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EXECUTIVE DIRECTOR’S REPORT
program, which is supported with funding from the
John A. Hartford Foundation, is to improve care of
older patients. This project has seven key deliverables: set the standards, engage key stakeholders,
develop meaningful measures, establish a verification program, educate providers and patients, pilot
the program, and launch the Geriatric Surgery Quality Campaign.
Leading this effort are Clifford Y. Ko, MD, MS,
MSHS, FACS, Director of the ACS Division of Research
and Optimal Patient Care; Ronnie Rosenthal, MD,
FACS, professor of surgery, Yale School of Medicine,
and surgeon-in-chief, [Veterans Affairs] Connecticut
Healthcare System, West Haven; and Julia Berian, MD,
an ACS Clinical Scholar in Residence and a surgery resident at the University of Chicago, IL. The core team
also includes five experienced surgeons in elder patient
care, a geriatrician, and a gerontology nurse.
The College also continues its involvement with
Washington State’s Strong for Surgery initiative. This
program uses evidence-based checklists that surgeons and other health care professionals can use in
the perioperative setting to assist in patient screening,
preparation, and education in an effort to improve clinical outcomes. This effort is currently being led by David
R. Flum, MD, FACS, professor of surgery and director
of the Surgical Outcomes Research Center, department
of surgery, University of Washington Medical Center,
Seattle, and medical director of the Surgical Care and
Outcomes Assessment Program Comparative Effectiveness Research Translation Network, which created the
Strong for Surgery programs.
At the other end of the patient spectrum, the Children’s Surgery Verification Program continues to
develop, with a focus on improving care for pediatric
patients. The ACS Task Force for Children’s Surgery
developed the first draft of Optimal Resource Standards
with support from the Society of Pediatric Anesthesia
and the American Pediatric Surgical Association. The
program is set to formally launch next spring.
The Metabolic and Bariatric Surgery Accreditation
and Quality Improvement Program’s Decreasing Read-
missions through Opportunities Provided project got
under way this spring. At press time, more than 120
centers were participating in this interventional effort
to decrease 30-day postoperative readmissions.
Furthermore, the College continues to make prog-
ress in developing the quality manual for surgical
quality officers to use in ensuring that the surgeons
on their teams have the training, tools, and resources
needed to safely and effectively provide surgical care.
The manual will be published in 2016.
In addition, the College maintains strong ties with
The Joint Commission. As ACS Past-President and
current member of The Joint Commission’s Board
of Commissioners Carlos A. Pellegrini, MD, FACS,
FRCSI(Hon), FRCS(Hon), FRCSEd(Hon), notes on
page 47 of this issue, The Joint Commission’s Targeted
Solutions Toolkit seeks to safeguard patients from preventable harm, specifically wrong site surgery, through
the use of standardized practices across the perioperative phase of care.
It is deeply satisfying to work with other representatives of the operating team to ensure that patients
receive safe, high-quality care. This type of collaboration lays the groundwork for more coordinated and
collaborative care in and out of the hospital setting.
Together, we truly can develop a high-reliability health
care system. ♦
Examples of what the College has accomplished in recent
months to establish standards for the provision of perioperative
care to specific patient populations include the launch of the
four-year Coalition for Quality in Geriatric Surgery Project.