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SCIP Surgical Care Improvement Project A National Quality Partnership Summary and Measures and Tools from Premier to su

SCIP Surgical Care Improvement Project A National Quality Partnership Summary and Measures and Tools from Premier to support SCIP. What is SCIP?. National quality partnership of organizations focused on improving surgical care by significantly reducing surgical complications.

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SCIP Surgical Care Improvement Project A National Quality Partnership Summary and Measures and Tools from Premier to su

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  1. SCIP Surgical Care Improvement ProjectA National Quality PartnershipSummary and MeasuresandTools from Premier to support SCIP

  2. What is SCIP? • National quality partnership of organizations focused on improving surgical care by significantly reducing surgical complications

  3. American College of Surgeons (ACS) American Hospital Association (AHA) American Society of Anesthesiologists (ASA) Association of peri- Operative Registered Nurses (AORN) Agency for Healthcare Research and Quality (AHRQ) Centers for Medicare & Medicaid Services (CMS) Centers for Disease Control and Prevention (CDC) Department of Veteran’s Affairs Institute for Healthcare Improvement (IHI) Joint Commission on Accreditation of Healthcare Organizations (JCAHO) SCIP Steering Committee

  4. SCIP National Goal To reduce preventable surgical morbidity and mortality by 25 percentby the year 2010

  5. What happened to SIP*? • The three SIP measures transitioned to the SCIP Infection Module • Renamed: • SIP-1 is now SCIP Infection-1 • SIP-2 is now SCIP Infection-2 • SIP-3 is now SCIP Infection-3 • Measure(s) population and definition will remain the same Surgical Infection Prevention (SIP): previous CMS initiative focusing on surgical antibiotic prophylaxis focusing on appropriate selection and timing of administration and discontinuation.

  6. Final SCIP Modules/Measures • SCIP has four modules • Infection • 7 Infection Prevention Process Measures • Venous Thromboembolus (VTE) • 2 VTE Prevention Process Measures • Cardiac Prevention Module • 1 Cardiovascular Prevention Measure • Respiratory • Delayed implementation to use these measure in expanding the ICU Core Measure Set

  7. SCIP Infection Module • SCIP INF 1: • Prophylactic antibiotic received within one hour prior to surgical incision • SCIP INF 2: • Prophylactic antibiotic selection for surgical patients • SCIP INF 3: • Prophylactic antibiotics discontinued within 24 hours after surgery end time (48 hours for cardiac patients) • SCIP INF 4: • Cardiac surgery patients with controlled 6 a.m. postoperative serum glucose • SCIP INF 6: • Surgery patients with appropriate hair removal • SCIP INF 7: • Colorectal surgery patients with immediate postoperative normothermia

  8. SCIP VTE Module • SCIP VTE 1: • Surgery patients with recommended venous thromboembolism prophylaxis ordered • SCIP VTE 2: • Surgery patients who received appropriate venous thromboembolism prophylaxis within 24 hours prior to surgery to 24 hours after surgery

  9. SCIP Cardiac Module • SCIP Card 2: • Surgery patients on a beta-blocker prior to arrival that received a betablocker during the perioperative period

  10. Premier’s Quality Measures ReporterTM • Premier's Quality Measure Reporter TMtool* fully supports abstraction and reporting of the Surgical Care Improvement Project.  Quality Measure Reporter TM tool is part of Premier’s Advisor Suite of comparative data tools, powered by Perspective TM the largest clinical and operational comparative database in the U.S.

  11. Premier’s Quality Measures ReporterTM • For submission and analysis of data required for national and state regulatory compliance and insurance plan initiatives, including • Abstracting and reporting of the Surgical Care Improvement Project • JCAHO Core Measures • CMS Scope of Work • APU and HQA • CMS/Premier Hospital Quality Incentive Demonstration • Leapfrog Hospital Rewards Program • Multiple state initiatives, including CHART (CA) and ACHA (FL) • More… • Premier’s Quality Measure Reporter • Captures and reports quality information and ties it back to the physician or nursing unit level. • Simplifies abstraction with immediate error correction ability and an efficient concurrent abstraction option. • Tracks performance against national benchmarks, including practices from the CMS/Premier Hospital Quality Incentive Demonstration (HQID) • Provides drillable reports to analyze areas for improvement.

  12. SCIP Implementation Schedule *Individual Participant Group- Selected set of hospitals that volunteer to work with their state Quality Improvement Organization (QIO) on defined quality improvement projects ** Scope of Work – QIO measures

  13. Premier’s Implementation • Align SCIP module implementation with National Hospital Quality Measure (NHQM) schedule • Infection Module • July 1, 2006 Discharges • VTE and Cardiac Modules • October 1, 2006 Discharges

  14. Requirements

  15. SCIP Reporting Requirements • JCAHO • If SCIP is a Core Measure Set • For Calendar year 2006 collect and submit SCIP Infection -1, 2 and 3 • Additional SCIP measures will not be implemented for accreditation requirements until approved by NQF

  16. SCIP Reporting Requirements • CMS • Scope of Work • All measures following NHQM schedule • SCIP IPG participant • Infection & VTE measures starting with 1/1/2006 discharges • APU* • SCIP Infection – 1, 2 and 3 beginning with July 1, 2006 discharges *APU Appropriateness of Care measures – composite score

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