Resident Participation and Directed Electronic Medical Record Programming Can Decrease Peri-Operative Complications and Improve Surgical Quality, NSQIP Quality Metrics

1
Lauren Smith
Lauren Smith
2
Elrod ME
Elrod ME
3
Levy PM
Levy PM
4
Fridley T
Fridley T
5
Smith LE
Smith LE
6
Levy MS
Levy MS

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Resident Participation and Directed Electronic Medical Record Programming Can Decrease Peri-Operative Complications and Improve Surgical Quality,  NSQIP Quality Metrics Banner
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The National Surgical Quality Improvement Program (NSQIP) is a data collection system used to track hospital and surgical performance and to compare hospital and surgical quality. Improvement in quality metrics, both over time in the same institution and against peer hospitals, is rewarded by financial incentives with improved Medicare payments. As such physicians may be interested in the quality metrics of their specific practice and performance improvement not only because of the possibility of improved care provision but also because reimbursement may become dependent on such data. We hypothesized that involvement of general surgery residents would be a useful modality to improve NSQIP data and possibly improve patient care. The residents were incorporated into our hospital performance committee and directly assisted with the overhaul of surgical quality assurance over an eight-month period. Data from the antecedent eight-month period was compared to data from the eight months after general surgery resident oversight was initiated. Statistically significant improvement in hospital performance was demonstrated in five of the eight measured categories. We believe that this finding could be reproducible in other institutions; additional studies are necessary to determine this.

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No external funding was declared for this work.

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The authors declare no conflict of interest.

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No ethics committee approval was required for this article type.

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Not applicable for this article.

Lauren Smith. 2017. \u201cResident Participation and Directed Electronic Medical Record Programming Can Decrease Peri-Operative Complications and Improve Surgical Quality, NSQIP Quality Metrics\u201d. Global Journal of Medical Research - K: Interdisciplinary GJMR-K Volume 17 (GJMR Volume 17 Issue K5): .

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Crossref Journal DOI 10.17406/gjmra

Print ISSN 0975-5888

e-ISSN 2249-4618

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October 13, 2017

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English

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The National Surgical Quality Improvement Program (NSQIP) is a data collection system used to track hospital and surgical performance and to compare hospital and surgical quality. Improvement in quality metrics, both over time in the same institution and against peer hospitals, is rewarded by financial incentives with improved Medicare payments. As such physicians may be interested in the quality metrics of their specific practice and performance improvement not only because of the possibility of improved care provision but also because reimbursement may become dependent on such data. We hypothesized that involvement of general surgery residents would be a useful modality to improve NSQIP data and possibly improve patient care. The residents were incorporated into our hospital performance committee and directly assisted with the overhaul of surgical quality assurance over an eight-month period. Data from the antecedent eight-month period was compared to data from the eight months after general surgery resident oversight was initiated. Statistically significant improvement in hospital performance was demonstrated in five of the eight measured categories. We believe that this finding could be reproducible in other institutions; additional studies are necessary to determine this.

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Resident Participation and Directed Electronic Medical Record Programming Can Decrease Peri-Operative Complications and Improve Surgical Quality, NSQIP Quality Metrics

Elrod ME
Elrod ME
Levy PM
Levy PM
Fridley T
Fridley T
Smith LE
Smith LE
Levy MS
Levy MS

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