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The NSQIP: A New Frontier In Surgery.

Shukri F. Khuri
Published 2005 · Medicine
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Editors’ note: The NSQIP platform is a vital piece of the structure of the Michicagan, Washington, and American College of Surgeons quality utilization plans. Dr. Khuri’s essay on NSQIP provides the basis for its development and use. The National Surgical Quality Improvement Program(NSQIP), whichwas started in theDepartment of Veterans Affairs (VA) in 1994 and is now expanding into the private sector through the efforts of the American College of Surgeons (ACS), is the first national validated, outcome-based, risk-adjusted, peer-controlled program for the measurement and enhancement of the quality of surgical care. This communication is an update on the NSQIP, its accomplishments in the VA system, and its promise for the private sector and the future of surgery. It underscores the potential impact of this program on our specialty, particularly at a time when regulatory organizations are clamoring to set performance standards for hospitals and surgeons, and both employer and consumer groups are calling for transparency in the comparative public reporting of processes and outcomes of surgical care.



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