Surgery
Volume 151, Issue 2 , Pages 146-152 , February 2012

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

  • SCOAP Collaborative, The writing group for the SCOAP Collaborative
    • ,
  • Steve Kwon, MD, MPH

      Affiliations

    • Department of Surgery and the Surgical Outcomes Research Center, University of Washington, Seattle, WA
    • ,
  • Michael Florence, MD

      Affiliations

    • Department of Surgery, Swedish Medical Center, Seattle, WA
    • ,
  • Peter Grigas, RN, BHSA, CTQM, CPHQ

      Affiliations

    • Valley Medical Center, Renton, WA
    • ,
  • Marc Horton, MD

      Affiliations

    • Department of Surgery, Swedish Medical Center, Seattle, WA
    • ,
  • Karen Horvath, MD

      Affiliations

    • Department of Surgery and the Surgical Outcomes Research Center, University of Washington, Seattle, WA
    • ,
  • Morrie Johnson, MD

      Affiliations

    • Department of Surgery, Skagit Valley Medical Center, Seattle, WA
    • ,
  • Gregory Jurkovich, MD

      Affiliations

    • Department of Surgery, Harborview Medical Center, Seattle, WA
    • ,
  • Wendy Klamp, MHA

      Affiliations

    • Department of Surgery and the Surgical Outcomes Research Center, University of Washington, Seattle, WA
    • ,
  • Kristin Peterson, JD

      Affiliations

    • Coopersmith Health Law Group, Seattle, WA
    • ,
  • Terence Quigley, MD

      Affiliations

    • Department of Surgery, Northwest Hospital Medical Center, Seattle, WA
    • ,
  • William Raum, MD, PhD

      Affiliations

    • Department of Surgery, Legacy Health System, Portland, OR
    • ,
  • Terry Rogers, MD

      Affiliations

    • Foundation for Health Care Quality, Seattle, WA
    • ,
  • Richard Thirlby, MD

      Affiliations

    • Department of Surgery, Virginia Mason Medical Center, Seattle, WA
    • ,
  • Ellen T. Farrokhi, MD

      Affiliations

    • Department of Surgery, Providence Regional Medical Center, Everett, WA
    • ,
  • David R. Flum, MD, MPH

      Affiliations

    • Department of Surgery and the Surgical Outcomes Research Center, University of Washington, Seattle, WA
    • Corresponding Author InformationReprint requests: David R. Flum, MD, MPH, Department of Surgery, University of Washington, 1959 N.E. Pacific St. Rm AA 404, Box 356410, Seattle, WA 98195-6410.

,Accepted 16 August 2011.

References 

  1. Kohn KT, Corrigan JM, Donaldson MS. To err is human: building a safer health system. Washington, DC: National Academy Press; 1999;
  2. Wennberg JE. Time to tackle unwarranted variations in practice. BMJ. 2011;342:d1513
  3. Merkow RP, Bilimoria KY, Cohen ME, Richards K, Ko CY, Hall BL. Variability in reoperation rates at 182 hospitals: a potential target for quality improvement. 2009;209:557–64.
  4. Kao LS, Thomas EJ. Navigating towards improved surgical safety using aviation-based strategies. J Surg Res. 2008;145:327–335
  5. MedQIC. SCIP project information. 2010 (cited 2010 Nov 10). Available from: https://www.qualitynet.org.
  6. Stulberg JJ, Delaney CP, Neuhauser DV, Aron DC, Fu P, Koroukian SM. Adherence to surgical care improvement project measures and the association with postoperative infections. JAMA. 2010;303:2479–2485
  7. Cossman DV. The taking. General Surgery News (2010 Oct; cited 2010 Dec 12). Available from: http://www.generalsurgerynews.com.
  8. Omoigui NA, Miller DP, Brown KJ, et al. Outmigration for coronary bypass surgery in an era of public dissemination of clinical outcomes. Circulation. 1996;93:27–33
  9. Birkmeyer JD, Shahian DM, Dimick JB, et al. Blueprint for a new American College of Surgeons: National Surgical Quality Improvement Program. J Am Coll Surg. 2008;207:777–782
  10. Flum DR, Fisher N, Thompson J, Marcus-Smith M, Florence M, Pellegrini CA. Washington State’s approach to variability in surgical processes/Outcomes: Surgical Clinical Outcomes Assessment Program (SCOAP). Surgery. 2005;138:821–828
  11. Birkmeyer NJ, Share D, Campbell DA, Prager RL, Moscucci M, Birkmeyer JD. Partnering with payers to improve surgical quality: the Michigan plan. Surgery. 2005;138:815–820
  12. Malenka DJ, O’Connor GT. The Northern New England Cardiovascular Disease Study Group: a regional collaborative effort for continuous quality improvement in cardiovascular disease. Jt Comm J Qual Improv. 1998;24:594–600
  13. Maynard C, Goss JR, Malenka DJ, et al. Adjusting for patient differences in predicting hospital mortality for percutaneous coronary interventions in the Clinical Outcomes Assessment Program. Am Heart J. 2003;145:658–664
  14. Mahid SS, Polk HC, Lewis JN, Turina M. Opportunities for improved performances in surgical specialty practice. Ann Surg. 2008;247:380–388
  15. Shively EH, Heine MJ, Schell RH, Sharpe JN, Garrison RN, Vallance SR, et al. Practicing surgeons lead in quality care, safety, and cost control. Ann Surg. 2004;239:752–760
  16. Cuschieri J, Florence M, Flum DR, et al. Negative appendectomy and imaging accuracy in the Washington State Surgical Care and Outcomes Assessment Program. Ann Surg. 2008;248:557–563

 SCOAP is supported by a grant from Washington State’s Life Science Discovery Fund and Agency for Healthcare Research and Quality Grant Number 1 R01 HS 20025-01.

 SCOAP is a program of the Foundation for Healthcare Quality.

PII: S0039-6060(11)00481-8

doi: 10.1016/j.surg.2011.08.015

Surgery
Volume 151, Issue 2 , Pages 146-152 , February 2012

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