Spine SCOAP Overview

What is Spine SCOAP?

  • Spine SCOAP is a surgeon-led collaborative that uses performance surveillance and benchmarking to help deliver more appropriate, safer and higher quality surgical spine care across Washington State.
  • Spine surgeons engaged in the process of selecting evidence-based QI metrics for monitoring -aligned to emerging national metrics when available – also including  a set of “common sense” metrics and those with emerging evidence
  • A community of surgeons acting on performance data through education, peer-benchmarking effects, and interventions

What types of data are in Spine SCOAP?

  • Data include patient risk, process of care and adjusted outcomes for up to 5 years after discharge
  • Data are extracted from increasingly automated clinical records by trained hospital staff using a transparent data dictionary and audited to ensure accuracy
  • Outside of Spine SCOAP, other SCOAP modules exist for colorectal surgery, appendectomy, bariatric surgery, pediatric surgery, vascular interventions, urology (prostate cancer) and are in development for advanced cancer surgery and urology (incontinence & medical management)

How does Spine SCOAP work?

  • Spine SCOAP reports benchmark hospital performance against the Spine SCOAP community of hospitals
  • Quarterly “signal” (red, yellow and green) indicates underperformance opportunities
  • Spine SCOAP helps hospitals improve areas of underperformance by sharing best practices developed in the network.  This includes educational events, standardized order sets, community meetings (both virtual and in-person) and quarterly newsletters addressing emerging evidence and engaging community debate Spine SCOAP creates a healthcare system built on collaboration, benchmarking and education

How is a Spine SCOAP report valuable?

  • Spine SCOAP reports focus on both process of care and risk-adjusted outcome.
  • QI programs that only focus on outcome outliers assume the care that was received in cases with adequate outcomes was correct. With Spine SCOAP, even if risk adjusted outcomes are not in the “outlier” category the reports are valuable and show opportunities for QI.  The use of evidence based process of care measures should be 100%.  These measures represent actionable steps that can be taken to improve care in the very next case a surgeon does Spine SCOAP reports engage surgeons in their data by showing them how they compare to colleagues and by giving them action items to improve the care they deliver
        
  • Administrative details
    Who runs Spine SCOAP?

    • Spine SCOAP is a program of the Foundation of Healthcare Quality.
    • A surgeon-led advisory board gives strategic direction to SCOAP.  The Spine SCOAP Metrics Team functions as a subcommittee of the SCOAP Advisory Board and provides opportunities to provide feedback and participate in the ongoing development of the Spine SCOAP module.
    • Research and development for Spine SCOAP is done by the University of Washington’s Surgical Outcomes Research Center.

    Are the data protected?

    • SCOAP is designated a Coordinated Quality Improvement Program (CQIP) that protects the data from discovery – much like M&M conferences.
    • Your hospital owns their data, SCOAP data is not shared in any identifiable way without the hospital’s permission.

    What is the scope of Spine SCOAP?

    • Spine SCOAP is currently used in 18 hospitals in Washington State representing over 70% of the state’s inpatient surgical care

    How do you join Spine SCOAP?

    • Hospitals interested in joining can contact the SCOAP Program Director at the Foundation for Healthcare Quality, by emailing vkolios@qualityhealth.org.