At present, 754 hospitals participate in the ACS NSQIP,
representing a growth of 14 percent in the last year.
surgical societies that do not have accreditation programs. In 2015, the ACS accredited a total of 2,252 CME
activities. Of these, 292 activities were jointly accredited. These numbers represent a significant growth in
both ACS and joint providership activities.
The number of ACS members using the MyCME
program to request transfer of their CME credits to
the American Board of Surgery has increased steadily.
From July 1, 2015, through April 29, 2016, more than
5,300 members used this service. Plans are under consideration to explore similar opportunities with other
surgery specialty boards as well.
Steps are being taken to support surgeons’ efforts
to meet state regulatory mandates. A complete list
of requirements by state has been compiled and is
available online as a reference source for practicing surgeons. Additional content is being developed to address
various regulatory mandates, and plans are under way
to provide guidance to individuals to address these
Continuous Quality Improvement (CQI)
At present, 754 hospitals participate in the ACS
National Surgical Quality Improvement Program (ACS
NSQIP®), representing a growth of 14 percent in the
last year. At press time, another 56 hospitals were in
various stages of onboarding. Pediatric NSQIP comprises 92 sites, an increase of 18 centers ( 24 percent)
since October 2015. This interest from the pediatric
community may be spurred on by sites planning to
seek accreditation through the Children’s Surgery
ACS NSQIP collaboratives enable sites to share
outcomes and best practices and work on quality
improvement (QI) in organized, smaller groups. At
present, 45 collaboratives have been formally established, with several more system-based collaboratives
in development. The newly formed Northwest ACS
NSQIP Collaborative is the first multinational collaborative comprising hospitals joining from seven
northwest states, Alaska, and British Columbia.
In May 2015, ACS NSQIP signed a five-year agreement with the Department of Defense (DoD), which
includes a budget for 54 hospitals to enroll in ACS
NSQIP and form a DoD collaborative. At the time, 18
DoD sites already were participating in ACS NSQIP
with the goal of expanding to 36 new sites. To date,
13 new DoD sites have enrolled and are participating,
and five are pending contract signature or onboarding. The remaining 18 DoD hospitals are expected to
ACS NSQIP continues to add pilot projects, including the TransQIP pilot developed in collaboration with
the American Society of Transplant Surgeons, with 10
participating hospitals capturing variables on donors
and recipients of liver and kidney transplantation. Other
pilot projects include the Emergency General Surgery
pilot, which will be offered in the new ACS NSQIP
registry platform in 2017, and the Enhanced Recovery
in NSQIP pilot.
An updated ACS NSQIP Surgical Risk Calculator
was released in May, adding predictions for several postoperative complications. New risk outcomes included
are readmission to the hospital, ileus, and leak of an
intestinal anastomosis. The calculator receives approximately 1,500 hits daily. In July, the ACS NSQIP Pediatric
Surgical Risk Calculator was released. It uses 17 patient
predictors and the planned procedure to calculate the
probability that patients will have any of nine different
outcomes within 30 days following surgery (see related
article, page 29).
The 2016 ACS NSQIP Annual Conference took place
July 15–19 in San Diego, CA, with nearly 1,500 attendees from 690 medical institutions and 14 countries.
The 2017 conference, Achieving Quality: Present and
Future, will be directed at trainees.
The four-year Coalition for Quality in Geriatric Surgery (CQGS) Project, funded by the John A. Hartford
Foundation, completed its first year in development.
The CQGS aims to improve the care of older patients
though a standards and verification program. The
project team, led by Clifford Y. Ko, MD, MS, MSHS,
FACS, and Ronnie Rosenthal, MD, FACS, focused on