Difference between revisions of "ACS-NSQIP"
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| − | The American College of Surgeons National Surgical Quality Improvement Program (ACS NSQIP) is a nationally validated, risk–adjusted, outcomes-based program to measure and improve the quality of surgical care that was created in 2004(1). The idea followed a concept that originated in the Veterans Affairs (VA) Hospital System in 1991 where it showed a 31% decrease in 30-day | + | The American College of Surgeons National Surgical Quality Improvement Program (ACS NSQIP) is a nationally validated, risk–adjusted, outcomes-based program to measure and improve the quality of surgical care that was created in 2004(1). The idea followed a concept that originated in the Veterans Affairs (VA) Hospital System in 1991 where it showed a 31% decrease in 30-day mortality(2). Recently, a three-year review shows that ACS NSQIP improves risk-adjusted mortality in 66% of the hospitals and improves risk-adjusted morbidity in 82% of the hospitals(3). |
| − | The program quantifies 30-day risk adjusted surgical outcomes and allows comparison among participating hospitals (more than 200 currently in the private sector). The outcomes data collected by a clinical nurse include mortalities and 21 morbidity categories including cardiac, wound, respiratory and urinary tract. | + | |
| + | The program quantifies 30-day risk adjusted surgical outcomes and allows comparison among participating hospitals (more than 200 currently in the private sector). The outcomes data collected by a clinical nurse include mortalities and 21 morbidity categories including cardiac, wound, respiratory and urinary tract. | ||
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The voluntary enrollment requires annual fees but provides comprehensive reports that allow the participating institution to compare their surgical outcomes with those of other hospitals. The report does not provide outcomes by specific surgeon but the data is available if the institution wishes to perform internal reviews. | The voluntary enrollment requires annual fees but provides comprehensive reports that allow the participating institution to compare their surgical outcomes with those of other hospitals. The report does not provide outcomes by specific surgeon but the data is available if the institution wishes to perform internal reviews. | ||
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The institutions can select from a variety of options including: general and vascular surgery, multiple surgical subspecialties, the Centers for Medicare and Medicare Services Surgical Care Improvement Project (CMS SCIP) and the American College of Surgeons Bariatric Surgery Center Network Accreditation Program (ACS BSCN). In addition, low and high volume categories are available. | The institutions can select from a variety of options including: general and vascular surgery, multiple surgical subspecialties, the Centers for Medicare and Medicare Services Surgical Care Improvement Project (CMS SCIP) and the American College of Surgeons Bariatric Surgery Center Network Accreditation Program (ACS BSCN). In addition, low and high volume categories are available. | ||
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The success of the program seems to rely on the identification and diffusion of best practices from well-performing institutions to less efficient hospitals(2). Further study is needed to address how this information is used for quality improvement. In addition, current limitations of the program include its bias toward academic institutions and the general and vascular surgery fields. | The success of the program seems to rely on the identification and diffusion of best practices from well-performing institutions to less efficient hospitals(2). Further study is needed to address how this information is used for quality improvement. In addition, current limitations of the program include its bias toward academic institutions and the general and vascular surgery fields. | ||
References. | References. | ||
1.ACS NSQIP website. https://acsnsqip.org/main/resources_information_packet.pdf (accessed Nov 18, 2009). | 1.ACS NSQIP website. https://acsnsqip.org/main/resources_information_packet.pdf (accessed Nov 18, 2009). | ||
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2.The NSQIP: A new frontier in surgery. Khuri-SF. Surgery;138:837-43. | 2.The NSQIP: A new frontier in surgery. Khuri-SF. Surgery;138:837-43. | ||
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3.Does Surgical Quality Improve in the American College of Surgeons National Surgical Quality Improvement Program. An evaluation of all participating hospitals. Hall-BL et al. Ann Surg 2009;250:363-376. | 3.Does Surgical Quality Improve in the American College of Surgeons National Surgical Quality Improvement Program. An evaluation of all participating hospitals. Hall-BL et al. Ann Surg 2009;250:363-376. | ||
Revision as of 23:03, 21 November 2009
The American College of Surgeons National Surgical Quality Improvement Program (ACS NSQIP) is a nationally validated, risk–adjusted, outcomes-based program to measure and improve the quality of surgical care that was created in 2004(1). The idea followed a concept that originated in the Veterans Affairs (VA) Hospital System in 1991 where it showed a 31% decrease in 30-day mortality(2). Recently, a three-year review shows that ACS NSQIP improves risk-adjusted mortality in 66% of the hospitals and improves risk-adjusted morbidity in 82% of the hospitals(3).
The program quantifies 30-day risk adjusted surgical outcomes and allows comparison among participating hospitals (more than 200 currently in the private sector). The outcomes data collected by a clinical nurse include mortalities and 21 morbidity categories including cardiac, wound, respiratory and urinary tract.
The voluntary enrollment requires annual fees but provides comprehensive reports that allow the participating institution to compare their surgical outcomes with those of other hospitals. The report does not provide outcomes by specific surgeon but the data is available if the institution wishes to perform internal reviews.
The institutions can select from a variety of options including: general and vascular surgery, multiple surgical subspecialties, the Centers for Medicare and Medicare Services Surgical Care Improvement Project (CMS SCIP) and the American College of Surgeons Bariatric Surgery Center Network Accreditation Program (ACS BSCN). In addition, low and high volume categories are available.
The success of the program seems to rely on the identification and diffusion of best practices from well-performing institutions to less efficient hospitals(2). Further study is needed to address how this information is used for quality improvement. In addition, current limitations of the program include its bias toward academic institutions and the general and vascular surgery fields.
References. 1.ACS NSQIP website. https://acsnsqip.org/main/resources_information_packet.pdf (accessed Nov 18, 2009).
2.The NSQIP: A new frontier in surgery. Khuri-SF. Surgery;138:837-43.
3.Does Surgical Quality Improve in the American College of Surgeons National Surgical Quality Improvement Program. An evaluation of all participating hospitals. Hall-BL et al. Ann Surg 2009;250:363-376.
Submitted by G Vinces
