The American College of Surgeons National Surgical Quality Improvement Program has recognized Ventura County Medical Center, as one of 88 participating hospitals that have achieved meritorious outcomes for surgical patient care in 2018. As a participant in the program, Ventura County Medical Center 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 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 2019 ACS NSQIP Semiannual Report, which presents data from the 2018 calendar year, were used to determine which hospitals demonstrated meritorious outcomes. Ventura County Medical Center has been recognized on both the “All Cases” and “High Risk” Meritorious lists.
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 greater 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 88 commended hospitals achieved the distinction based on their outstanding composite quality score across the eight areas listed above. Seventy-two hospitals were recognized on the “All Cases” list and 72 hospitals were recognized on the “High Risk” list. The 72 hospitals represent 10 percent of the 722 calendar-year 2018 participating hospitals. Fifty-six hospitals were recognized on both the “All Cases” and “High Risk” lists, 16 other hospitals were on just the “All Cases” list, and 16 other hospitals were on the “High Risk” list only – yielding 88 hospitals in total.
“The American College of Surgeons program is the only nationally validated quality improvement program that measures and enhances the care of surgical patients,” said Dr. John Fankhauser, CEO of the medical center. “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 the program 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.
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 has more than 82,000 members and it is the largest organization of surgeons in the world.