National Surgical Quality Improvement Program
The American College of Surgeons (ACS) National Surgical Quality Improvement Program helps us to know how Middlesex compares to its peer hospitals. "Benchmarking" is a very effective way to identify areas where there are opportunities for improvement, as well as areas where we are "best in class." The ACS offers participating hospitals a program to accurately track patients undergoing surgery and measure 30 day postoperative outcomes such as urinary tract infections, renal failure, pneumonia, deep vein thrombosis, surgical site infection, and death. It is currently the only program following the general surgical patient for 30 days after surgery. The ACS program provides the hospital with additional tools to account for each patient's unique risks before surgery, and most importantly, compares Middlesex Hospital's outcomes to both instate participating hospitals as well as to all other participating hospitals. This information helps the hospital determine how we are performing, as well as what specific steps it can take to improve.
Middlesex Hospital has been participating in this program for general and vascular surgeries since January 2006. In the beginning of January 2011, Middlesex added the review of orthopedic surgeries, specifically total hip and knee replacements, hip fractures and spine procedures as part of the outcomes program.
As of January 1, 2012 Middlesex Hopsital has further expanded the type of surgery included in the program. Hysterectomy and Prostatectomy surgery is now reviewed as part of the NSQIP program.