overall STS average for primary lung cancer resections performed by GTSD participants.  

STS General Thoracic Surgery Public Reporting offers a comparison of GTSD and national outcomes, demonstrating the high performance of GTSD participants. The latest analysis of data for lung cancer resection covers a 3-year period, from [MONTH/YEAR] to [MONTH/YEAR], and includes [NUMBER] participants.

“The Society of Thoracic Surgeons congratulates STS National Database participants who have received three-star ratings,” said David M. Shahian, MD, chair of the Task Force on Quality Measurement. “Participation in the Database and public reporting demonstrates a commitment to quality improvement in health care delivery and provides patients and their families with meaningful information to help them make informed decisions about health care.”

The STS National Database was established in 1989 as an initiative for quality improvement and patient safety among cardiothoracic surgeons. The Database includes four components: the Adult Cardiac Surgery Database (ACSD), the Congenital Heart Surgery Database (CHSD), the GTSD, and the mechanical circulatory support database (Intermacs).

The GTSD—the largest and most robust clinical thoracic surgical database in the United States and Canada—contains more than 800,000 general thoracic surgery procedure records and has more than 900 participating physicians. Over 60% of GTSD participants are currently enrolled in public reporting.

About STS

Founded in 1964, The Society of Thoracic Surgeons is a not-for-profit organization representing more than 7,700 cardiothoracic surgeons, researchers, and allied healthcare professionals worldwide who are dedicated to ensuring the best possible outcomes for surgeries of the heart, lung, and esophagus, as well as other surgical procedures within the chest. The Society’s mission is to enhance the ability of cardiothoracic surgeons to provide the highest quality patient care through education, research, and advocacy.

[*User note: An STS National Database “Participant” is a cardiothoracic surgeon or group of cardiothoracic surgeons who agree to submit case records for analysis and comparison with benchmarking data for quality improvement initiatives. At the option of the surgeon or surgical group, the Participant can include a hospital and/or associated anesthesiologists (ACSD and CHSD).]

A Word document of the lobectomy for lung cancer template is available.

The information included in this section was last updated December 2021.