Agenda
2016 ACS NSQIP ANNUAL CONFERENCE
July 16–19, 2016 | San Diego, CA
2016 ACS NSQIP
ANNUAL CONFERENCE
FULL CONFERENCE
Saturday, July 16 to Tuesday, July 19, 2016
PRECONFERENCE WORKSHOPS
Saturday, July 16, 2016
HILTON SAN DIEGO BAYFRONT
SAN DIEGO, CA
acsnsqipconference.org
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2016 ACS NSQIP ANNUAL CONFERENCE
July 16–19, 2016 | San Diego, CA
2016 ACS NSQIP ANNUAL CONFERENCE
July 16–19, 2016 | San Diego, CA
Welcome
On behalf of the American College of Surgeons National Surgical Quality Improvement Program
(ACS NSQIP®), I would like to welcome you to the 2016 ACS NSQIP Annual Conference. We are
excited to be hosting this year’s conference in sunny San Diego, CA, at the beautiful Hilton San
Diego Bayfront. The hotel is located on the San Diego Bay, just across the street from the Padres’
Petco Park and within walking distance of the Gaslamp Quarter, where attendees can enjoy
shopping, dining, and nightlife.
The theme of this year’s conference is “Innovate to Make a Difference.” Sessions will explore employing innovative
approaches and ideas to improve patient safety and improve processes. The use of interactive workshops, informal
meetings, and sessions built around personal perspectives will further drive the conference’s theme.
Highlights of our sessions include:
• Helping Our Patients Be Strong for Surgery: Optimizing Patients for Surgery
• Using Stories and Personal Perspectives to Change Surgery
• Getting Our Collaboratives to Collaborate
• Town Hall with the ACS Executive Director
• ACS NSQIP and Enhanced Recovery Pathways
• Don’t Reinvent the Wheel, or How to Learn from Projects That Didn’t Work
as Well or as Quickly as Hoped
• Managing Sepsis and Improving Outcomes
• Integrating Surgical Ethics into Patient Care
• New Surgical Clinical Reviewer (SCR): Building Your House on Rock versus Sand
This year’s conference will also include additional pediatric-specific content
tailored to fit the needs of ACS NSQIP Pediatric program participants. The
keynote speaker is Julie A. Freischlag, MD, FACS, Vice Chancellor for Human
Health Sciences and Dean of the School of Medicine at UC Davis. For more
than 15 years, she has led education and training programs at top medical
schools and has more than 30 years of experience leading patient-care services
at nationally ranked hospitals. As one of the most prominent leaders among the
nation’s academic health centers, Dr. Freischlag is a national voice for improving
health and health care.
On Saturday evening, we’ll kick off the conference with a welcome reception
located next to the hotel at Bayfront Park. The reception will feature typical
Baja food and drink and will allow attendees to network and have some fun in a
festive beach party atmosphere.
This year’s social outing is a trip to the San Diego Zoo, home to more than
3,500 rare and endangered animals representing more than 650 species
and subspecies. Upon arrival, attendees will experience a private animal
presentation from some of the zoo’s star animals, followed by drinks and a
private buffet. After dinner, guests can explore the zoo on their own, on a bus
tour, or on the Skyfari Tram.
Thank you for joining us!
Clifford Y. Ko, MD, MS, MSHS, FACS, FASCRS
Director, ACS Division of Research and Optimal Patient Care and ACS NSQIP
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2016 ACS NSQIP ANNUAL CONFERENCE
July 16–19, 2016 | San Diego, CA
Claim Your Credits!
Instructions to Claim CME Credits
The deadline for physicians to claim Self-Assessment Credit and Continuing Medical Education
(CME) conference evaluation credits is July 29, 2016. For physicians who only want to claim
CME conference evaluation credits and forego the self-assessment activity, the deadline is
September 17, 2016. It is important to keep your badge for login purposes. If you lose your badge,
please contact the American College of Surgeons Convention and Meetings department at
registration@facs.org to obtain your registration ID number.
CONTINUING MEDICAL EDUCATION CREDIT INFORMATION
Accreditation
The American College of Surgeons is accredited by the Accreditation Council for Continuing Medical Education
(ACCME) to provide continuing medical education for physicians.
AMA PRA Category 1 Credits™
The American College of Surgeons designates this live activity for a maximum of 23 AMA PRA Category 1
Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the
activity.
Step 1:
Go to acsnsqipconference.org (attendees may
also claim CME credits using the mobile app).
Step 2:
Log in using the BADGE ID (top login box)
and password (last name). If you lose your
badge, please contact ACS Convention and
Meetings at registration@facs.org to obtain
the BADGE ID.
Step 3:
Complete session requirements as described
in session instructions on the claiming
website.
Final Step :
Submit the Overall Evaluation to officially
claim CME Credit. Access My Certificates to
view, e-mail, and print CME certificates or
certificate of attendance.
Manage
Of the AMA PRA Category 1 Credits™ listed above, a maximum of 11 credits meet the requirements for
Self-Assessment.
Access
Program Objectives
This activity is designed for physicians and nurses. The
learning objectives upon completion of this course are:
• Surgeons will be able to discuss and apply the most
recent knowledge pertaining to national and local quality
initiatives in the field of surgery.
• Participants will learn to utilize statistical methods to
analyze the ACS NSQIP data and demonstrate practical
ways to use the data for quality improvement.
• Participants will be able to manage, interpret, and
analyze ACS NSQIP data to make a positive impact at
their facility.
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Disclosure Information
In compliance with the ACCME Accreditation Criteria, the
American College of Surgeons must ensure that anyone in
a position to control the content of the educational activity
has disclosed all relevant financial relationships with any
commercial interest. All reported conflicts are managed
by a designated official to ensure a bias-free presentation.
Please refer to the virtual Tote Bag icon in the mobile app
for the complete disclosure list.
Transmit
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2016 ACS NSQIP ANNUAL CONFERENCE
July 16–19, 2016 | San Diego, CA
2016 ACS NSQIP ANNUAL CONFERENCE
July 16–19, 2016 | San Diego, CA
CNE
Continuing Nursing Education
Nursing Contact Hours are being offered for the following conference sessions:
This continuing nursing education activity was approved by
the Northeast Multi-State Division (NE-MSD), an accredited
approver by the American Nurses Credentialing Center’s
Commission on Accreditation.
The 2016 ACS NSQIP Conference has been approved to award a maximum of
15.75 CNE contact hours per attendee. It is recommended that nurses contact
their local nursing regulatory agency or nursing licensing board to determine
whether the American Nurses Credentialing Center’s Commission on
Accreditation (ANCC) Contact Hours being awarded at the 2016 ACS NSQIP
Conference will satisfy their local/state requirements for continuing education.
In order to streamline the process of claiming Continuing Nursing Education
Credits, this process has been automated through our conference website:
acsnsqipconference.org. Not all sessions are approved for CNE credit. Please
refer to this table, which lists the sessions where CNE credit is being offered.
Be sure to keep your conference badge, as conference participants will need
their last name (as it appears on their conference badge) and their registration/
badge ID number to log in. The link to access the CNE system can be found at
acsnsqipconference.org by clicking on the CME/CNE tab. The deadline to claim
CNE credit is September 17, 2016.
Instructions to Claim CNE Credits
Step 1:
Step 2:
Step 3:
Final Step :
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Go to acsnsqipconference.org (attendees may
also claim CNE credits using the mobile app).
Log in using the BADGE ID (top login box)
and password (last name). If you lose your
badge, please contact ACS Convention and
Meetings at registration@facs.org to obtain
the BADGE ID.
Complete session requirements as described
in session instructions on the claiming
website.
Submit the Overall Evaluation to officially
claim CNE Credit. Access My Certificates to
view, e-mail, and print CNE certificates or
certificate of attendance.
Saturday, July 16, 2016
Sunday, July 17, 2016
Monday, July 18, 2016
Tuesday, July 19, 2016
P01
ACS NSQIP Basics
BO01A
Adult Surgical Clinical Reviewer:
Discussion of Complex Clinical
Scenarios and Variable Review
BO01B
Using ACS NSQIP Pediatric Data
to Drive Quality Improvement and
Patient Safety
BO01C
New Surgical Clinical Reviewer:
Building Your House on Rock versus
Sand
P03
ACS NSQIP and Enhanced Recovery
Pathways
BO02A
Pediatric Surgical Clinical Reviewer:
Discussion of Complex Clinical
Scenarios and Variable Review
BO02B
ACS NSQIP Collaboratives: Utilization
Efforts at All Levels
BO02C
Applied Statistics: How Do I
Interpret Reports to Drive Quality
Improvement (QI)?
P04
Getting Our Collaboratives to
Collaborate: An Interactive Workshop
to Enhance Learning Collaboratives
BO03A
The New Surgeon Champion
Checklist: The Most Important Things
a New SC Should Do
P05
How to Be an Effective
Communicator
BO04A
Perspectives of the Experienced
Surgeon Champion
P06
Basic Excel: Techniques to Organize
and Analyze ACS NSQIP Data
BO05A
ACS NSQIP for Researchers
BO06B
Hospital Readmissions
GS05
General Session: Don’t Reinvent the
Wheel, or How to Learn from Projects
that Didn’t Work as Well or as
Quickly as Hoped
BO07B
Quality Improvement Training
Initiative (QITI): Learning Modules for
Front-Line Providers Using Concrete
Examples
GS06
General Session: Keynote
GS09
General Session: Geriatric Surgery:
How Do We Better Care for Elderly
Patients?
