VHS’s NSQIP Program
MIS-566N-11294 Informatics and Application Systems in Healthcare. May 2013
VHA’s Approach to its NSQIP Program
During the 1980s, the Department of Veterans Affairs (VA) received significant public scrutiny over the quality of surgical care in their hospitals. This motivated Congress to mandate reporting of surgical outcomes annually and led to the important National VA Surgical Risk Study (NVASRS) across 44 VA medical centers (Fuchshuber, P., Greif, W., Tidman, C., Klemm, M., Frydel, C., Wali, A., Rosas, E. & Clopp, M., 2012). The Veterans Health Administration (VHA) adopted the National Surgical Quality Improvement Program (NSQIP) because senior surgeons realized they needed improvement as they were seeing surgery complications such as infections, blood clots or respiratory failure. It is a known fact that postoperative complications can increase death rates, longer hospital stays and increase the cost of care itself. Having the surgeons on board was a great opportunity to encourage the change in a positive mannerism when it was time to roll out the mandated changes. They studied data in order to determine the efficacy of surgical procedures from the pre-operative- through 30-day post-operative periods (Ball, Weaver, & Kiel, 2004, p. 277). This study was intended to improve the quality of care provided to patients throughout the Veterans Administration Medical Centers (VAMC) nationwide during the operative periods stated above by utilizing the National VA Surgical Risk Study (2012). Benchmark Standards Established
The NSQIP was created by the VHA to extend the methods and reporting developed in the National VA Surgical Risk Study (NVASRS). The benchmark was established by looking at areas that needed improvement and to increase surgical outcomes (Pope & Russell). Their aim was to develop and validate risk-adjustment models to predict surgical outcome, and for comparative assessment of...
References: Ball, M., Weaver, C., Kiel, J., 2004, Healthcare Information Management Systems: cases strategies and solutions Third Ed pp. 11.p. 277-278.
Best, W.R., & Khuri, S.F. & Phelan, M. (2002). Identifying patient preoperative adverse events in administrative databases: Results from the department of veterans affairs national surgical quality improvement program. Journal of the American College of Surgeons. 194(3):399-.
Fuchshuber, P., Greif, W., Tidman, C., Klemm, M., Frydel, C., Wali, A., Rosas, E. & Clopp, M. (2012). The Power of the National Surgical Quality Improvement Program—Achieving A Zero Pneumonia Rate in General Surgery Patients. The Permanente Journal. 16(1).
Hynes, D.M., (2004). Leadership by Example: Coordinating Government Roles in Improving Health Care Quality. Institute of Medicine (IOM) Report. Pgs. 223-284.
Pope, G. & Russell, T. NSQIP History. American College of Surgeons. site.acsnsqip.org/program-specifics/nsqip-history/.
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