QualityReport2020

National Surgical Quality Improvement Program

In 2017, Shriners Hospitals for Children began participating in the American College of Surgeon’s National Surgical Quality Improvement Program for Pediatrics (NSQIP Pediatrics). NSQIP Pediatrics collects pre and post outcomes data for most surgical specialties and allow hospitals to: • Demonstrate a commitment to quality improvement by participating in the first national database to measure surgical outcomes in all specialties of children's surgery • Collect actionable clinical outcomes data specific to children's surgery • Act on clinical data to improve care in children's surgery Participating in NSQIP Pediatrics is essential to obtaining Children’s Surgery Verification by the American College of Surgeons. As of year-end 2020, seven (7) Shriners Hospitals for Children hospitals are participating in the NSQIP Peds program. The ACS provides semi-annual reports which look at outcomes in the following areas: • Morbidity • Pneumonia • Reintubation

• Urinary Tract Infection (UTI) • Surgical Site Infection (SSI)

• Return to OR • Readmissions • Transfusions

The outcomes are compared to the national database and ranked into the following three categories: 1) As Expected, Exemplary, or Needs Improvement. Shriners Hospitals for Children consistently scores Exemplary in morbidity, surgical site infection, and length of stay for spine fusion surgeries.

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