The American College of Surgeons National Surgical Quality Improvement Program (ACS NSQIP®) has recognized Naval Hospital Jacksonville as one of 83 ACS NSQIP participating hospitals that have achieved meritorious outcomes for surgical patient care in 2017. As a participant in ACS NSQIP, Naval Hospital Jacksonville is required to track the outcomes of inpatient and outpatient surgical procedures and collect data that assesses patient safety and can be used to direct improvement in 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. Risk-adjusted data from the July 2018 ACS NSQIP Semiannual Report, which presents data from the 2017 calendar year, were used to determine which hospitals demonstrated meritorious outcomes. Naval Hospital Jacksonville has been recognized on the “all cases” meritorious list.
Each composite score was determined through a different weighted formula combining eight outcomes. The outcome performances related to patient management were in the following eight clinical areas: mortality, unplanned intubation, ventilator less than 48 hours, renal failure, cardiac incidents (cardiac arrest and myocardial infarction); respiratory (pneumonia); SSI (surgical site infections-superficial and deep incisional and organ-space SSIs); or urinary tract infection.
The 83 commended hospitals achieved the distinction based on their outstanding composite quality score across the eight areas listed above. A total of 71 hospitals were recognized on the “all cases” list and 71 hospitals were recognized on the “high risk” list; the 71 hospitals represent 10 percent of the 708 calendar-year 2017 ACS NSQIP hospitals. There were 58 hospitals recognized on both the “all cases” and “high risk” lists, 12 other hospitals were on just the “All Cases” list, and 13 other hospitals were on the “high risk” list only – yielding 83 hospitals in total.
ACS NSQIP is the only nationally validated quality improvement program that measures and enhances the care of surgical patients. This program measures the 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 American College of Surgeons and is currently used in nearly 850 adult and pediatric hospitals.
The American College of Surgeons is a scientific and educational organization of surgeons that was founded in 1913 to raise the standards of surgical practice and to improve the care of the surgical patient. 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 more than 80,000 members and it is the largest organization of surgeons in the world.