Surgical complications are expensive for all constituencies in the U.S. health care system: the surgical patients who pay the price with their own health and safety; private and government (federal and state) payers; and hospitals.
Systematic data-driven surgical quality improvement, within one hospital and across multiple hospitals, took a leap forward in the 1990’s with the advent of the Veterans Administration’s National Surgical Quality Improvement Program (VA NSQIP).
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Building on that foundation, with the advent of the American College of Surgeons program for private sector hospitals, the ACS NSQIP, in 2004.
Both programs have demonstrated significant successes in on-going reductions in risk-adjusted 30-day mortality and morbidity outcomes in the participating hospitals.