slide1
Download
Skip this Video
Download Presentation
American College of Surgeons

Loading in 2 Seconds...

play fullscreen
1 / 38

American College of Surgeons - PowerPoint PPT Presentation


  • 178 Views
  • Uploaded on

American College of Surgeons. What ACS NSQIP Is. ______________________________. Web-Based data collection program Quality improvement tool National Benchmarking Surgical outcomes data. Current Participants. Number of Participating Sites by State and Region (487). CANADA 28.

loader
I am the owner, or an agent authorized to act on behalf of the owner, of the copyrighted work described.
capcha
Download Presentation

PowerPoint Slideshow about ' American College of Surgeons' - gratia


An Image/Link below is provided (as is) to download presentation

Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author.While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server.


- - - - - - - - - - - - - - - - - - - - - - - - - - E N D - - - - - - - - - - - - - - - - - - - - - - - - - -
Presentation Transcript
slide2

What ACS NSQIP Is

______________________________

  • Web-Based data collection program
  • Quality improvement tool
  • National Benchmarking
  • Surgical outcomes data
current participants
Current Participants

Number of Participating Sites by State and Region (487)

CANADA 28

November 2012

5

MIDWEST 87

13

4

9

2

9

1

8

15

1

29

11

15

8

3

15

4

10

9

18

10

NORTHEAST

3

55

9

95

10

9

5

11

24

3

11

2

WEST 98

3

ABU DHABI , UAE 1

66

LEBANON 1

SOUTH 176

1

7

______________________________

2

2

2

1

1

2

2

1

LONDON, ENGLAND 1

25

slide4
Clinically Rich Data

Web-Based Workstation

Private & Secure Data Encryption

On-line Training & Certification of SCR’s

Real-time reports access & Semi-annual reports

On-line Return of Investment (ROI) Calculator

Best Practices (Expert panel rated guidelines)

Improvement Case Studies

Pre-operative Surgical Risk Calculator

Participant Use File (PUF)

Product Features

_____________________________

slide5

Program Staffing

______________________________

Surgeon Champion (SC)

    • Program Mentor/Advocate

Surgical Clinical Reviewer (SCR)

    • Data Collector
  • Honesty
  • Respect
  • Regarding SCR as a peer
  • Accessibility
  • Plan for personal growth
  • Develop chemistry
  • On-line/On-going training; CEU’s/CME’s & Certification - provided by the
    • ACS
surgeon champion qualifications
Surgeon Champion Qualifications
  • Well Respected & Highly Regarded
  • Chief of Surgery or Chief Medical Officer
  • Program Mentor/Advocate
  • Must be trusted by peers and administration
  • Experience with Quality Improvement
  • Lead Quality Improvement Initiatives
  • Participate in Monthly SC Conference Calls
surgical clinical reviewer qualifications
Preferred …

Bachelor’s Degree preferred

Clinical chart review and abstraction experience

Ability to build relationships & to articulate questions

Recommended …

1 Year experience in surgery, medical records, or clinical research

Nursing Background

Quality improvement or patient safety knowledge and experience

Surgical Clinical Reviewer Qualifications
data collection
Data Collection

Data Collected

______________________________

  • Demographics
  • Surgical Profile
  • Pre-operative Data (risk factors)
  • Intra-operative Data
  • Post operative Data (outcomes)
slide9
A randomized sampling system called

the 8-day cycle

Process ensures that cases have an equal chance of being selected from each day of the week

Data Collection

______________________________

Sampling Methodology

30 day post op follow up review
30-Day Post-Op Follow Up Review

Outcome /follow-up information can be obtained in a variety of

ways:

Review of the patient’s medical record.

Screen for readmissions

Separate clinic or the private surgeon’s office -outpatient follow-up visits

Additional methods would be either a phone call placed directly to the patient or a follow-up letter can be mailed for the patient to respond to in writing

slide11
An Odds Ratio of 1 is like “par on a golf course” –

the score that is expected

It is a metric showing the risk-adjusted performance at a specific site compared to

the average hospital

An Odds ratio < 1 means that the site is performing better than expected, while a ratio > 1 indicates an excess of adverse events

The odds is defined as the #events / #non-events

i.e. 5/95=.053, is the odds for a hospital if there are 5 deaths among 100 patients

Our Odds Ratio is the risk-adjusted odds for an event at a site divided by the odds for an event at the average site

Our Odds Ratios are also adjusted so they are useful even for hospitals that provide very small samples

