into a three-year implementation process of migrating
all ACS clinical registries into a single platform that
will share a data entry platform, data warehouse, and
reporting tools. The ACS has partnered with Quintiles
on this initiative to build the “registry of the future”;
the first release is scheduled for December 2016 and
will feature a new SSR and a Trauma Uploader tool.
At the same time, Quintiles and ACS staff are meeting regularly to define and specify requirements for
the new registry platform. Over the next few months,
the new system will be built in an Agile method that
allows work to be done iteratively and tested by the
ACS to ensure proper functionality. Testing will also
be done with end users to ensure they have input into
the new system.
The DROPC Committee (DROPCC) has discussed
concerns regarding public reporting at its last two
meetings. To address these issues, the committee
agreed to integrate Patient-Reported Outcome Measures (PROMs) into ACS registries, starting with ACS
NSQIP, followed by all other registries once the registry integration project is complete.
The Committee on Perioperative Care (CPC)
developed several new and updated position statements,
which the Board of Regents approved. These statements pertained to health care industry representatives
in the operating room (OR); safe surgery checklist and
ensuring correct patient, correct site, and correct procedure surgery; prevention of unintentionally retained
surgical items after surgery; sharps safety; documentation and reporting of accidental punctures and
lacerations during surgery; and distractions in the OR.
Following the Association of periOperative Registered Nurses’ publication of guidelines for OR attire,
the CPC received a number of inquiries from ACS Fellows, non-member surgeons, institutions, and other
organizations asking for a position statement addressing this topic. ACS leadership met with the chair of the
CPC to develop an ACS position statement on surgical
attire. The position statement was published in the
Surgical Research Committee (SRC)
to review applications for the 2016 John L. and Julius
H. Jacobson II Promising Investigator Award (JPIA).
The number of applicants this year nearly doubled
After extensive discussion, SRC members suggested incorporating new topics to update and rebrand
the Outcomes Research Course as the Health Services
Research Methods Course. The revised course, led by
Arden M. Morris, MD, FACS, and Caprice C. Greenberg, MD, FACS, is designed for clinical and health
services researchers with varying degrees of experience in the field and will take place December 8− 10
at ACS headquarters.
The ACS offered a one-day Surgeons Leading Quality
Course in conjunction with Clinical Congress 2015. In
all, 60 individuals participated in the program, which
was developed as part of the Surgical Unit Based Safety
Project with grant support from the Agency for Healthcare Research and Quality (AHRQ). Through the
MHSSPACS, the Surgeons Leading Quality Course
was adapted to suit the needs of DoD sites participating
in ACS NSQIP. The DoD has requested a second course,
scheduled for January 2017. Another adaptation of the
Surgeons Leading Quality Course—the pilot Residents
Leading Quality Course—took place October 16,
immediately preceding Clinical Congress 2016.
Under the Voluntary Public Reporting on Hospital
Compare sole source contract with CMS, the ACS will
continue to publicly report three surgery-related,
risk-adjusted outcomes performance measures for
hospitals participating in ACS NSQIP. The Hospital
Compare website was last updated in October.
The Comparative Effectiveness of Metabolic and
Bariatric Surgical Procedures Using PROMs project is
a four-year initiative that aims to evaluate the three
most common metabolic and bariatric procedures
(sleeve, bypass, and band) on the basis of patient-centered, patient-reported, one-year outcomes from data
collected through the MBSAQIP. Massachusetts General Hospital will be the prime awardee, with ACS
as a subcontractor.