P02
ACS NSQIP Pathway to Improvement
(P2I)
P07
Understanding and Interpreting Your
Data: A Scenario-Based Session
Using the Semiannual Report (SAR)
and Data Analytics to Identify Areas
for Improvement
GS02
General Session: Enhanced
Recovery—Going Beyond the Basics
BO07A
Surgical Anatomy for Pediatric
Surgical Clinical Reviewers
GS03
General Session: Helping Our Patients
Be Strong for Surgery—Optimizing
Patients for Surgery
BO08A
Surgical Anatomy for Adult Surgical
Clinical Reviewers
GS07
General Session: Integrating Surgical
Ethics into Patient Care
GS08
General Session: Using Stories and
Personal Perspectives to Change
Surgery—Part I
BO03B
Using ACS NSQIP to Support
Performance Improvement Systems
BO04B
Increase Your Data Reliability through
Consistency Checks
BO05B
Venous Thromboembolism (VTE)
BO03C
A Systems Approach to ACS NSQIP
Clinical Review
BO04C
Surgical Site Infection (SSI)
BO05C
Hepato-Pancreato-Biliary (HPB)
Clinical Trial
BO06C
Residents as Leaders in Quality: The
Importance of Culture
BO07C
Opportunities and Challenges of
Implementing ACS NSQIP Projects at
Small and Rural Sites
GS13
General Session: Managing Sepsis
and Improving Outcomes
GS10
General Session: Improving Children’s
Surgical Care: The Children’s Surgery
Verification Program and ACS NSQIP
Pediatric
GS11
General Session: Best Practices and
Case Studies
GS12
General Session: Using Stories and
Personal Perspectives to Change
Surgery—Part II
If you have specific questions regarding the process to claim credit, please contact the ACS NSQIP Clinical Support
Team at clinicalsupport@acsnsqip.org.
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2016 ACS NSQIP ANNUAL CONFERENCE
July 16–19, 2016 | San Diego, CA
2016 ACS NSQIP ANNUAL CONFERENCE
July 16–19, 2016 | San Diego, CA
Program Summary
Saturday,
July 16
Sunday,
July 17
Breakfast for Preconference Attendees
8:00 am–12:00 noon
Preconference Workshops
12:00 noon–1:00 pm
Lunch for Preconference Attendees
1:00–5:30 pm
General Sessions
3:15–3:45 pm
Networking Break
6:00–8:00 pm
Welcome Reception
7:00–8:00 am
Breakfast
8:00–9:30 am
Breakout Sessions
9:30–10:00 am
Networking Break
10:00 am–12:15 pm
General Sessions
12:15–1:45 pm
Monday,
July 18
Tuesday,
July 19
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7:00–8:00 am
Lunch, Collaborative Lunch Meetings, and
Ask-the-Expert Luncheon
1:45–2:45 pm
Concurrent Breakout Sessions
2:45–3:15 pm
Networking Break
3:15–4:30 pm
General Sessions
4:30–7:30 pm
Abstract Poster Reception
7:00–8:00 am
Breakfast
8:00–9:15 am
Concurrent Breakout Sessions
9:15–9:45 am
Networking Break
9:45–11:15 am
Concurrent General Sessions
11:15 am–12:45 pm
Lunch and Ask-the-Expert Luncheons
12:45–2:45 pm
General Sessions
2:45–3:10 pm
Networking Break
3:10–4:30 pm
Concurrent Abstract Sessions
5:30–9:00 pm
Social Outing at the San Diego Zoo
7:00–8:00 am
Breakfast
8:00–9:30 am
Concurrent Breakout Sessions
9:30–9:45 am
Break
9:45–11:30 am
General Sessions
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2016 ACS NSQIP ANNUAL CONFERENCE
July 16–19, 2016 | San Diego, CA
2016 ACS NSQIP ANNUAL CONFERENCE
July 16–19, 2016 | San Diego, CA
Download the ACS NSQIP
National Conference MOBILE APP!
Navigate the event like a pro!
Key features include:
• Sync your conference registration and update your
personal schedule
• Receive up-to-the-minute speaker and event information
• Take notes and download event handouts in the virtual Tote
Bag icon
• Access full abstracts and PDFs of the abstract posters
• Interactively locate sessions on the Hilton San Diego
Bayfront maps
• Stay in-the-know and join in on social media with #NSQIP16
• Receive room change notifications and important real-time
communications
• Get CME and CNE reminders with links to the website for
claiming credits
• Complete and publish your profile to find attendees and
connect with your colleagues through the Friends icon
• Search for convenient San Diego restaurants and
transportation options
• Utilize the audience response polling system
• And much, much more!
Scan:
Downloading the app is easy!
Search: The App Store or Google Play for “NSQIP”
For all other device types (including BlackBerry, Windows, and all other Web browser-enabled devices): While on your smartphone, point your mobile
browser to m.core-apps.com/nsqip to be directed to the proper download version for your phone.
Platform Compatibility: Android v4x+ and iOS v7x+
Should you have any questions, please contact support@core-apps.com or visit the ACS NSQIP Conference IT Booth onsite.
High-Speed
Wireless
Internet
Network name: NSQIP
• View available wireless networks
• Connect to NSQIP
• Enter password NSQIP2016
• Open your Web browser
**Please note: Password is case sensitive
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2016 ACS NSQIP ANNUAL CONFERENCE
July 16–19, 2016 | San Diego, CA
2016 ACS NSQIP ANNUAL CONFERENCE
July 16–19, 2016 | San Diego, CA
Saturday, July 16
7:00–8:00 am
Breakfast for Preconference Attendees
Breakfast will be served in the main foyer of each level
8:00 am–12:00 noon Preconference Workshops
P01: ACS NSQIP Basics
Melissa Latus, BSN, RN
Agenda
Sapphire DHLP (Level 4)
8:00–8:10 am
Introduction and Overview
Melissa Latus, BSN, RN
8:10–8:50 am
Clinical Support and Setting up for Success
Rita Vargos, BSN, RN
8:50–9:15 am
Data Automation
Steve Merzlak
9:15–9:45 am
Setting up for Workstation Success
George Cheretakis
9:45–10:00 am
Q&A Panel Discussion
10:00–10:15 am
Break
10:15–10:35 am
Risk-Adjusted Reports
Kristopher Huffman, MS
10:35–11:25 am
Continuous Quality Improvement (CQI): The
Massachusetts General Hospital Experience
Matthew M. Hutter, MD, MPH, FACS
11:25–11:40 am
ACS NSQIP Tools for Success
Melissa Latus, BSN, RN
11:40 am–12:00 noon Q&A Panel Discussion
P02: ACS NSQIP Pathway to Improvement (P2I)
Nestor F. Esnaola, MD, MPH, MBA,
FACS, and Beth Turrentine, PhD, RN
Aqua ABC (Level 3)
8:00–8:05 am
Overview
8:05–8:15 am
Discussion of P2I Case Study
8:15–8:30 am
Change Management
8:30–9:00 am
Drill: Putting Change Management to Work
9:00–9:20 am
Lean and Six Sigma
9:20–9:50 am
Drill: Processes, Variation, and Outcomes
9:50–10:00 am
Putting It All Together: The ACS NSQIP P2I (Part 1—
Planning for Improvement)
10:00–10:15 am
Break
10:15–10:25 am
Putting It All Together: The ACS NSQIP P2I (Part 1—
Planning for Improvement)
10:25–11:05 am
Drill: Planning for Improvement
11:05–11:15 am
Putting It All Together: The ACS NSQIP P2I (Part 2—
Implementing Improvement)
11:15–11:45 am
Drill: Implementing Improvement
11:45 am–12:00 noon
Q&A, Debriefing
P03: ACS NSQIP and Enhanced Recovery Pathways
Nestor F. Esnaola, MD, MPH, MBA,
FACS, and Beth Turrentine, PhD, RN
Nestor F. Esnaola, MD, MPH, MBA,
FACS, and Beth Turrentine, PhD, RN
Julia Berian, MD, and Julie K. Marosky
Thacker, MD, FACS, FASCRS
Indigo A (Level 2)
Enhanced Recovery
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8:00–8:30 am
Overview and Principles
Julia Berian, MD
8:30–8:50 am
Evidence-Based Perioperative Improvement
Julie K. Marosky Thacker, MD, FACS,
FASCRS
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2016 ACS NSQIP ANNUAL CONFERENCE
July 16–19, 2016 | San Diego, CA
2016 ACS NSQIP ANNUAL CONFERENCE
July 16–19, 2016 | San Diego, CA
Saturday, July 16, continued
Saturday, July 16, continued
8:50–9:10 am
Education: From Team Preparation through Patient
Recovery
Robin Anderson, BSN, RN
9:00–9:45 am
Organizing and Analyzing Data in the Case Details
Report
9:10–9:30 am
Common Pathway Elements and the Evidence
Traci L. Hedrick, MD, FACS
9:45–10:00 am
Q&A Panel Discussion
9:30–10:00 am
Panel Discussion
10:00–10:15 am
Break
P07: Understanding and Interpreting Your Data: A Scenario-Based Session
Using the Semiannual Report (SAR) and Data Analytics to Identify Areas
for Improvement
Details, Implementation, and Future Directions
10:15–10:35 am
Enhanced Recovery: Not Just for Colorectal Surgery
Anne K. Schuckman, MD
10:35–10:55 am
Current Questions in Perioperative Medicine
Matthew McEvoy, MD
10:55–11:15 am
Panel Discussion
Q&A and Open Discussion
11:15 am–12:00 noon
Q&A Panel Discussion
P04: Getting Our Collaboratives to Collaborate:
An Interactive Workshop to Enhance Learning Collaboratives
Karl Y. Bilimoria, MD, MS, FACS, and
Anthony D. Yang, MD, MS, FACS
Indigo E (Level 2)
8:00–8:05 am
Opening Remarks and Introductions
Karl Y. Bilimoria, MD; MS, FACS
8:05–9:30 am
Collaboratives Overview
Olakunle Ajayi, MD; Karl Y. Bilimoria, MD,
MS, FACS; Chris Clarke; Robert Cooney,
MD; Philip R. Corvo, MD, FACS; Kathleen
Gravelle, BSN, RN, MSM; Jon Uota, MD;
and Anthony D. Yang, MD, MS, FACS
9:30–10:00 am
Discussion of Collaborative Projects
10:00–10:15 am
Break
10:15–10:45 am
Interactive Workshop: How to Improve Collaborative
Reports
Karl Y. Bilimoria, MD, MS, FACS
10:45–11:15 am
Engagement Strategies
Anthony D. Yang, MD, MS, FACS
11:15–11:45 am
Collaborative Leadership Structures and Advisory
Committees
Karl Y. Bilimoria, MD, MS, FACS
11:45 am–12:00 noon
Wrap-Up, Follow-Up Items, and Questions
Anthony D. Yang, MD, MS, FACS
P05: How to Be an Effective Communicator
Karl Y. Bilimoria, MD, MS, FACS
Scott J. Ellner, DO, MPH, FACS
Aqua EF (Level 3)
10:15–11:00 am
Walking through a SAR-Based Scenario to Identify
and Analyze Areas of Quality Improvement (QI)
11:00–11:30 am
Using Excel to Organize and Analyze Various Online
Reports Data for QI
11:30 am–12:00 noon
Examples, Review, and Questions
12:00 noon–1:00 pm
Lunch for Preconference Attendees
1:00–5:30 pm
General Sessions
GS01: Welcome and Conference Overview
1:00–1:15 pm
Welcome
Clifford Y. Ko, MD, MS, MSHS, FACS,
FASCRS
1:15–1:30 pm
San Diego Stories
David B. Hoyt, MD, FACS
GS02: Enhanced Recovery: Going Beyond the Basics
1:30–1:55 pm
Enhanced Recovery Programs: A Team Sport
Efren E. Rosas, MD, and Paul Preston, MD
1:55–2:20 pm
Physical Activity Interventions in Perioperative
Surgical Oncology Patients
Niraj J. Gusani, MD, FACS
2:20–2:45 pm
Barriers to Implementing Enhanced Recovery
Pathways in Small and Community Hospitals
Vanita Ahuja, MD, FACS
2:45–3:15 pm
Q&A Panel Discussion
3:15–3:45 pm
Networking Break
Sapphire Foyer (Level 4)
How to Have a Difficult Conversation
Oscar D. Guillamondegui, MD, MPH,
FACS
GS03: Helping Our Patients Be Strong for Surgery: Optimizing Patients for
Surgery
8:40–9:20 am
Exercise: Influencing Your Team through
Communication
Thomas A. Aloia, MD, FACS
Sapphire Ballroom (Level 4)
9:20–10:00 am
It’s Not about What You Say, It’s How You Say It!
