The Surgeon s Quality Imperative. July 22, 2012

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1 The Surgeon s Quality Imperative July 22, 2012

2 Channeling our Inner Codman

3 Which Direction will Quality Improvement Go?

4 CMS Actions: Value-Based Purchasing and Outcomes Reporting Decisions are being made now and we have opportunities to help show why ACS NSQIP is the better path: This October 2012 CMS value-based purchasing begins ACS NSQIP Hospital Compare pilot to be launched in 2012 Physician quality reporting 2014 general surgery registry rule

5 Four Guiding Principles of Continuous Quality Improvement Standards Right Infrastructure Rigorous Data Verification Individualized by patient Backed by research Staffing levels Specialists Equipment Checklists From medical charts Backed by research Post-discharge tracking External peerreview Creates public assurance Continuously updated

6 ACS NSQIP: We Know it Works Developed by surgeons, ACS NSQIP is the leading nationally validated, risk-adjusted, outcomes-based program to measure and improve the quality of surgical care in the private sector.

7 ACS NSQIP: It s Different from Other QI Programs Risk-adjusted outcomes for all hospital sizes and types Clinical data 30-day follow up Trained abstractor Audited data Best Practices (guidelines, collaboratives, case studies, risk calculator) Commitment to improved data capture

8 ACS NSQIP Hospitals: Improving Care, Reducing Costs Reducing preventable complications improves care and reduces costs: Reduction in complications: * Average cost per complication: $11,626 Average savings per hospital: $2,906,500 - $5,813,000 Potential yearly savings across 4,500 hospitals: $13 - $26 billion Estimated total savings over a decade**: $130 - $260 billion *Per hospital/per year; Hall BL, et al. Does Surgical Quality Improve in the American College of Surgeons National Surgical Quality Improvement Program? Ann Surg. 2009; 250: **Length of time used for health reform calculations

9 Today s Ask: Help Accelerate Adoption Current Status: 450+ sites in the U.S., Canada and Middle East 44 Pediatric participants Desired Status by January 1, 2014: Minimum 1,000 sites nationally and internationally

10 Because we can We should

11 How You Can Help: Two Things To Do This Year 1. Contact three surgeons you know invite them to learn more about/participate in an upcoming ACS NSQIP event 2. Present an ACS NSQIP presentation at chapter or healthcare association meetings in the next year.

12 How We Will Help You Web-based training and presenter s guide on how to present ACS NSQIP to C-suite and economic decision makers (include presentation tips, talk track, etc.) New marketing materials via Template s and letters written for non-surgical audiences (ACS NSQIP introductory pieces, customized success stories) Template PowerPoint presentations written for non-surgical audiences (customized to each hospital; successes; program strengths) Assistance following up and scheduling presentations Help you tell the news media, others about ACSNSQIP success

13 Why you? Influencer research shows: Purchasers trust the opinions of peers far more than anything a company has to say about its own products and services. 1 Physicians often incorporate the opinion of colleagues in their decisions. 2 Word of mouth can exert a strong influence on purchase decisions Harnessing the Power of Word of Mouth. The Aberdeen Group. American Marketing Association. Oct Nair, HA, et al. Asymmetric Social Interactions in Physician Prescription Behavior: The Role of Opinion Leaders. Journal of Marketing Research. Oct Herr, PM. Effects of Word-of-Mouth and Product-Attribute Information on Persuasion. Journal of Consumer Research. Mar

14 Next Steps? Fill out the ACS NSQIP note card at your table indicating interest in participation Respond to contact from ACS following up interest Participate in Web-based training Schedule one-on-one strategy session with ACS on following up your ACS NSQIP leads Stop by the information table to learn more about how to participate

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