ISQIC uses the model of the Michigan, Tennessee, and Florida collaboratives that work collectively to improve surgical quality and safety by sharing their experiences, best practices, successes, and challenges. These statewide collaboratives have proven highly effective in accelerating quality improvement (Campbell et al. Arch Surg., 2010).
ISQIC takes the unique approach of providing each hospital with a formal quality and process improvement training curriculum, surgeon mentors, and process improvement coaches as well as financial support for the implementation of QI initiatives.
ISQIC hospitals report detailed data to the American College of Surgeons National Surgical Quality Improvement Program (ACS NSQIP) on demographics, comorbidities, clinical lab values, and detailed postoperative outcomes for patients undergoing surgery. The data are reported using highly standardized definitions to ensure fair comparisons between hospitals and used to create risk-adjusted benchmark comparison reports on more than 30 postoperative outcomes for each participating hospital. Hospitals can then identify areas of poor performance and target these areas for quality improvement.
ISQIC Helps Hospitals Improve Quality
ISQIC has developed ISQICdata.org, an internal data collection portal, to collect process measure and adherence data in addition to ACS NSQIP. Numerous studies have shown that using ACS NSQIP can help hospitals considerably reduce complication rates and decrease costs. The average ACS NSQIP participating hospital is estimated to annually prevent 250 complications, save 12-36 lives, and reduce costs by millions of dollars. Through participation in the ISQIC, hospitals have demonstrated meaningful improvements in quality of care through significant reductions in complication rates, length of stay, readmissions, and deaths. In addition, hospitals have demonstrated increased process measure adherence, and appreciated significant cost reductions.