Kimberly McKinley, BSN, RN
10:00–10:15 am
Break
10:15–10:40 am
Delivering a Powerful Presentation
Scott J. Ellner, DO, MPH, FACS
10:40–11:00 am
The Hook: Capturing Audience Participation
John Wieland, MD, FACS
Indigo 202 (Level 2)
8:00–9:00 am
14
Thomas A. Aloia, MD, FACS, and Julia
Berian, MD
Sapphire Ballroom (Level 4)
8:10–8:40 am
Jakob Lapsley, BSN, RN, and Bradley J.
Schwab, BSN, RN
Clifford Y. Ko, MD, MS, MSHS, FACS,
FASCRS, and David B. Hoyt, MD, FACS
Sapphire Ballroom (Level 4)
Scott J. Ellner, DO, MPH, FACS
Audience
Craig W. Miller
Bayfront Park
Overview and Introductions
P06: Basic Excel: Techniques to Organize and Analyze ACS NSQIP Data
Craig W. Miller
Indigo 202 (Level 2)
8:00–8:10 am
11:00 am–12:00 noon Exercise: Extemporaneous Speaking
Jakob Lapsley, BSN, RN, and Bradley J.
Schwab, BSN, RN
David R. Flum, MD, FACS, and Thomas
K. Varghese, Jr., MD, FACS
3:45–4:10 pm
Changing the Focus of Patient Engagement: How the
Surgical Clinic Plays a Key Role
Thomas K. Varghese, Jr., MD, FACS
4:10–4:35 pm
Smoking Cessation, Medical Optimization, Nutritional Thomas K. Varghese, Jr., MD, FACS
Evaluation, and Optimization
4:35–5:00 pm
Preoperative Screening for Hyperglycemia Risk,
Preoperative CHO, and Perioperative Glucose Control
5:00–5:30 pm
Q&A Panel Discussion
6:00–8:00 pm
Welcome Reception
E. Patchen Dellinger, MD, FACS
Bayfront Park
Basic Excel Overview
Jakob Lapsley, BSN, RN, and Bradley J.
Schwab, BSN, RN
15
2016 ACS NSQIP ANNUAL CONFERENCE
July 16–19, 2016 | San Diego, CA
2016 ACS NSQIP ANNUAL CONFERENCE
July 16–19, 2016 | San Diego, CA

USS Midway, the longest-serving
U.S. Navy aircraft carrier of the
20th century.
USS Midway Museum
Sunday, July 17
7:00–8:00 am
Breakfast
Breakfast will be served in the main foyer of each level
8:00–9:30 am
Breakout Sessions
BO01A: Adult Surgical Clinical Reviewer: Discussion of Complex Clinical
Scenarios and Variable Review
Melissa Latus, BSN, RN
Sapphire Ballroom (Level 4)
8:00–9:00 am
Complex Clinical Scenarios and Variable Review
9:00–9:30 am
Q&A Panel Discussion
Jakob Lapsley, BSN, RN; Bradley J.
Schwab, BSN, RN; and Rita Vargos,
BSN, RN
BO02A: Pediatric Surgical Clinical Reviewer: Discussion of Complex Clinical Catherine Grant, BSN, RNC–NIC, and
Scenarios anf Variable Review
Jacqueline M. Saito, MD, FACS
Aqua ABC (Level 3)
8:00–9:00 am
Complex Clinical Scenarios and Variable Review
9:00–9:30 am
Q&A Panel Discussion
BO03A: The New Surgeon Champion (SC) Checklist: The Most Important
Things a New SC Should Do
Catherine Grant, BSN, RNC–NIC, and
Jacqueline M. Saito, MD, FACS
Efren E. Rosas, MD
Indigo AE (Level 2)
8:00–8:15 am
Never Criticize, Condemn, or Complain
Charles A. Lane, MD, FACS
8:15–8:30 am
Local Culture: Friend or Foe
Pierre F. Saldinger, MD, FACS
8:30–8:45 am
New Surgeon Champion Checklist: What Other SCs
Wish They Had Known
Efren E. Rosas, MD
8:45–9:00 am
Being a New Pediatric Surgeon Champion
Robert T. Russell, MD, MPH, FACS
9:00–9:30 am
Q&A Panel Discussion
BO04A: Perspectives of the Experienced Surgeon Champion
Bruce L. Hall, MD, PhD, FACS
Sapphire DHLP (Level 4)
8:00–8:15 am
Two Years a Surgeon Champion
Jennifer L. Rabaglia, MD, FACS
8:15–8:30 am
Five Years a Surgeon Champion
Robert E. Glasgow, MD, FACS
8:30–8:45 am
Seven Years a Surgeon Champion
Allan Siperstein, MD
8:45–9:00 am
Eleven Years a Surgeon Champion
Joseph B. Cofer, MD, FACS
9:00–9:30 am
Q&A Panel Discussion
BO05A: ACS NSQIP for Researchers
Matthew M. Hutter, MD, MPH, FACS
Aqua DEF (Level 3)
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8:00–8:20 am
Performing Database Research in 2016:
Where Are We?
Matthew M. Hutter, MD, MPH, FACS
8:20–8:40 am
Using the ACS NSQIP Participant Use DataFile (PUF):
Opportunities and Limitations
Kristopher Huffman, MS
8:40–9:00 am
Kid's Choice Awards for Research Using ACS NSQIP
Pediatric
Mehul V. Raval, MD, MS
9:00–9:30 am
Q&A Panel Discussion
9:30–10:00 am
Networking Break
Sapphire Foyer (Level 4)
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2016 ACS NSQIP ANNUAL CONFERENCE
July 16–19, 2016 | San Diego, CA
2016 ACS NSQIP ANNUAL CONFERENCE
July 16–19, 2016 | San Diego, CA
Sunday, July 17, continued
Sunday, July 17, continued
10:00 am–12:15 pm
BO08A: Surgical Anatomy for Adult Surgical Clinical Reviewers
General Sessions
GS04: ACS NSQIP Updates
Clifford Y. Ko, MD, MS, MSHS, FACS,
FASCRS
Sapphire Ballroom (Level 4)
10:00–10:15 am
Updates
GS05: Don’t Reinvent the Wheel, or How to Learn from Projects that Didn’t
Work as Well or as Quickly as Hoped
E. Patchen Dellinger, MD, FACS
Sapphire Ballroom (Level 4)
Sapphire Ballroom (Level 4)
1:45–2:00 pm
Ventral Hernia
Lillian Kao, MD, FACS
2:00–2:15 pm
Pancreatectomy
Henry A. Pitt, MD, FACS
2:15–2:30 pm
Hepatectomy
Henry A. Pitt, MD, FACS
2:30–2:45 pm
Q&A Panel Discussion
2:45–3:15 pm
Networking Break
Sapphire Foyer (Level 4)
3:15–4:30 pm
General Sessions
10:15–10:30 am
Readmissions after Complex Abdominal Surgery:
They Just Keep Coming Back!
Elizabeth C. Wick, MD, FACS
10:30–10:45 am
Prevention of Hypothermia during Complex Surgery:
Is It Possible?