Risk Adjustment

______________________________

Odds Ratios

real time and semiannual reports
Real-Time and Semiannual Reports

Real-time, continuously updated online reports

Programmed library of reports that can be filtered

Real-time data

Able to compare with all or like sites

Customizable Fields

Semiannual benchmarked report

Risk Adjusted

Distributed in the 1st & 3rd quarter of each year

Reporting

______________________________

real time reports
Real-Time Reports

Workflow Reports

Site-Level Reports

Database Statistics

Data Analysis

Reporting

______________________________

slide14

Reporting

______________________________

Pre-Operative Risk Factor Summary

slide15

Reporting

______________________________

30 Day Post-Op Summary

slide16

Reporting

______________________________

Mortality Patient Report

slide17

Reporting

______________________________

Post-Operative Occurrence Analysis

semiannual report
Semiannual Report

Reporting

______________________________

Risk adjusted for hospital-to-hospital patient mix differences.

over 90 risk adjusted outcomes
Over 90 Risk Adjusted Outcomes

30-Day Mortality & Morbidity/ Serious Morbidity Odds Ratios in All Patients+

30-Day Morbidity/Serious Morbidity Odds Ratios in patients >65

Cardiac Occurrences

Pneumonia

Unplanned Intubation

Ventilator Dependence >48 hours

DVT/PE

Renal Failure

Urinary Tract Infection/UTI Odds Ratios

Surgical Site Infection/Deep & Organ Space Odds Ratios

Colorectal 30-Day Death or Serious Morbidity Odds Ratios

Reporting

______________________________

slide22

Return on Investment

______________________________

ACS NSQIP Improves Outcomes and Saves Money

does surgical quality improve using the acs nsqip
Does Surgical Quality Improve using the ACS NSQIP?

Return on Investment

______________________________

  • 82% of ACS NSQIP hospitals had decreased surgical complications
  • 66% of ACS NSQIP hospitals had decreased mortality
  • Each hospital is projected to avoid between 250-500 complications per year – on average
slide24
Beaumont Hospital saved $2.2 million and reduced average LOS by 6.5 days by reducing SSI. In 2009, the hospital estimates it prevented nearly 300 SSI’s.

Surrey Memorial Hospital reduced SSI’s over 4 years for savings of $2.54 million

Henry Ford Hospitalreduced LOS for annual savings of $2 million

Return on Investment

______________________________

slide25

Return on Investment

______________________________

ROI Calculator

slide26
Non-Monetary Benefits …

Valid National benchmarking for surgical outcomes

Provides proactive, value-oriented surgical outcomes performance measurement

Improves local market position, i.e. publicly visible surgical quality improvement program

Optimizes cross-departmental partnerships and collaboration through shared knowledge

Helps build high performance surgical teams and employee retention, (i.e. nurses)

Offers CME’s for Surgeon Champions and CEU’s for SCR’s

Return on Investment

______________________________

slide27
Complete yet concise resource for health care providers and QI professionals

Evidence-based

Expert panel-rated

Framework to:

Prevent postsurgical complications

Prioritize/direct QI efforts aimed at reducing incidence/impact of postsurgical complications

Best Practice Guidelines

______________________________

selection of data
Selection of Data

Choose Your Focus

____________________________

  • General & Vascular – sampling of the hospitals general & vascular surgical procedures abstracted
  • Multi-Specialty – sampling of hospital surgical specialties abstracted
the options
The Options

_____________________________

Four Adult ACS NSQIP options

ACS NSQIP Essentials

ACS NSQIP Measures

ACS NSQIP Small & Rural

ACS NSQIP Procedure Targeted

acs nsqip essentials
ACS NSQIP Essentials

General/Vascular = 1,680 general & vascular surgical cases submitted annually

Multispecialty = Abstract 20% of the total case volume from each specialty

1 FTE

_____________________________

acs nsqip measures
ACS NSQIP Measures

5 High Impact Measures:

- UTI - Colorectal

- SSI - Lower Extremity Bypass

- Elderly

Minimal Data Collection = 840 cases collected annually

1/2 FTE

_______________________________

acs nsqip small rural
ACS NSQIP Small & Rural

Small Hospital: performs less than 1,680 cases per year

OR

Rural Hospital: ZIP code is defined within RUCA data codes

100% case collection across all specialties

1 FTE (or less depending upon case volume)

_____________________________

acs nsqip procedure targeted
ACS NSQIP Procedure Targeted

Larger hospitals targeting high-risk/high volume procedures

Hospital selects procedures

Selection may be CPT code-driven

Minimum of 1,680 cases per year:

- 15 “Core” cases per 8-day cycle

- 25 “Procedure Targeted” cases per 8-day cycle

Minimum 1 FTE (or more depending on volume)

______________________________

pricing
Pricing

_____________________________

recognition
Recognition

_______________________________

Meets MOC Part 4-Evaluation of performance in practice through tools such as outcome measures and quality improvement programs, and the evaluation of behaviors such as communication and professionalism.

slide36

Recognition

_______________________________

Institute of Medicine named ACS NSQIP

“the best in the nation”

for measuring & reporting surgical quality and outcomes.

slide37
Tresha Russell

Business Development Representative

[email protected]

312-202-5441

_______________________________

slide38
Thank you

_______________________________

ad