How do (and why should) I use the National Surgical Quality Improvement Program?

Neumayer, Leigh

doi:10.1016/j.amjsurg.2009.08.009

« Previous Next »The American Journal of Surgery
Volume 198, Issue 5, Supplement , Pages S36-S40, November 2009

How do (and why should) I use the National Surgical Quality Improvement Program?

University of Utah and Salt Lake City VA Healthcare System, Salt Lake City, UT, USA

Received 28 May 2009; received in revised form 20 August 2009

Abstract

Background

The National Surgical Quality Improvement Program (NSQIP) is celebrating its 15th year in the Veterans Affairs. The full implementation of this program in the VA was associated with a 27% reduction in mortality and a 45% reduction in morbidity in the VA over this timeframe. The objective of this article is to understand the internal and external motivations for using the NSQIP and how NSQIP data can be used to improve outcomes. We also outline several methods to identify the opportunities for improvement.

Data sources

Multiple methods of using the NSQIP for practice improvement were explored by using published data and reviewing hospital practices.

Conclusions

NSQIP data can be used by individuals, services, hospitals, and systems to improve outcomes. It fulfills the current and likely future requirements for Part IV of Maintenance of Certification.

Keywords: Quality improvement, Practice-based improvement, Outcomes