Jyotirmay Sharma, MD, FACS
GS07: Integrating Surgical Ethics into Patient Care
10:45–11:00 am
Change Takes Five Years: Successes and Failures in
Implementing a Reducing Wound Infection Plan
Saulat Sheikh, MD
Sapphire Ballroom (Level 4)
11:00–11:15 am
Patterns of Failure of a Standardized Perioperative
Venous Thromboembolism Prophylaxis Protocol: Will
Certain Patients Require “Enhanced” Prophylaxis to
Approach a Zero Incidence of VTE?
Ryan D. Macht, MD
11:15–11:30 am
Clifford Y. Ko, MD, MS, MSHS, FACS,
FASCRS
Sapphire Ballroom (Level 4)
11:30 am–12:15 pm
Career Satisfaction by the Way of Resilience
12:15–1:45 pm
Attendee Lunch
Optimal Professionalism
GS08: Using Stories and Personal Perspectives to Change Surgery—Part I
Peter Angelos, MD, FACS
Scott J. Ellner, DO, MPH, FACS
3:45–3:50 pm
Introduction
Scott J. Ellner, DO, MPH, FACS
3:50–4:10 pm
Communication: Maybe It Is What You Say
Kimberly McKinley, BSN, RN
4:10–4:30 pm
Should Zero Be the Goal?
Thomas A. Aloia, MD, FACS
4:30–7:30 pm
Abstract Poster Reception
Indigo Ballroom (Level 2)
Julie A. Freischlag, MD, FACS
Bayfront Park
12:15–1:45 pm
3:15–3:45 pm
Clifford Y. Ko, MD, MS, MSHS, FACS,
FASCRS
Sapphire Ballroom (Level 4)
Q&A Panel Discussion
GS06: Keynote
Rita Vargos, BSN, RN, and Michael
Wandling, MD
NOTE S
Collaborative Lunch Meetings
For collaborative members and by invitation only
12:15–1:45 pm
Ask-the-Expert Luncheon
Ticketed event, preregistration is required
AE26: Surgical Clinical Reviewer: Sharing Your Ideas
to Improve ACS NSQIP
Sapphire Boardroom (Level 4)
1:45–2:45 pm
Clifford Y. Ko, MD, MS, MSHS, FACS,
FASCRS
Concurrent Breakout Sessions
BO06A: Town Hall with the ACS Executive Director
Bruce L. Hall, MD, PhD, FACS
Sapphire DHLP (Level 4)
1:45–2:45 pm
Update on the American College of Surgeons
BO07A: Surgical Anatomy for Pediatric Surgical Clinical Reviewers
David B. Hoyt, MD, FACS
Albert W. Dibbins, MD, FACS, and
Catherine Grant, BSN, RNC–NIC
Indigo AE (Level 2)
1:45–2:00 pm
Ureteral Reimplant Procedures
Emilie K. Johnson, MD, MPH
2:00–2:15 pm
Open Operations versus Endoscopic Procedures
Michael J. Goretsky, MD, FACS
2:15–2:30 pm
Gastroschisis and Omphalocele Procedures
Albert W. Dibbins, MD, FACS
2:30–2:45 pm
Q&A Panel Discussion
18
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2016 ACS NSQIP ANNUAL CONFERENCE
July 16–19, 2016 | San Diego, CA
2016 ACS NSQIP ANNUAL CONFERENCE
July 16–19, 2016 | San Diego, CA
A M E R I C A N CO L L E G E O F S U R G E O N S
Monday, July 18
7:00–8:00 am
Breakfast
Breakfast will be served in the main foyer of each level
8:00–9:15 am
Concurrent Breakout Sessions
BO01B: Using ACS NSQIP Pediatric Data to Drive Quality Improvement and
Patient Safety
Shawn J. Rangel, MD, MSCE, FACS
Indigo CD (Level 2)
Influence.
Honor.
Respect.
Share.
Belong.
8:00–8:05 am
Introduction
Shawn J. Rangel, MD, MSCE, FACS
8:05–8:15 am
Practical Applications of Applying SAR Data
Adam Alder, MD
8:15–8:20 am
Increasing Value through an Evidence-Based
Appendectomy Pathway
Robert A. Cina, MD, FACS
8:20–8:25 am
Making Big Data Small: Providing Campus-,
Specialty-, and Provider-Specific Report Cards
Mehul V. Raval, MD, MS
8:25–8:30 am
Appendicitis “SCORE”
Christopher A. Gitzelmann, MD
8:30–8:35 am
Multidisciplinary Development of a Six-Month Pilot
Incorporating MRI in the Evaluation of Suspected
Appendicitis
Jeannie Chun, MD
8:35–8:40 am
Balancing Act: Optimizing Outcomes and Antibiotics
for Perforated Appendicitis
Regan Williams, MD
8:40–9:15 am
Q&A Panel Discussion
BO02B: ACS NSQIP Collaboratives: Utilization Efforts at All Levels
Ali Khaki, MD, FACS, FRCS, and Oscar
D. Guillamondegui, MD, MPH, FACS
Aqua DEF (Level 3)
I am a Fellow.
8:00–8:15 am
How to Maintain Momentum (without Funding)
and a Few Tips on How to Get Funding for Your
Collaborative
Philip R. Corvo, MD, FACS
8:15–8:30 am
Projects across Collaboratives: The Challenge of
Competing Priorities
Kimberly McKinley, BSN, RN
8:30–8:45 am
Building the Ontario Surgical Quality Improvement
Network (ON-SQIN)
Timothy D. Jackson, MD, MPH, FACS
8:45–9:00 am
Infrastructure and Benefits of a System Collaborative
Richi Chaudhry, MHA, PMP, CPHQ
9:00–9:15 am
Q&A Panel Discussion
BO03B: Using ACS NSQIP to Support Performance Improvement Systems
Molly P. Clopp, RN, MS, MBATM
Sapphire Ballroom (Level 4)
PROUDLY DISPLAY THAT YOU’RE A
FELLOW OF THE AMERICAN COLLEGE
OF SURGEONS. Download FACS artwork
at www.facs.org.
20
8:00–8:15 am
Emory Healthcare
John F. Sweeney, MD, FACS
8:15–8:30 am
Kaiser Permanente
Molly P. Clopp, RN, MS, MBATM
8:30–8:45 am
Memorial Hermann Health System
Michelle Wells, LVN
8:45–9:00 am
Partners HealthCare
Matthew M. Hutter, MD, MPH, FACS
9:00–9:15 am
Q&A Panel Discussion
BO04B: Increase Your Data Reliability through Consistency Checks
Jakob Lapsley, BSN, RN, and Bradley J.
Schwab, BSN, RN
Sapphire DHLP (Level 4)
8:00–8:15 am
ACS NSQIP Data Validation Tool
Jakob Lapsley, BSN, RN, and Bradley J.
Schwab, BSN, RN
21
2016 ACS NSQIP ANNUAL CONFERENCE
July 16–19, 2016 | San Diego, CA
2016 ACS NSQIP ANNUAL CONFERENCE
July 16–19, 2016 | San Diego, CA
Monday, July 18, continued
Monday, July 18, continued
8:15–8:30 am
How to Perform a Self-Audit
Jakob Lapsley, BSN, RN, and Bradley J.
Schwab, BSN, RN
8:30–9:00 am
Case Study: Maximizing Your Data Integrity
Kathleen Swierzewski, RN, and Sarah
Bird, BA
9:00–9:15 am
Q&A Panel Discussion
BO05B: Venous Thromboembolism (VTE)
Venous Thromboembolism (VTE): Successful Use of
ACS NSQIP to Reduce VTE
Anthony D. Yang, MD, MS, FACS
The Affordability of Outpatient Low Molecular
Weight Heparin: Addressing a Key Barrier to VTE
Prophylaxis in a Safety-Net Hospital
Ryan D. Macht, MD
8:30–8:45 am
Utilizing ACS NSQIP to Decrease VTE Rate on a
Surgical Service
Karen Dorio, RN
8:45–9:00 am
ACS NSQIP Data Help Identify Key Patient Subset for
Postoperative VTE Reduction
Samantha Grable, RN
9:00–9:15 am
Q&A Panel Discussion
8:15–8:30 am
BO06B: Hospital Readmissions
8:00–8:15 am
Reducing Hospital Readmissions after Surgery:
Prevention Strategies and Improving Patient Care
Jyotirmay Sharma, MD, FACS
8:15–8:30 am
DROP (Decreasing Readmissions through
Opportunities Provided): The First National Quality
Improvement from the Metabolic and Bariatric
Surgery Accreditation and Quality Improvement
Program (MBSAQIP)
John Morton, MD, MPH, FACS,
FASMBS
Lessons Learned before and after ACS NSQIP
Monitoring of Enhanced Recovery Protocol (ERP)
Measures for Colorectal Patients: How Much
Compliance Is Needed to Achieve the Goal?
