Surgical Care and Outcomes Assessment Program

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Surgical Care and Outcomes Assessment Program
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What is SCOAP?

• A quality of care improvement program providing
  hospital specific data feedback and best
  practices regarding processes of care and
  outcomes across the Pacific Northwest
• All stakeholders working together (physicians,
  quality of care personnel, hospital
  administrators, purchasers of healthcare,
  insurers)
• Drives QI using meaningful data
• Thoughtful approach to transparency
• Works within a statewide statue that protects
  confidentiality

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Who is behind SCOAP?

• Foundation for Healthcare Quality
• SCOAP Partners and Stakeholders
• Washington State Health Care Authority
• Washington State Medicaid Assistance
  Administration
• Group Health Cooperative
• Premera Blue Cross
• Regence Blue Shield
• Washington State Hospital Association

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in Washington State
Mount Vernon
Port Angeles
Port Townsend
Redmond
Wenatchee
Seattle
Spokane
Tacoma
Aberdeen
Yakima
Sunnyside
Richland
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Participating Hospitals

• Enrolled and submitting data
• Central Washington Hospital, Wenatchee
• Childrens Hospital and Regional Medical Center,
  Seattle
• Grays Harbor Community Hospital, Aberdeen
• Harborview Medical Center, Seattle 
• Jefferson Healthcare, Port Townsend
• Kadlec Medical Center, Richland
• Madigan Army Medical Center, Tacoma
• Sacred Heart Medical Center, Spokane
• Sunnyside Community Hospital, Sunnyside
• Swedish Health Services, Seattle
• University of Washington Medical Center, Seattle
• Virginia Mason Medical Center, Seattle
• Wenatchee Valley Medical Center, Wenatchee
• Yakima Valley Memorial Hospital, Yakima
• Enrolled, not yet submitting data
• Group Health Cooperative/Eastside Hospital,
  Redmond
• Skagit Valley Hospital, Mount Vernon
• Commitment to enroll

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SCOAP Development

• Four procedures to start
• Appendectomy, Colectomy/Proctectomy, Gastric
  bypass
• Vascular surgery pilot
• Focus on important process of care measures for
  surgeons/hospitals
• In hospital outcome measures-risk adjustment
• Data abstracted by local staff/web-based entry
• Quarterly reporting to surgeons, QI and hospital
  leadership

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SCOAP Metrics

• 1 Normothermia
• 2 Euglycemia
• 3 VTE Chemoprophylaxis
• 4 Antibiotic Use
• 5 Pain Control
• 6 Transfusion Use
• 7 Post-operative Respiratory Failure
• 8 Myocardial Infarction Prevention
• 9 Diagnostic Imaging for Appendectomy
• 10 Imaging Accuracy for Appendectomy
• 11 Operative process
• 12 Lymph Nodes Removed for Colon Cancer
• 13 Post Operative Interventions
• 14 Hospital Stay and Discharge Status
• 15 Negative Appendectomy

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What has SCOAP learned so far?

• Baby steps are important
• Data show widespread variability
• Opportunities for improvement
• Physician engagement works
• Data collection only works when its relevant data
  and fed back to engaged staff working with local
  QI
• Local success stories drive regional success
  stories