Public Data & Trends
SCOAP is collecting information about the care of surgical patients in order to monitor and improve the quality of care. We are pleased to report that, quarter by quarter and year by year, participating hospitals in Washington are getting safer and your care is improving in quality. The data being made available here for the public demonstrates very good progress in improving care over time for several of the care measures.
Currently, the progress slides below show data that is a sum of all of the participating hospitals’ data rather than any one hospital’s specific data. These will be updated regularly so that ongoing changes and improvements can be tracked, and we anticipate making data for more measures available.
Time Trends 2006-2008
- Negative Pathology
- Re-operative Intervention
- VTE Chemoprophylaxis
- Anastomosis Tested
- 12+ Lymph Nodes Removed
- Preoperative Imaging
Reducing Complications and Decreasing Length of Stay
- Before SCOAP Variability
- Colon Resection Reoperation – SCOAP data 2009
- Re-operative Complications – Elective Colon Resection
- Impact on Length of Stay
- Testing for Leak in Operating Room
- SCOAP Changing Behavior Around Quality
SCOAP Public Data
What about public release of SCOAP performance data? It’s important to remember that hospitals own their own SCOAP data and neither SCOAP nor the Foundation for Healthcare Quality is allowed to release data for purposes other than quality improvement. That requirement is regulated by state statute (Continual Quality Improvement Statute) and protects these data from discovery for other purposes. However, in January 2009, SCOAP created a web forum for hospitals that want to voluntarily release their own SCOAP data to the public. 21 SCOAP hospitals are now voluntarily releasing the last 12 months of aggregate data on 12 SCOAP process of care metrics.
Last year, SCOAP hospitals again came together and chose to become transparent with a number of metrics across modules. Included in this transparency are Washington hospitals that are providing colon and rectal surgery, gastric bypass and sleeve gastrectomy, non-elective appendectomies, as well as cervical and lumbar spine surgery:
We encourage all SCOAP hospitals to release their data to the public using this forum. There is real value in “institutionalizing” the metrics through public disclosure and it seems that nothing drives improvement better than concern about being seen as an outlier. For some hospitals, this public release step happens after a period of growing comfortable with the process and verifying the fidelity of the data. We encourage all SCOAP hospitals to publicly release at least some data within 2 years of joining. The Puget Sound Health Alliance, the largest grouping of healthcare stakeholders in the Puget Sound region, issued a press release in January 2009 congratulating SCOAP hospitals on progress towards keeping the public informed.
The public release data show that all hospitals have opportunities for improvement and suggest that hospitals are working to address them using SCOAP tools. It shows no hospitals are perfect in all metrics and validates the need for SCOAP.
“We are top ranked in our surgical performance measures. SCOAP will allow us to benchmark our performance so our patients can compare our outcomes with other hospitals. We volunteered to participate in the SCOAP program because we want our patients to have full transparency on our surgical outcomes.”
–Dr. Eleen Kirman, LCR’s Medical Director of Surgical Services.
You may also view our Public Report on SCOAP Participation & Performance [.pdf] to see if your hospital is releasing performance data to the public on selected surgical procedures performed on patients.