Audrey S. Kulaylat, MD
8:45–9:00 am
Understanding Reasons for Readmission in Children
Undergoing Surgery: An ACS NSQIP Pediatric
Analysis
Afif N. Kulaylat, MD, MSc
9:00–9:15 am
Q&A Panel Discussion
8:30–8:45 am
BO07B: Quality Improvement Training Initiative (QITI): Learning Modules
for Front-Line Providers Using Concrete Examples
9:45–10:05 am
ACS NSQIP Best Practices: Optimal Perioperative
Management of the Geriatric Patient
Ronnie A. Rosenthal, MD, FACS
10:05–10:25 am
ACS NSQIP Geriatric Surgery Pilot Collaborative:
The First 20,000 Patients and Beyond
Thomas N. Robinson, MD, FACS
10:25–10:45 am
ACS NSQIP Coalition for Quality in Geriatric Surgery
Project
Julia Berian, MD
10:45–11:15 am
Q&A Panel Discussion
GS10: Improving Children’s Surgical Care: The Children’s Surgery
Verification Program and ACS NSQIP Pediatric
Douglas C. Barnhart, MD, MSPH,
FACS
Sapphire DHLP (Level 4)
9:45–9:55 am
The Case for a Children’s Surgery Verification
Program
Keith T. Oldham, MD, FACS
9:55–10:10 am
Focusing the Institutional Commitment to Children’s
Surgery through Verification
Diana L. Farmer, MD, FACS, FRCS
10:10–10:25 am
Creating a Surgical Patient-Centered Systems
Improvement Program
Laura Higgins
10:25–10:35 am
Data-Driven Quality Improvement: ACS NSQIP
Pediatric’s Role in Verification
Jacqueline M. Saito, MD, FACS
10:35–10:45 am
The Importance of Rare Events as a Measure of
Performance: Safety Event Data
R. Lawrence Moss, MD, FACS
10:45–11:15 am
Q&A Panel Discussion
11:15 am–12:45 pm
Attendee Lunch
Bayfront Park
11:15 am–12:45 pm
Ask-the-Expert Luncheons
Ticketed events, preregistration is required
Rachel R. Kelz, MD, MSCE, FACS
Aqua ABC (Level 3)
8:00–8:05 am
Introduction
Rachel R. Kelz, MD, MSCE, FACS
8:05–8:25 am
Stop the Clot
Elliott R. Haut, MD, PhD, FACS
8:25–8:45 am
Nurse-Driven Protocols
Bridget Major-Joynes, RN
8:45–9:05 am
Big Picture Lessons for Resident Education on Quality
Improvement
Rebecca L. Hoffman, MD, and Lillian
Kao, MD, FACS
9:05–9:15 am
Q&A Panel Discussion
9:15–9:45 am
Networking Break
Sapphire Foyer (Level 4)
22
Emily Finlayson, MD, FACS, and
Marcia McGory-Russell, MD
Sapphire Ballroom (Level 4)
Jyotirmay Sharma, MD, FACS
Indigo AE (Level 2)
Concurrent General Sessions
GS09: Geriatric Surgery: How Do We Better Care for Elderly Patients?
Anthony D. Yang, MD, MS, FACS
Indigo BF (Level 2)
8:00–8:15 am
9:45–11:15 am
AE01: Adult Surgeon Champion (SC):
The SC as a Leader
Cobalt 501A (Level 5)
Joseph B. Cofer, MD, FACS
AE02: Adult Surgeon Champion (SC): The Role of the
SC in Defining a Quality Improvement (QI) Initiative
Cobalt 502A (Level 5)
Jyotirmay Sharma, MD, FACS
AE03: Adult Surgical Clinical Reviewer (SCR): The
SCR as an Agent for Change
Cobalt 502B (Level 5)
Martha J. Antal, BSN, RN, and Nancy
Anzlovar, BSN, RN
AE04: Adult Surgical Clinical Reviewer (SCR): The
Tools and Resources Available to the SCR
Sapphire 400A (Level 4)
Mitzi Hirbe, RHIA, CPHQ, and Devauna
Riley, RN
AE05: Pediatric Surgeon Champion (SC):
Communication Strategies to Share Pediatric Quality
Improvement (QI) Data
Sapphire 400B (Level 4)
Marjorie J. Arca, MD, FACS
23
2016 ACS NSQIP ANNUAL CONFERENCE
July 16–19, 2016 | San Diego, CA
2016 ACS NSQIP ANNUAL CONFERENCE
July 16–19, 2016 | San Diego, CA
Monday, July 18, continued
24
Monday, July 18, continued
AE06: Pediatric Surgeon Champion (SC): The
Pediatric SC Role from the “Front Line” to the “Board”
Cobalt 520 (Level 5)
Patricia A. Valusek, MD
AE07: Pediatric Surgical Clinical Reviewer (SCR):
More than Five Years of Pediatric Abstraction—What
We’ve Learned from the Data
Cobalt 501B (Level 5)
Robert M. Beck, BBA, RRT-NPS, and
Susan M. Scarlott, BSN, JD
AE08: Pediatric Surgical Clinical Reviewer
(SCR): From Data Abstraction to Driving Process
Improvement Initiatives—The Many Roles of the
Pediatric SCR
Aqua 313 (Level 3)
Debra A. Liebrecht, RN, CPHQ, and
Laura Smith, BSN, RN
AE09: Comprehensive Unit-Based Safety Program
(CUSP)/Surgical Unit-Based Safety Program (SUSP)
Indigo 204B (Level 2)
12:45–2:45 pm
AE24: Venous Thromboembolism (VTE)
Aqua 303 (Level 3)
David McAneny, MD, FACS
AE25: Surgeon Champion: Sharing Your Ideas to
Improve ACS NSQIP
Sapphire Boardroom (Level 4)
Clifford Y. Ko, MD, MS, MSHS, FACS,
FASCRS
General Sessions
GS11: Best Practices and Case Studies
Joe H. (Pat) Patton, Jr., MD, FACS
Sapphire Ballroom (Level 4)
12:45–12:50 pm
Introduction
Joe H. (Pat) Patton, Jr., MD, FACS
12:50–1:00 pm
Brendan T. Campbell, MD, MPH, FACS
Deborah B. Hobson, BSN, RN, and
Elizabeth C. Wick, MD, FACS
Paving the Road to “As Expected”: A Common-Sense
Approach to Decreasing Blood Transfusions in
Pediatric Spine Surgery
1:00–1:10 pm
Effect of Colon Bundle Implementation in a
Community Hospital
Michael L. Barringer, MD, FACS
AE10: Addressing Barriers
Aqua 305 (Level 3)
John F. Sweeney, MD, FACS
1:10–1:20 pm
The Impact of Hospital Safety Culture on Surgical
Outcomes
David D. Odell, MD, MMSc
AE11: Enhanced Recovery
Cobalt 500 (Level 5)
Thomas A. Aloia, MD, FACS, and Julie
K. Marosky Thacker, MD, FACS
1:20–1:30 pm
Preventing Catheter-Associated Urinary Tract
Infections: One Patient at a Time
Eddie Leonhardt, BSN, RN, NE-BC
AE12: Collaborative Development: Creating a
Meaningful Infrastructure for Collaborative Success
Aqua 307 (Level 3)
Karl Y. Bilimoria, MD, MS, FACS
1:30–1:40 pm
Postoperative Pneumonia Reduction in Surgical
Patients
Lori E. Abel, RN, ONC, M.Ed
1:40–2:00 pm
Q&A Panel Discussion
AE13: Collaborative Development: Strategic and
Operational Processes
Aqua 309 (Level 3)
Oscar D. Guillamondegui, MD, MPH,
FACS
AE14: Surgical Site Infections (SSIs)
Aqua Boardroom (Level 3)
E. Patchen Dellinger, MD, FACS
AE15: Creating a High-Functioning Quality
Improvement (QI) Team
Cobalt 501C (Level 5)
Hemant V. Keny, MD, and Christina
Solis, BSN, CLSSBB
AE16: Quality and Patient Safety
Aqua 310A (Level 3)
David S. Shapiro, MD, FACS, FCCM
AE17: Hospital-Acquired Conditions (HACs)
Aqua 310B (Level 3)
J. Michael Henderson, MB ChB, FACS
AB01: Surgical Potpourri
AE18: Hepato-Pancreato-Biliary (HPB) Collaborative
Aqua 300A (Level 3)
Molly Kilbane, BSN, RN, and Henry A.
Pitt, MD, FACS
Sapphire Ballroom (Level 4)
AE19: Resident Development
Aqua 311A (Level 3)
Rachel R. Kelz, MD, MSCE, FACS
AE20: Geriatric Surgery
Indigo 202 (Level 2)
GS12: Using Stories and Personal Perspectives to Change Surgery—Part II
Scott J. Ellner, DO, MPH, FACS
Sapphire Ballroom (Level 4)
2:00–2:05 pm
Introduction
Scott J. Ellner, DO, MPH, FACS
2:05–2:25 pm
Privilege
Rachel R. Kelz, MD, MSCE, FACS
2:25–2:45 pm
My Advice for the Modern Surgeon
Oscar D. Guillamondegui, MD, MPH,
FACS
2:45–3:10 pm
Networking Break
Sapphire Foyer (Level 4)
3:10–4:30 pm
Concurrent Abstract Sessions
Kristen A. Ban, MD, and Jonah
Stulberg, MD, PhD
3:10–3:20 pm
Surgical Safety Checklists: A Challenging Yet
Effective Investment
Kathryn T. Anderson, MD, MPH
3:20–3:30 pm
Susann Camus, MA, MPH, LSSGB
Thomas N. Robinson, MD, FACS, and
Ronnie A. Rosenthal, MD, FACS
Operating Room Traffic Monitoring Improves
Patient Safety
3:30–3:40 pm
Kristen A. Ban, MD
AE21: Bariatric Surgery
Indigo 204A (Level 2)
Matthew M. Hutter, MD, MPH, FACS,
and John M. Morton, MD, MPH, FACS,
FASMBS
Is the Publicly Available ProPublica Surgeon
Scorecard Valid? An Empirical Evaluation of Their
Outcome Measure and Methods
3:40–3:50 pm
Teresa Zurberg
AE22: How to Make Process Improvement (PI) Work
at Your Site: A Community Hospital Perspective
Indigo 206 (Level 2)
Cynthia Ross-Richardson, MS, BSN,
CNOR, and Rekha Singh, MD, FACS
Angus: Who Said Training a C.Diff Detection Dog Is
Easy?
