Recognized hospitals are deemed “Meritorious” for their composite quality scores in eight surgical care outcome areas
CHICAGO (November 5, 2020): The American College of Surgeons National Surgical Quality Improvement Program (ACS NSQIP®) has recognized 89 of an eligible 607 hospitals participating in the adult program for achieving meritorious outcomes for surgical patient care in 2019. ACS NSQIP-participating hospitals are required to track the outcomes of inpatient and outpatient surgical procedures; these outcomes are then analyzed by ACS and reported back to hospitals. These results will inform patient safety initiatives within the hospital and impact the quality of surgical care.
The ACS NSQIP recognition program commends a select group of hospitals for achieving a meritorious composite score in either an “All Cases” category or a category which includes only “High Risk” cases. Each composite score was determined through a different weighted formula combining eight outcomes. Outcomes in the following eight clinical areas were evaluated:
- Cardiac: cardiac arrest and myocardial infarction
- Unplanned Intubation
- Ventilator use for more than 48 hours per patient
- Renal Failure
- SSI: superficial incisional SSI, deep incisional SSI, and organ/space SSI
- UTI: urinary tract infection
To be eligible for either list, the hospital must have submitted at least one case in each of the 2017, 2018, and 2019 calendar years, though only performance in calendar year 2019 was evaluated for the 2019 meritorious lists. Six-hundred-seven of the 719 NSQIP hospitals participating in 2019 met the three-year criteria to be eligible for Meritorious consideration.
The 89 hospitals achieved the distinction based on an outstanding composite quality score. Risk-adjusted data from the July 2020 ACS NSQIP Semiannual Report, which presents data from the 2019 calendar year, were used to determine which hospitals demonstrated meritorious outcomes. Seventy-two hospitals were recognized on the “All Cases” list and 72 hospitals were recognized on the “High Risk” list; the 72 hospitals represent 10 percent of the 719 calendar-year 2019 ACS NSQIP hospitals. 50 hospitals are recognized on both the “All Cases” and “High Risk” lists, 20 other hospitals are on just the “All Cases” list, and 19 other hospitals are on the “High Risk” list only—yielding 89 hospitals in total. Three hospitals did not consent to having their name released so 89 of the 92 initial hospitals appear on the final list.
These meritorious hospitals are also eligible to display these achievements amongst their staff and within their institutions.
A listing of the recognized hospitals is available online.
ACS NSQIP is the only nationally validated quality improvement program that measures and enhances the care of surgical patients. This program measures actual surgical results 30 days postoperatively as well as risk adjusts patient characteristics to compensate for differences among patient populations and acuity levels. The goal of ACS NSQIP is to reduce surgical morbidity (infection or illness related to a surgical procedure) and surgical mortality (death related to a surgical procedure) and to provide a firm foundation for surgeons to apply what is known as the “best scientific evidence” to the practice of surgery. Furthermore, when adverse effects from surgical procedures are reduced and/or eliminated, a reduction in health care costs follows. ACS NSQIP is a major program of the ACS and is currently used in nearly 850 adult or pediatric hospitals.