{"id":36,"date":"2011-12-12T23:27:52","date_gmt":"2011-12-12T23:27:52","guid":{"rendered":"http:\/\/www.scoap.org\/?page_id=36"},"modified":"2019-09-13T14:07:48","modified_gmt":"2019-09-13T21:07:48","slug":"public-data-and-trends","status":"publish","type":"page","link":"https:\/\/www.qualityhealth.org\/spinecoap\/public-data-and-trends\/","title":{"rendered":"Public Data &amp; Trends"},"content":{"rendered":"<div class=\"wpb-content-wrapper\"><p>[vc_row full_width=&#8221;stretch_row&#8221; content_placement=&#8221;top&#8221; overlay_dotted=&#8221;&#8221; css=&#8221;.vc_custom_1548381681121{background-color: #0063a7 !important;}&#8221;][vc_column][vc_wp_custommenu nav_menu=&#8221;6&#8243; el_class=&#8221;about-wpsc-menu&#8221;][\/vc_column][\/vc_row][vc_row full_width=&#8221;stretch_row&#8221; equal_height=&#8221;yes&#8221; content_placement=&#8221;bottom&#8221; parallax=&#8221;content-moving&#8221; parallax_speed_bg=&#8221;1.2&#8243; overlay_dotted=&#8221;&#8221; css=&#8221;.vc_custom_1548437465805{background-color: #91278f !important;background-position: center;background-repeat: no-repeat !important;background-size: contain !important;}&#8221; overlay_color=&#8221;rgba(0,0,0,0.22)&#8221;][vc_column][vc_empty_space height=&#8221;50px&#8221;]<div class=\"info-title  csgve-title-69e604f749ea9-transparency\">Transparency<\/div>[\/vc_column][\/vc_row][vc_row][vc_column][vc_empty_space height=&#8221;10px&#8221;][\/vc_column][\/vc_row][vc_row overlay_dotted=&#8221;&#8221; css=&#8221;.vc_custom_1561678252954{margin-bottom: 3em !important;}&#8221;][vc_column][vc_column_text]<\/p>\n<h3 style=\"color: #13c5dd\"><span style=\"font-family: arial, helvetica, sans-serif\">Latest Reports<\/span><\/h3>\n<p><span style=\"font-family: arial, helvetica, sans-serif\">We are happy to proved the Spine SCOAP report with 2015-2017 data.<\/span><\/p>\n<p><span style=\"font-family: arial, helvetica, sans-serif\">General SCOAP will be producing their latest annual report in the coming months.<\/span><\/p>\n<p><span style=\"font-family: arial, helvetica, sans-serif\">SCOAP is collecting information about the care of surgical patients in order to monitor and improve the quality of care. We are pleased to report that SCOAP hospitals in Washington are getting safer and your care is improving in quality with each participating quarter. The data being made available here for the public demonstrates very good progress in improving care over time for several of the care measures.<\/span><\/p>\n<p><span style=\"font-family: arial, helvetica, sans-serif\">Currently, the progress slides below show data that is a sum of all of the participating hospitals&#8217; data rather than any one hospital&#8217;s specific data. Ongoing changes and improvements can be tracked, and we anticipate making data for current measures available in mid-2018.<\/span><\/p>\n<h3 style=\"color: #13c5dd\"><span style=\"font-family: arial, helvetica, sans-serif\">SCOAP Public Data<\/span><\/h3>\n<p><span style=\"font-family: arial, helvetica, sans-serif\">What about public release of SCOAP performance data? It\u2019s important to remember that hospitals own their own SCOAP data and neither SCOAP nor the Foundation for Healthcare Quality is allowed to release data for purposes other than quality improvement. That requirement is regulated by state statute (<a href=\"http:\/\/www.doh.wa.gov\/cqip\/Law_Relating.htm\" target=\"_blank\" rel=\"noopener\">Continual Quality Improvement Statute<\/a>) and protects these data from discovery for other purposes.<\/span><br \/>\n<span style=\"font-family: arial, helvetica, sans-serif\">However, in January 2009, SCOAP created a web forum for hospitals that wanted to voluntarily release their own SCOAP data to the public. At that time, 21 SCOAP hospitals began voluntarily releasing 12 months of aggregate data on 12 SCOAP process of care metrics.