3:50–4:00 pm
An Executive Summary of the Physician’s Report
Card: Another Benefit of ACS NSQIP
Vijay K. Maker, MD
AE23: Pneumonia
Aqua 311B (Level 3)
Kimberly A. Davis, MD, FACS
4:00–4:10 pm
Communicating Surgeon-Specific Patient Data and
Outcomes Utilizing ACS NSQIP Information
Tammie Crowder, RN
25
2016 ACS NSQIP ANNUAL CONFERENCE
July 16–19, 2016 | San Diego, CA
2016 ACS NSQIP ANNUAL CONFERENCE
July 16–19, 2016 | San Diego, CA
Monday, July 18, continued
4:10–4:20 pm
Meaningful Changes to Improve ACS NSQIP Data
Collection and Capacity
4:20–4:30 pm
Q&A
AB02: Education
Monday, July 18, continued
Susan Sullivan, RHIA, CPHQ
AB04: Quality Improvement I
Sapphire DHLP (Level 4)
Rachel R. Kelz, MD, MSCE, FACS
3:10–3:20 pm
Critical Communication in the Operating Room (OR):
Surgical Wound Class and the Surgical Debrief Focus
Groups—Exploring the Current State
Maggie Kare Elestwani, BSN, RN
3:20–3:30 pm
Not Too Sweet in the OR Suite
Krista Curtis, BSN, RN, MPH
3:30–3:40 pm
Improving VTE Prophylaxis Compliance in Surgical
Inpatients
Arun A. Mavanur, MBBS, FACS
3:40–3:50 pm
Pediatric Skin Injury Reduction in the OR
Janet C. Berry, DNP, RN
3:50–4:00 pm
Implementation of an Enhanced Recovery Protocol
Can Improve Outcomes for Patients Undergoing
Radical Cystectomy
Tracey Hong, RN, BScN
4:00–4:10 pm
Enhanced Recovery Program (ERP): Where Do We
Go from Here?
Jules E. Garbus, MD, FACS
4:10–4:20 pm
Defining Continuous Improvement Methodology in
Enhanced Recovery
Julie K. Marosky Thacker, MD, FACS
4:20–4:30 pm
Reducing Catheter-Associated Urinary Tract
Infections in the Perioperative Area
Nicky N. Huang, MSN
Aqua ABC (Level 3)
3:10–3:20 pm
Increase in Quality and Process Improvement
Knowledge Following a Formal Educational
Curriculum within a Statewide Collaborative
Lindsey Kreutzer, MPH
3:20–3:30 pm
An Online Morbidity and Mortality Application
Integrates with ACS NSQIP for Institutional Quality
Improvement
Timothy K. Liem, MD, MBA
3:30–3:40 pm
Impact of Surgical Trainee Involvement on
Postoperative Outcomes after Radical Cystectomy:
An Analysis Utilizing ACS NSQIP
Leah P. McMann, MD, FACS
3:40–3:50 pm
Meeting the Quality Needs of the Surgical and
Perioperative Staff at Our Institution
Mary Beth Cotter, RN
3:50–4:00 pm
Where Are We Now? Two-Year Review of a Single
Institution Experience Implementing a Pilot Quality
In-Training Initiative (QITI) Curriculum
Mary M. Mrdutt, MD
4:00–4:10 pm
Readmission for Laparoscopic and Open Colectomy
Amanda Green, MD
4:10–4:20 pm
Using QITI Data as the Foundation for a
Comprehensive Quality Improvement Curriculum for
Surgery Residents
Kristin Noonan, MD
4:20–4:30 pm
AB05: Quality Improvement II
Vanita Ahuja, MD, FACS, and Jason
Liu, MD
Indigo BF (Level 2)
Q&A
AB03: ACS NSQIP Collaboratives
Joe H. (Pat) Patton, Jr., MD, FACS, and
Julie K. Marosky Thacker, MD, FACS
Molly P. Clopp, RN, MS, MBATM, and
Ali Khaki, MD, FACS, FRCS
Aqua DEF (Level 3)
3:10–3:20 pm
Practice Changes for Reducing Urinary Tract
Infections in Colon and Rectal Surgical Patients
Mary Ward, BSN, RN
3:20–3:30 pm
ACS NSQIP Benefits: The Improvement beyond
Surgical Care
Weiming Shi, MD
3:30–3:40 pm
Early Intervention in Enhanced Recovery Pathway
Implementation Using ACS NSQIP Data Collection
Improves Adherence
Dianne Bettick, MSN, CNS
3:10–3:20 pm
Improving Colectomy Outcomes in the Enhanced
Recovery in ACS NSQIP (ERIN) Pilot
Julia R. Berian, MD
3:20–3:30 pm
Collaborative Synergism Accelerates Statewide
General Surgical Performance
Brian J. Daley, MD, MBA, FACS
3:40–3:50 pm
Shifting Risk Profiles: Trends in Mortality Risk in the
2005–2012 ACS NSQIP Cohort
Vamsi V. Alli, MD
3:30–3:40 pm
Using a Surgical Quality Improvement Plan to Bridge
the Gap between Data and Improvement
Pierrette L. Price Arsenault, LSSBB
3:50–4:00 pm
Katherine Hawkins, MD
3:40–3:50 pm
A Generalizable Model for Collaborative Quality
Improvement Projects
Lindsey Kreutzer, MPH
Implementation of a Surgical Site Infection (SSI)
Reduction Bundle: How Process Changes and a
Cohesive Cultural Approach Can Lead to Sustained
Improvements at the Community Hospital Level
3:50–4:00 pm
Facilitating Better Data Collection through Process
Improvement
Bradley J. Hensley, MD, MBA
4:00–4:10 pm
Reducing SSIs in Colorectal Surgery: The Impact of an
Infection Prevention Bundle
Kerri A. Ohman, MD
4:00–4:10 pm
Transformation of ACS NSQIP: Journey to Efficiency
and Reliability
Richi Chaudhry, MHA, PMP, CPHQ
4:10–4:20 pm
Using ACS NSQIP and Your Own Antibiogram to
Decrease SSIs
Philip R. Corvo, MD, MA, FACS
4:10–4:20 pm
Surgical Performance Improvement in a Health
System: ACS NSQIP and a System Surgical Council as
a Driver for Change
Rekha K. Singh, MD, FACS
4:20–4:30 pm
Using 30-Day Follow-Up Calls to Increase Patient and Karen Donaldson, BSN, RN
Staff Satisfaction
4:20–4:30 pm
Q&A
26
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2016 ACS NSQIP ANNUAL CONFERENCE
July 16–19, 2016 | San Diego, CA
2016 ACS NSQIP ANNUAL CONFERENCE
July 16–19, 2016 | San Diego, CA
Monday, July 18, continued
AB06: Pediatric Surgery
Erik D. Skarsgard, MD, FACS
Indigo AE (Level 2)
3:10–3:20 pm
Implementation of a Comprehensive Unit-Based
Safety Program to Reduce Pediatric SSIs
William P. Lancaster, MD
3:20–3:30 pm
Minimizing Variance in Pediatric Nonperforated
Appendicitis: Can Standardized Care Decrease Costs
and Improve Outcomes?
Sabrina MacDuff, MD
3:30–3:40 pm
Effects of Intraoperative Hypothermia and
Hypotension on Pediatric Surgical Outcomes
Julie Bedford, RN, BSc, MSN
3:40–3:50 pm
Early Quality Benefits to Participation in the ACS
Optimal Surgical Care of the Child Pilot Project
Suzyn Daniel
3:50–4:00 pm
Practice Changes Lead to Decreased Transfusions,
Superficial SSIs, and Overall Morbidity
Kori Wolcott, BSN, RN
4:00–4:10 pm
Identifying Adverse Events in Pediatric Surgery:
Comparing Morbidity and Mortality Conference with
ACS NSQIP Pediatric
Barrett Cromeens, DO, PhD
4:10–4:30 pm
Q&A
AB07: Elderly Surgery and Outcomes

Giant panda.
sandiegozoo.org
Thomas N. Robinson, MD, FACS, and
Ronnie A. Rosenthal, MD, FACS
Indigo CD (Level 2)
3:10–3:20 pm
Frailty as a Predictor of Morbidity and Mortality
Following Liver Surgery
Timothy M. Pawlik, MD, MPH, PhD,
FACS
3:20–3:30 pm
Should We Perform Elective Inguinal Hernia Repair in
the Elderly?
Blair C. Baldwin, DO
3:30–3:40 pm
Preoperative Frailty Predicts Postoperative
Complications and Mortality in Urology Patients
Jennifer Dwyer, MD
3:40–3:50 pm
Multimodal Strategy Decreased the Incidence of
Postoperative Acute Renal Failure (ARF)
Luis A. de la Cruz, MD, MBA
3:50–4:00 pm
Sarcopenia as a Prognostic Factor in Emergency
Abdominal Surgery
Beth Turrentine, PhD, RN
4:00–4:10 pm
Utilizing the ACS NSQIP Risk Calculator in Surgery
Morbidity and Mortality Conference
Jonathan S. Abelson, MD
4:10–4:20 pm
Loss of Independence Is Associated with Readmission Julia R. Berian, MD
and Delayed Death in Older Surgical Patients
4:20–4:30 pm
Q&A
5:30–9:00 pm
Social Outing at the San Diego Zoo
Shuttles will load at 5:15 pm and depart from the
Hilton Gull Street Entrance at 5:30 pm
28
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2016 ACS NSQIP ANNUAL CONFERENCE
July 16–19, 2016 | San Diego, CA
2016 ACS NSQIP ANNUAL CONFERENCE
July 16–19, 2016 | San Diego, CA
Tuesday, July 19
8:10–8:30 am
Why Should We Do a Trial?
Michael D’Angelica, MD, FACS
8:30–8:50 am
Which Trial Should We Do?
Chad G. Ball, MD, FACS
7:00–8:00 am
Breakfast
Breakfast will be served in the main foyer of each level
8:50–9:10 am
What Are the Barriers?
