ACS NSQIP Tools for Success Pre-Conference Session July 25, 2015
No disclosures Disclosure Slide
Collect the Data Continuous Quality Improvement Implement QI ACS NSQIP Analyze the Data Utilize Tools
Current and Coming Tools NSQIP Website: Participant Use Data File (PUF) ROI Calculator Quality Brief Informational Materials Risk Calculator Workstation Main Page: Best Practices Guidelines Best Practices Case Studies Quality Improvement Primers Conference Presentations Online Forums On-demand Application Toolkits
NSQIP Website
NSQIP Website www.facs.org/quality-programs/acs-nsqip
Participant Use Data File (PUF) HIPAA compliant research file of ACS NSQIP cases Produced annually each fall for previous year s data Available to employees at currently participating institutions User guide for each PUF explains variable formats, variable definitions, and other supporting information Available in a delimited text, SAS, or SPSS file PUF Data Use Agreement required for access Peds PUF also available First MBSAQIP PUF to be made available in 2015 Hundreds of peer-reviewed publications utilizing PUF data
ROI Calculator Allows all sites to calculate financial costs of complications Allows participating sites to calculate cost savings of reducing complications through participation in ACS NSQIP Complication costs determined through combination of private and public sector payor findings Sites can enter own cost for any complication
Quality Brief Released quarterly Offers insights on steps hospitals can take to: Improve quality impact outcomes increase profitability First issue focuses on HACs and SSIs Upcoming issue on Hospital Systems Newsletter with accompanying materials
Informational Materials Program options and pricing Key studies Testimonial videos Short case studies News and events
Surgical Risk Calculator Online tool designed to be used in conjunction with a surgeon s evaluation to help predict the risk of certain adverse events following surgery Estimates the individual patient s risk of postoperative complications based on information about the patient Developed using ACS NSQIP data from over 1.4million cases Covers nearly all CPT Codes Surgeon Adjustment Score allows surgeons to adjust estimated risks based on clinical assessment
Surgical Risk Calculator Assists physicians in the preoperative evaluation of patients by: Helping to identify what type of procedure is best for patient Heightening awareness for risks of specific complications Illuminating any need for additional preoperative workup Helping to clarify if the patient is even a candidate for surgery Presents opportunity to: Improve informed consent Provide visual aid and explanation to make patient aware of expectations of surgery Help patients decide whether or not to have surgery
Workstation Main Page https://registry.acsnsqip.org/
Best Practice Guidelines Provide evidence-based recommendations regarding the prevention, diagnosis, or treatment of post-operative complications Developed by expert panel for QI purposes at participating sites Available Guidelines Prevention of Postoperative Pulmonary Complications Prevention of Catheter-Associated Urinary Tract Infections Prevention and Treatment of Venous Thromboembolism Prevention and Assessment of Intravascular Catheter-Related Bloodstream Infections Prevention of Surgical Site Infections Prevention of Ventilator-Associated Pneumonia Optimal Preoperative Assessment of the Geriatric Surgical Patient (in conjunction w/ AGS)
Geriatric Guidelines
Best Practices Case Studies Showcase how participating hospitals have used ACS NSQIP data to improve their performance and outcomes Allow ACS NSQIP participating sites to learn from the experiences of other hospitals and develop similar quality improvement initiatives within their own facilities Six volumes of case studies currently available
Hospital information Problem addressed Planning and development process Description of the quality improvement activity Resources used and skills needed Results Tips for others
Quality Improvement Primers Developed to create a framework that can be used to prioritize and direct efforts to improve perioperative outcomes Designed to serve as complete yet concise resources for health care providers and quality improvement professionals Assembled through reviews of the current literature and consultation with experts in the field Available Quality Improvement Primers: Leading and Managing Organizational Change Statistical Process Control Charts
Conference Presentations Allows access to presentations presented at previous ACS NSQIP National Conferences Conference presentations can be utilized by existing sites to learn more about topics of interest Previous conference topics include improving outcomes, surgical advances, SCR tools, lessons from new and existing sites, disseminating results to hospital staff, etc.
Online Forums Participant-only benefit of the ACS NSQIP that allows users to share information, learn from one another, and network Should be a friendly and informative place for program participants Users must comply with terms of use Separate discussion boards for SCRs and Surgeon Champions DiscussNSQIP.com for Collaboratives Not monitored by ACS
On-demand Reports Provides risk-adjusted and smoothed rates using accurate and robust methodology Reports out rates rather than odds ratios Provides results for most ACS NSQIP models Ability to report on user-defined models Includes all completed NSQIP cases Case data are updated every night Filter by model, time frame, interval, and custom filters Track trending over time Learn more: ACS NSQIP Statistical Support Table General Session 06-Stats II: Review of Statistical Reporting ACS NSQIP Adult (Monday)
Toolkits Administrator Toolkit Surgeon Champion Toolkit SCR Toolkit Designed to help sites implement and utilize NSQIP Online modules cover introduction of the program at the hospital, collecting data and organizing work, and disseminating results and utilizing data for QI Consisted of checklists, video testimonials, sample documents, tutorials, etc.
Resource Portal Will replace the Main Page More user friendly interface Better organization of materials Customizable dashboards Customizable notification widgets New benchmarking reports New physician level reports New ad hoc report request tool Search functionality
Thankyou