Froedtert Hospital receives national recognition for quality from American College of Surgeons

Milwaukee, Wis. — Froedtert Hospital is the only Wisconsin hospital that has been recognized by the American College of Surgeons National Surgical Quality Improvement Program (ACS NSQIP®) for quality of inpatient and outpatient surgical care, ranking among the top 10 percent of participating hospitals.

Just 83 of the 708 hospitals participating in the ACS NSQIP program achieved this recognition for surgical patient care in 2017.  The program requires hospitals 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 that includes only “High Risk” cases.  Froedtert Hospital was recognized on both the “All Cases” and “High Risk” Meritorious lists. 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.

“Patient safety and positive outcomes for inpatient and outpatient surgical procedures are fundamental drivers in our patient care experience,” said Andrew Resnick, MD, chief medical officer and vice president of medical affairs for Froedtert Hospital. “This recognition reflects the unrelenting focus on quality and commitment to safe, timely, appropriate care across the entire Froedtert & MCW health network.”

Jon Gould, MD, chief and Alonzo P. Walker chair of general surgery and vice chair for quality, department of surgery, noted the importance of continuously improving processes and transparently sharing results. “Excellence in clinical performance does not happen by chance,’ he said. “This hard-earned recognition represents a tremendous amount of work to systematically integrate quality improvement into our daily processes. It is a credit to the entire surgical team.”

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 over 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.  

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.

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