Bruce L. Hall, MD, PhD, FACS
9:10–9:30 am
Q&A Panel Discussion
8:00–9:30 am
Concurrent Breakout Sessions
BO01C: New Surgical Clinical Reviewer: Building your House on Rock
versus Sand
BO06C: Residents as Leaders in Quality: The Importance of Culture
Anita Volpe, DNP, APRN
Indigo CD (Level 2)
8:00–8:20 am
Foundation
Seth Gregory, MSN, RN
8:20–8:40 am
Relationships
Anita Volpe, DNP, APRN
8:40–9:00 am
Big Picture and Data
Beth Turrentine, PhD, RN
9:00–9:30 am
Q&A Panel Discussion
BO02C: Applied Statistics: How Do I Interpret Reports to Drive Quality
Improvement (QI)?
Mark Cohen, PhD
The Semiannual Report (SAR): Site Summary Report,
Bar Plots, Case Occurrences Report, and Model Drill
Down
Kristopher Huffman, MS
8:35–8:55 am
Finding and Evaluating Events and Developing an
Action Plan
Bruce L. Hall, MD, PhD, FACS
8:55–9:10 am
Using the On-Demand Application
Mark Cohen, PhD
9:10–9:20 am
Collaborative Reports
Vanessa Thompson, PhD
9:20–9:30 am
Q&A Panel Discussion
8:00–8:35 am
BO03C: A Systems Approach to ACS NSQIP Clinical Review
Tammy Peacock, BSN, RN, MAPSY
Indigo AE (Level 2)
8:00–8:20 am
BC Patient Safety and Quality Counsil
Kimberly McKinley, BSN, RN
8:20–8:40 am
Memorial Hermann Health System
Richi Chaudhry, MHA, PMP, CPHQ
8:40–9:00 am
Kaiser Permanente
Tammy Peacock, BSN, RN, MAPSY
9:00–9:30 am
Q&A Panel Discussion
BO04C: Surgical Site Infection (SSI)
8:00–8:05 am
Introduction
Rachel R. Kelz, MD, MSCE, FACS
8:05–8:15 am
The Athlete
John F. Sweeney, MD, FACS
8:15–8:25 am
The President
Lillian Kao, MD, FACS
8:25–8:35 am
The Firefighter
Joseph V. Sakran, MD, MPH, MPA,
FACS
8:35–9:15 am
Culture Activity
9:15–9:30 am
Debrief
BO07C: Opportunities and Challenges of Implementing ACS NSQIP
Projects at Small and Rural Sites
Sapphire Ballroom (Level 4)
E. Patchen Dellinger, MD, FACS
Sapphire DHLP (Level 4)
Garth Miller, MD
Aqua DEF (Level 3)
8:00–8:20 am
Virtual Management of Small and Rural Hospitals
Vanita Ahuja, MD, FACS
8:20–8:40 am
Lessons Learned from Implementation of Quality
Metrics in a Rural Hospital
Robert Wilmoth, MD
8:40–9:00 am
Implementation of Complex Projects at a Small and
Rural Site
Garth Miller, MD, and Beverly
Squillante, RN
9:00–9:30 am
Q&A Panel Discussion
9:30–9:45 am
Networking Break
Sapphire Foyer (Level 4)
9:45–11:30 am
General Sessions
GS13: Managing Sepsis and Improving Outcomes
Susan D. Moffat-Bruce, MD, PhD,
FACS
Sapphire Ballroom (Level 4)
9:45– 10:05 am
Strategies for Reducing Preventable Mortality
Jyotirmay Sharma, MD, FACS
10:05–10:25 am
Preventing Failure to Rescue from Sepsis
Lillian Kao, MD, FACS
10:25–10:45 am
The Role of the Surgeon Champion and Surgical
Clinical Reviewer in Reducing Sepsis Mortality
Susan D. Moffat-Bruce, MD, PhD, FACS
Q&A Panel Discussion
8:00–8:15 am
Overview with Discussion of the Breadth of SSI Issues E. Patchen Dellinger, MD, FACS
and Discussion of Strength and Evidence
10:45–11:15 am
8:15–8:30 am
Bundle up for Colorectal Quality
Vicki Hughes, BSN, RN
GS14: General Session: Conference Wrap-Up
8:30–8:45 am
Impact of Surgical Site Infection Reduction Strategy
after Colorectal Resection
Lisa Wilbert, RN
8:45–9:00 am
Efforts to Reduce Surgical Site Infections in Children
Brian D. Kenney, MD, FACS
9:00–9:15 am
Which Elements in a Wound Infection Prevention
Process are Important?
Jyotirmay Sharma, MD, FACS
9:15–9:30 am
Q&A Panel Discussion
BO05C: Hepato-Pancreato-Biliary (HPB) Clinical Trial
Rachel R. Kelz, MD, MSCE, FACS
Aqua ABC (Level 3)
Clifford Y. Ko, MD, MS, MSHS, FACS,
FASCRS
Sapphire Ballroom (Level 4)
11:15–11:30 am
Closing Remarks
Clifford Y. Ko, MD, MS, MSHS, FACS,
FASCRS
Meeting room locations are subject to change. Please refer to the mobile app for up-to-date locations.
David J. Bentrem, MD, FACS, and
Henry A. Pitt, MD, FACS
Indigo BF (Level 2)
8:00–8:10 am
30
Where Do We Stand with Surgical Site Infections
(SSIs)?
David J. Bentrem, MD, FACS
31
acsnsqipconference.org
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2016 ACS NSQIP ANNUAL CONFERENCE
July 16–19, 2016 | San Diego, CA
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2016 ACS NSQIP ANNUAL CONFERENCE
July 16–19, 2016 | San Diego, CA
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2016 ACS NSQIP ANNUAL CONFERENCE
July 16–19, 2016 | San Diego, CA
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2016 ACS NSQIP ANNUAL CONFERENCE
July 16–19, 2016 | San Diego, CA
2016 ACS NSQIP ANNUAL CONFERENCE
July 16–19, 2016 | San Diego, CA
ACS NSQIP®
Hospital Compare Reporting
Be a Quality Leader with ACS NSQIP®
Join ACS NSQIP Hospital Compare Reporting
Registration Instructions:
In order to provide proven and stronger quality information, the American College of Surgeons
(ACS) has partnered with the Centers for Medicare and Medicaid Services (CMS) to allow ACS
NSQIP hospitals across the country the opportunity to report surgical outcomes to Hospital
Compare, the CMS website that provides quality information to health care consumers. The
program provides hospitals participating in the ACS NSQIP Adult Program Options the chance to
voluntarily, publically report on one or any combination of three National Quality Forum (NQF)endorsed measures—elderly surgery outcomes, colon surgical outcomes, and lower-extremity
bypass outcomes.
Information on the Hospital Compare website will explain
the rigors of ACS NSQIP so that patients better understand
what the measures mean, the importance of accurate riskadjusted data, and how to use the information in making
their care decisions. Because ACS NSQIP is based on the
best available data—clinical, risk-, and case-mix-adjusted,
nationally benchmarked and audited 30-day patient
outcomes—the program provides arguably the most valid
and reliable look at surgical quality. It provides a better
gauge of quality than many other public measures, many
of which are based on compliance with process measures
or based on administrative data.
Registration will take place in electronic format only.
Hospitals interested in participating in this pilot are
required to submit an Addendum. An Exhibit Form is
also required for hospitals that share a CMS Certification
Number (CCN). These documents need to be submitted
at the time of initial registration only. Once these
documents have been submitted, hospitals will be able to
electronically select the measure(s) they wish to publically
report to Hospital Compare. Your Authorized Institutional
Signatory is responsible for submission of the Addendum
and Exhibit Form. Measure selection can be completed by
a designated hospital representative.
1
2
Please start at
acsnsqip.org/cmsdatasharingweb.
Create a new account:
• In order to create your account, you will need the following
information:
• Hospital FEIN (Federal Employer Identification Number)
• Hospital CCN
• E-mail address of your Authorized Institutional Signatory
• This account is separate from your ACS NSQIP Workstation account.
An e-mail confirmation of account creation will be provided within one
hour of your submission. The e-mail message will be sent from the
following: hosppublicreporting@acsnsqip.org.
3
Once your account has been created, log in and electronically complete/
submit the Addendum and associated Exhibit Form (the Exhibit Form is
only required for hospitals that share a CCN with another hospital).
• Only one account is required. The Authorized Institutional Signatory
does not need to create a separate account if the Addendum and/or
Exhibit Form are forwarded to them. Instructions for sending these
documents can be found once your account has been created.
• For the Exhibit Form, you will be required to list all hospitals that share
the same CCN and their associated FEIN.
4
Once the Addendum and Exhibit Form have been submitted, you are
eligible to select the measures.
• Please see the Measure Selection page within your account, which
provides the opportunity for your hospital to indicate the measure(s)
they wish to publically report on the Hospital Compare website. The
account creator is responsible for submitting the measure(s) selection.
• Measure selection will take place prior to each reporting period. Once
the ACS NSQIP Semiannual Report (SAR) has been released, results
will be posted on the Measure Selection page.
Please see the ACS NSQIP website,
acsnsqip.org, for deadline information.
Public reporting will continue to
expand in the future. We hope your
ACS NSQIP hospital will be among the
quality leaders joining this important
initiative to help better inform the
public on how to most accurately
understand hospital quality.
For more information, please contact
hosppublicreporting@acsnsqip.org.
