October 26, 2021
CHICAGO: Hospitals participating in the ÎÚÑ»´«Ã½ (ACS) National Surgical Quality Improvement Program (ÎÚÑ»´«Ã½NSQIP®) now have a new resource available to further improve surgical quality for their patients: the ÎÚÑ»´«Ã½Quality Verification Program (QVP). Recently introduced in July 2021, ÎÚÑ»´«Ã½QVP is based on 12 program standards, adapted from core elements of the Optimal Resources for Surgical Quality and Safety, or "Red Book." ÎÚÑ»´«Ã½QVP provides a proven, standardized method for establishing, measuring, and improving a hospital's quality infrastructure across all surgical departments.
This collaboration provides ÎÚÑ»´«Ã½NSQIP hospitals a focused level of participation in ÎÚÑ»´«Ã½QVP, called NSQIP QVP, in which they can have two surgical specialties evaluated against the ÎÚÑ»´«Ã½QVP standards during a half day site visit. NSQIP QVP is one of four options for hospitals to participate in ÎÚÑ»´«Ã½QVP.
"ÎÚÑ»´«Ã½NSQIP was previously the only major data registry program at ÎÚÑ»´«Ã½that wasn't connected to a verification program. NSQIP QVP provides the verification component, which is key to improving quality. NSQIP QVP helps link NSQIP data to hospital-based surgical quality improvement efforts, helping hospitals use the data they have collected to improve surgical care," said Clifford Y. Ko, MD, MS, MSHS, FACS, FASCRS, Director, ÎÚÑ»´«Ã½Division of Research and Optimal Patient Care, which administers ÎÚÑ»´«Ã½NSQIP.
NSQIP QVP is a new benefit that is included in the standard cost of ÎÚÑ»´«Ã½NSQIP. The College's goal is for all ÎÚÑ»´«Ã½NSQIP sites to reach QVP-focused verification status by the end of 2027. Some of the hospitals that participated in ÎÚÑ»´«Ã½QVP as a pilot site are also ÎÚÑ»´«Ã½NSQIP-participating hospitals that saw the power of combining these two programs.
"Participating in the ÎÚÑ»´«Ã½QVP program as a pilot site accelerated our hospital along the quality journey and provided a roadmap for next steps. The combination of a quality structure as outlined in QVP and information available from NSQIP can catalyze improvement in quality for surgery patients," said Caroline Reinke, MD, FACS, assistant professor of surgery at Atrium Health, Charlotte, N.C.
NSQIP QVP will allow sites to undergo QVP Focused Verification on two surgical areas in which the site collects NSQIP data. After the focused areas are identified, sites will provide information on these two areas in pre-review questionnaires (PRQs) focused on the QVP standards. Once the PRQs are submitted, ÎÚÑ»´«Ã½will review the information prior to scheduling a site visit. After the site visit, the NSQIP-participating site will receive a detailed report on its strengths and areas for improvement.
As explained by Kirsten Edmiston, MD, MPH, FACS, director, clinical excellence, surgery service line, Inova Health System, Fairfax, Virginia: "Participation in the ÎÚÑ»´«Ã½Quality Verification Program accelerated our journey to deliver integrated high quality surgical care across Inova's 5 hospital health system. Together, the QVP and NSQIP data are tremendously valuable to identify opportunities, implement solutions, and improve patient care—overall driving clinical excellence."
"In many ways the preparation and the survey itself served as an inventory for departmental resources and helped in marshalling our forces for the COVID onslaught which began in March 2020," said John McNelis, MD, FACS, FCCCM, MHCM, chairman, department of surgery, Jacobi Medical Center, North Central Bronx Hospital, New York. "As we emerged from COVID, the report has served as a template for our quality program throughout the department."
"Combining ÎÚÑ»´«Ã½NSQIP and ÎÚÑ»´«Ã½QVP builds on the College's longstanding commitment to surgical quality. The key principles of ÎÚÑ»´«Ã½QVP help hospitals identify problems and improve the quality and safety of surgical care for their patients," said ÎÚÑ»´«Ã½Executive Director David B. Hoyt, MD, FACS.
A series of comprehensive literature reviews validating the principles underlying the QVP program have been published in the Journal of the ÎÚÑ»´«Ã½. Read more about the first and second reviews.
For general information on the ÎÚÑ»´«Ã½Quality Verification Program, visit www.facs.org/qvp or contact:acsqvp@facs.org. For information on NSQIP QVP, please visit www.facs.org/quality-programs/acs-nsqip or contact: acsnsqip@facs.org.
The ÎÚÑ»´«Ã½ is a scientific and educational organization of surgeons that was founded in 1913 to raise the standards of surgical practice and improve the quality of care for all surgical patients. The College is dedicated to the ethical and competent practice of surgery. Its achievements have significantly influenced the course of scientific surgery in America and have established it as an important advocate for all surgical patients. The College has approximately 95,000 members and is the largest organization of surgeons in the world. "FACS" designates that a surgeon is a Fellow of the ÎÚÑ»´«Ã½.