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Economic impact of the use of the National Surgical Quality Improvement Program

Published online by Cambridge University Press:  09 February 2021

Alvine Fansi Open the ORCID record for Alvine Fansi [Opens in a new window] ,
Angela Ly ,
Julie Mayrand ,
Maggy Wassef ,
Aldanie Rho  and
Sylvie Beauchamp
Alvine Fansi
Affiliation:
Health and Social Care Technology Intervention Assessment Unit (HSCTIAU), Centre Intégré Universitaire de Santé et de Services Sociaux de l'Ouest-de-l’Île-de-Montréal, 3830, ave. Lacombe, Montréal, QuébecH3T 1M5, Canada Department of Community Health Sciences, Faculty of Medicine, Sherbrooke University, Sherbrooke, Canada
Angela Ly
Affiliation:
Centre Intégré Universitaire de Santé et de Services Sociaux de l'Ouest-de-l’Île-de-Montréal, 3830, ave. Lacombe, Montréal, QuébecH3T 1M5, Canada
Julie Mayrand
Affiliation:
Health and Social Care Technology Intervention Assessment Unit (HSCTIAU), Centre Intégré Universitaire de Santé et de Services Sociaux de l'Ouest-de-l’Île-de-Montréal, 3830, ave. Lacombe, Montréal, QuébecH3T 1M5, Canada
Maggy Wassef
Affiliation:
Health and Social Care Technology Intervention Assessment Unit (HSCTIAU), Centre Intégré Universitaire de Santé et de Services Sociaux de l'Ouest-de-l’Île-de-Montréal, 3830, ave. Lacombe, Montréal, QuébecH3T 1M5, Canada
Aldanie Rho
Affiliation:
Faculté de Médecine de l'Université Laval, Pavillon Ferdinand-Vandry, 1050 Avenue de la Médecine, Québec, QC G1V 0A6, Canada
Sylvie Beauchamp
Affiliation:
Health and Social Care Technology Intervention Assessment Unit (HSCTIAU), Centre Intégré Universitaire de Santé et de Services Sociaux de l'Ouest-de-l’Île-de-Montréal, 3830, ave. Lacombe, Montréal, QuébecH3T 1M5, Canada Department of Educational and Counselling Psychology, McGill University, Montréal, Québec, Canada
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Abstract

Objectives

The American College of Surgeons National Surgical Quality Improvement Program (ACS NSQIP®) is a validated, risk-adjusted database for improving the quality and security of surgical care. ACS NSQIP can help participating hospitals target areas that need improvement. The aim of this study was to systematically review the literature analyzing the economic impact of using NSQIP. This paper also provides an estimation of annual cost savings following the implementation of NSQIP and quality improvement (QI) activities in two hospitals in Quebec.

Methods

In June 2018, we searched in seven databases, including PubMed, Embase, and NHSEED for economic evaluations based on NSQIP data. Contextual NSQIP databases from two hospitals were collected and analyzed. A cost analysis was conducted from the hospital care perspective, comparing complication costs before and after 1 year of the implementation of NSQIP and QI activities. The number and the cost of complications are measured. Costs are presented in 2018 Canadian dollars.

Results

Out of 1,612 studies, 11 were selected. The level of overall evidence was judged to be of moderate to high quality. In general, data showed that, following the implementation of NSQIP and QI activities, a significant decrease in complications and associated costs was observed, which improved with time. In the cost analysis of contextual data, the reduction in complication costs outweighed the cost of implementing NSQIP. However, this cost analysis did not take into account the costs of QI activities.

Conclusions

NSQIP improves complication rates and associated costs when QI activities are implemented.

Keywords

Hospital costsPostoperative complications/economicsSurgical proceduresOperative/economicsQuality improvementQuality indicatorsHealth care
Type
Assessment
Information
International Journal of Technology Assessment in Health Care , Volume 37 , Issue 1 , 2021 , e38
Copyright
Copyright © The Author(s), 2021. Published by Cambridge University Press

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