The American College of Surgeons National Surgical Quality Improvement Program (ACS NSQIP
®) has recognized BIDMC as one of 28 ACS NSQIP participating hospitals in the United States to have achieved "exemplary" outcomes for surgical patient care. In 2002, the Institute of Medicine named NSQIP the "best in the nation" for measuring and reporting surgical quality and outcomes.
Only Boston hospital
The 28 commended hospitals were singled out from among 316 hospitals, which encompass all major U.S. academic medical centers, as well as many private-sector community programs, placing them among the top 10 percent of participating hospitals nationwide. BIDMC was the only hospital in Boston to be recognized by NSQIP. (A list of participating NSQIP hospitals can be found at
BIDMC received further distinction as one of only five hospitals in this group to have achieved exemplary status for two or more consecutive years, placing it within the top one to two percent of all participating hospitals nationwide.
A team effort
According to Richard Whyte, MD, MBA, Vice Chair for Quality, Safety, and Clinical Affairs in the BIDMC Department of Surgery, this achievement is a team effort that involves surgeons, anesthesiologists, and other doctors; nurses, nurse practitioners, physician assistants, and OR technicians; and all others who provide care for patients perioperatively. BIDMC performed 27,000 operative procedures during the past year in its nearly 40 operating rooms.
The NSQIP recognition program commends a select group of hospitals for achieving exemplary outcome performances related to patient management in five areas:
· Surgical site infections
· Cardiac incidents (cardiac arrest and myocardial infarction)
· Respiratory (pneumonia)
· DVT (deep vein thrombosis, thrombophlebitis, and pulmonary embolism)
· Urinary tract infections
Exemplary status in other areas
The 28 commended hospitals achieved the distinction of attaining exemplary results in general surgery in two or more of the five areas listed above. Risk-adjusted data from the July 2012
ACS NSQIP Semiannual Report (from the period January through December 2011) were used to determine which hospitals demonstrated exemplary outcomes. BIDMC also achieved exemplary status in mortality, overall morbidity, and return to OR rates during the same period.
Other leading health care institutions that received recognition are the Mayo Clinic-Rochester Methodist Hospital, University of North Carolina Hospitals, the University of Alabama-Birmingham, Keck Hospital of the University of Southern California, Montefiore Medical Center of the Albert Einstein College of Medicine, and Kaiser Permanente San Francisco Medical Center.
Goal to reduce morbidity and mortality
NSQIP is the only nationally validated quality-improvement program that measures and enhances the care of surgical patients. As a voluntary participant in NSQIP, BIDMC is required to track the outcomes of inpatient and outpatient surgical procedures and collect data that directs patient safety and the quality of surgical care improvements.
This program measures the actual surgical results 30 days postoperatively as well as risk adjusts patient characteristics to compensate for differences among patient populations and levels of acuity.
The goal of NSQIP is to reduce surgical morbidity (infection or illness related to a surgical procedure) and surgical mortality (death related to a surgical procedure) and to provide a firm foundation on which surgeons can apply the best scientific evidence to the practice of surgery.