Creating a learning healthcare system in surgery: Washington State¡¯s Surgical Care and Outcomes Assessment Program (SCOAP) at 5 years

详细信息    查看全文

• 作者：SCOAP Collaborative ; The writing group for the SCOAP Collaborative ; Steve Kwon ; MD ; MPH^a ; Michael Florence ; MD^b ; Peter Grigas ; RN ; BHSA ; CTQM ; CPHQ^c ; Marc Horton ; MD^b ; Karen Horvath ; MD^a ; Morrie Johnson ; MD^d ; Gregory Jurkovich ; MD^e ; Wendy Klamp ; MHA^a ; Kristin Peterson ; JD^f ; Terence Quigley ; MD^g ; William Raum ; MD ; PhD^h ; Terry Rogers ; MDⁱ ; Richard Thirlby ; MD^j ; Ellen T. Farrokhi ; MD^k ; David R. Flum ; MD ; MPH^a ; ^{daveflum@u.washington.edu}
• 刊名：Surgery
• 出版年：2012
• 出版时间：February 2012
• 年：2012
• 卷：151
• 期：2
• 页码：146-152
• 全文大小：405 K

文摘

There are increasing efforts towards improving the quality and safety of surgical care while decreasing the costs. In Washington state, there has been a regional and unique approach to surgical quality improvement. The development of the Surgical Care and Outcomes Assessment Program (SCOAP) was first described 5 years ago. SCOAP is a peer-to-peer collaborative that engages surgeons to determine the many process of care metrics that go into a ¡°perfect?operation, track on risk adjusted outcomes that are specific to a given operation, and create interventions to correct under performance in both the use of these process measures and outcomes. SCOAP is a thematic departure from report card oriented QI. SCOAP builds off the collaboration and trust of the surgical community and strives for quality improvement by having peers change behaviors of one another. We provide, here, the progress of the SCOAP initiative and highlight its achievements and challenges.