Top hospitals on the
U.S. News and World
Report’s America’s Best
Hospitals rankings
participate in ACS NSQIP
36
37
2016 ACS NSQIP ANNUAL CONFERENCE
July 16–19, 2016 | San Diego, CA
2016 ACS NSQIP ANNUAL CONFERENCE
July 16–19, 2016 | San Diego, CA
ACS NSQIP®
Hospital Compare Reporting
These ACS NSQIP hospitals have enrolled for participation
Brigham and Women’s Hospital Boston, MA
Doctors Hospital Coral Gables, FL
Milton S. Hershey Medical Center Hershey, PA
Mary Hitchcock Memorial Hospital Lebanon, NH
Massachusetts General Hospital Boston, MA
Memorial University Medical Center Savannah, GA
Carilion Medical Center Roanoke, VA
Wellstar Douglas Hospital Douglasville, GA
Newton-Wellesley Hospital Newton, MA
Lahey Hospital & Medical Center, Burlington Burlington, MA
Sinai Hospital of Baltimore Baltimore, MD
Advocate Good Shepherd Hospital Barrington, IL
Faulkner Hospital-Brigham and Women’s Boston, MA
Scott & White Memorial Hospital Temple, TX
John Muir Medical Center–Concord Campus Concord, CA
University of North Carolina Hospital Chapel Hill, NC
Exempla Saint Joseph Hospital Denver, CO
OHSU Hospital Portland, OR
El Camino Hospital Mountain View, CA
Inova Fairfax Hospital Fall Church, VA
Beth Israel Medical Center–Petrie Campus New York, NY
John Muir Medical Center–Walnut Creek Campus
Walnut Creek, CA
Cleveland Clinic Cleveland, OH
Legacy Good Samaritan Medical Center Portland, OR
University of California Irvine Medical Center Orange, CA
St. Bernards Medical Center Jonesboro, AR
Doctors Hospital at Renaissance Edinburg, TX
Exempla Good Samaritan Medical Center LLC Lafayette, CO
Novant Health Forsyth Medical Center Winston Salem, NC
New York University Langone Medical Center New York, NY
Northwestern Memorial Hospital Chicago, IL
Meriter Hospital Madison, WI
St. Francis Hospital & Medical Center Hartford, CT
Legacy Emanuel Medical Center Portland, OR
Duke University Hospital Durham, NC
Boone Hospital Center Columbia, MO
Reading Hospital and Medical Center West Reading, PA
Advocate Christ Hospital & Medical Center Oak Lawn, IL
Eastern Maine Medical Center Bangor, ME
Cookeville Regional Medical Center Cookeville, TN
Baystate Medical Center Springfield, MA
Saratoga Hospital Saratoga Springs, NY
William Beaumont Hospital Royal Oak Royal Oak, MI
IU Health Goshen Hospital Goshen, IN
Beaumont Hospital, Grosse Pointe Grosse Pointe, MI
Advocate BroMenn Medical Center Normal, IL
Advocate Lutheran General Hospital Park Ridge, IL
Jackson-Madison County General Hospital Jackson, TN
Riverside County Regional Medical Center Moreno Valley, CA
Tufts Medical Center Boston, MA
Beth Israel Deaconess Medical Center Boston, MA
Mayo Clinic Florida Jacksonville, FL
Boston Medical Center Boston, MA
Strong Memorial Hospital Rochester, NY
Hennepin County Medical Center Minneapolis, MN
University of California Davis Medical Center Sacramento, CA
Scottsdale Healthcare Osborn Medical Center &
Greenbaum Surgical Scottsdale, AZ
Greater Baltimore Medical Center Baltimore, MD
Wilcox Memorial Hospital Lihue, HI
William Beaumont Hospital–Troy Troy, MI
Union Hospital Inc. Terre Haute, IN
Kaiser Sunnyside Medical Center Clackamas, OR
Pali Momi Medical Center Aiea, HI
Bon Secours–St. Francis Xavier Hospital Charleston, SC
Ohio State University State Health System Columbus, OH
Straub Clinic and Hospital Honolulu, HI
California Pacific Medical Center–Pacific Campus Hospital
San Francisco, CA
Mercy Hospital and Medical Center Chicago, IL
University of WI Hospitals & Clinics Authority Madison, WI
Christiana Hospital Newark, DE
Winter Haven Hospital (FSCI) Winter Haven, FL
Alegent Creighton Health-Creighton University
Medical Center Omaha, NE
Grinnell Regional Medical Center Grinnell, IA
Barnes Jewish Hospital St. Louis, MO
Southwest Memorial Hospital Cortez, CO
Roper Hospital Charleston, SC
Winthrop University Hospital Mineola, NY
Roswell Park Cancer Institute Buffalo, NY
Hartford Hospital Hartford, CT
Novant Health Park Hospital Winston Salem, NC
Windham Hospital Willimantic, CT
William W. Backus Hospital Norwich, CT
Hahnemann University Hospital Philadelphia, PA
Henry Ford Hospital Detroit, MI
Stanford Hospital Stanford, CA
Indiana University Health Methodist Hospital
(Indianapolis) Indianapolis, IN
Indiana University Health Ball Memorial Hospital Muncie, IN
Bronson Methodist Hospital Kalamazoo, MI
South Miami Hospital Miami, FL
Peninsula Medical Center Burlingame, CA
Medical Center of Central Georgia Macon, GA
Parrish Medical Center Titusville, FL
Scripps Green Hospital La Jolla, CA
Indiana University Health Arnett Hospital Lafayette, IN
Howard County General Hospital Columbia, MD
Shands Jacksonville Jacksonville, FL
University of Iowa Hospital & Clinics Iowa City, IA
Emory University Hospital Atlanta, GA
Sibley Memorial Hospital Washington, DC
Wellstar Kennestone Hospital Marietta, GA
University of Washington Medical Center Seattle, WA
Cox Medical Center Springfield, MO
The Hospital Of Central Connecticut New Britain, CT
Piedmont Hospital Atlanta, GA
The Nebraska Methodist Hospital Omaha, NE
Homestead Hospital Homestead, FL
Midstate Medical Center Hartford, CT
Claiborne County Hospital Tazewell, TN
Sacred Heart Medical Center–Riverbend Springfield, OR
Saint Vincent Healthcare Billings, MT
North Mississippi Medical Center Tupelo, MS
Wellstar Cobb Hospital Austell, GA
Advocate Illinois Masonic Medical Center Chicago, IL
Wellstar Paulding Hospital Dallas, GA
Memorial Medical Center, an Affiliate of Memorial Health
System Springfield, IL
Sanford USD Medical Center Sioux Falls, SD
Rush University Medical Center Chicago, IL
Johns Hopkins Hospital, The Baltimore, MD
Columbus Regional Hospital Columbus, IN
University of Alabama Hospital Birmingham, AL
Albany Medical Center Hospital Albany, NY
North Shore Medical Center Salem, MA
Advocate Good Samaritan Hospital Downers Grove, IL
Novant Health Presbyterian Medical Center Charlotte, NC
Maine Medical Center Portland, ME
Baptist Hospital of Miami Inc. Miami, FL
Abington Memorial Hospital Abington, PA
Kootenai Medical Center Coeur d’Alene, ID
Kaiser Foundation Hospital–Walnut Creek Walnut Creek, CA
Highland Hospital Rochester, NY
38
Congratulations to the hospitals who volunteered to
publically report their ACS NSQIP results and are leading
the way to better surgical quality.
39
2016 ACS NSQIP ANNUAL CONFERENCE
July 16–19, 2016 | San Diego, CA
2016 ACS NSQIP ANNUAL CONFERENCE
July 16–19, 2016 | San Diego, CA
Collaboratives:
Shared Learning, Meaningful Data
Benefits of joining
Imagine having the ability to leverage expertise
and data to maximize quality and efficiency
in your surgical program and improve patient
outcomes and your bottom line. That’s what
more than 400 hospitals and health care
organizations are already doing as members of an
American College of Surgeons National Surgical
Quality Improvement Program (ACS NSQIP®)
Collaborative.
• Ability to exchange ideas and problem-solve with
hospitals in your collaborative
• Access to enhanced data sharing and specialized
reports, beyond the standard semiannual and online
benchmarking report, allowing for:
• Site to collaborative comparisons
• Collaborative to all ACS NSQIP comparisons
“To identify what to work on as a collaborative,
we analyze our data and look at the areas
where we need improvement as a whole.
We then discuss with the entire collaborative
to create an action plan.”
“Helping take data and turn it into actionable information has been key
in helping hospitals move forward with improvements. Having each
team present to their peers over the past several years has really changed
the culture and the level of accountability among the surgeons.”
MOLLY CLOPP, KAISER PERMANENTE NORTHERN CALIFORNIA
CHRIS CLARKE, TENNESSEE HOSPITAL ASSOCIATION,
REGIONAL NSQIP COLLABORATIVE
TENNESSEE SURGICAL QUALITY COLLABORATIVE
Working together in an environment focused on sharing
information rather than competition, ACS NSQIP
Collaboratives create an opportunity for hospitals to
come together to:
• Share data
• Discuss best practices
ACS NSQIP Collaboratives are available to all hospitals
in ACS NSQIP. Collaboratives can be regional, systemwide, or virtual and range from highly structured groups
with formal data sharing agreements, payor support,
group oversight, and specialized reporting to an
informal group of hospitals coming together simply to
discuss their quality improvement experiences.
For more information on joining a
current collaborative or forming
a new collaborative, visit facs.
org/nsqipcollaboratives or e-mail
nsqipcollaboratives@facs.org.
• Identify quality improvement opportunities
• Design quality improvement initiatives
• Measure results
41
2016 ACS NSQIP ANNUAL CONFERENCE
July 16–19, 2016 | San Diego, CA
CLINI CAL CON G R ES S 2 0 1 6
OCTOBER 16–20 | WALTER E. WASHINGTON CONVENTION CENTER
WASHINGTON, DC
The Best Surgical Education
All in One Place
THE AMERICAN COLLEGE OF SURGEONS is a leader in initiatives to improve
quality of care for surgical patients in the areas of trauma, cancer, bariatric surgery,
breast care, general surgery, and surgeon-specific outcomes.
Visit facs.org/quality-programs to learn more.
Register now!
facs.org/clincon2016
42
2016 ACS NSQIP ANNUAL CONFERENCE
July 16–19, 2016 | San Diego, CA
2016 ACS NSQIP ANNUAL CONFERENCE
July 16–19, 2016
HILTON SAN DIEGO BAYFRONT
SAN DIEGO, CA
44