<\/span><\/p>\n<ul>\n<li><span style=\"font-family: arial, helvetica, sans-serif\"><a href=\"\/downloads\/scoap\/Public-Report-v6.pdf\" target=\"_blank\" rel=\"noopener\">Public Report on SCOAP Participation &amp; Performance<\/a><\/span><\/li>\n<li><span style=\"font-family: arial, helvetica, sans-serif\"><a href=\"\/downloads\/scoap\/Q1-2009-Hospital-Report-XX.pdf\" target=\"_blank\" rel=\"noopener\">Q1 2009 Sample Hospital Report<\/a><\/span><\/li>\n<\/ul>\n<p><span style=\"font-family: arial, helvetica, sans-serif\">In 2014, SCOAP hospitals again came together and chose to become transparent with a number of metrics across modules using data from 2013 discharges. Included in this transparency are Washington hospitals that are providing colon and rectal surgery, gastric bypass and sleeve gastrectomy, non-elective appendectomies, as well as cervical and lumbar spine surgery:<\/span><\/p>\n<ul>\n<li><span style=\"font-family: arial, helvetica, sans-serif\"><a href=\"\/downloads\/scoap\/General-SCOAP-Public-Transparency-Report-2013-FINAL.pdf\">General SCOAP Public Transparency Report 2013 FINAL<\/a><\/span><\/li>\n<li><span style=\"font-family: arial, helvetica, sans-serif\"><a href=\"\/downloads\/scoap\/Spine-SCOAP-Public-Transparency-Report-2013-FINAL.pdf\">2013 Spine SCOAP Public Transparency Report<\/a><\/span><\/li>\n<\/ul>\n<p><span style=\"font-family: arial, helvetica, sans-serif\">We encourage all SCOAP hospitals to release their data to the public using this forum. There is real value in \u201cinstitutionalizing\u201d the metrics through public disclosure and it seems that nothing drives improvement better than concern about being seen as an outlier. For some hospitals, this public release step happens after a period of growing comfortable with the process and verifying the fidelity of the data. We encourage all SCOAP hospitals to publicly release at least some data within 2 years of joining. The Washington Health Alliance, the largest grouping of healthcare stakeholders in Washington State, issued a <a href=\"http:\/\/www.pugetsoundhealthalliance.org\/news\/MediaSurgicalChecklist.html\" target=\"_blank\" rel=\"noopener\">press release<\/a> in January 2009 congratulating SCOAP hospitals on progress towards keeping the public informed.<\/span><\/p>\n<p><span style=\"font-family: arial, helvetica, sans-serif\">The public release data show that all hospitals have opportunities for improvement and suggest that hospitals are working to address them using SCOAP tools. It shows no hospitals are perfect in all metrics and validates the need for SCOAP.<\/span><\/p>\n<h3 style=\"color: #13c5dd\"><span style=\"font-family: arial, helvetica, sans-serif\">Time Trends 2006-2008<\/span><\/h3>\n<ul>\n<li><span style=\"font-family: arial, helvetica, sans-serif\"><a title=\"Negative PathologyHaving a negative appendectomy means a false-positive diagnosis of acute appendicitis was given. In other words, the patient's appendix was removed and found not to be diseased.\" href=\"\/downloads\/scoap\/0906-Slide1.jpg\" rel=\"lightbox[timetrends]\">Negative Pathology<\/a><\/span><\/li>\n<li><span style=\"font-family: arial, helvetica, sans-serif\"><a title=\"Re-operative Intervention\" href=\"\/downloads\/scoap\/0906-Slide2.jpg\" rel=\"lightbox[timetrends]\">Re-operative Intervention<\/a><\/span><\/li>\n<li><span style=\"font-family: arial, helvetica, sans-serif\"><a title=\"VTE Chemoprophylaxis\" href=\"\/downloads\/scoap\/0906-Slide3.jpg\" rel=\"lightbox[timetrends]\">VTE Chemoprophylaxis<\/a><\/span><\/li>\n<li><span style=\"font-family: arial, helvetica, sans-serif\"><a title=\"Anastomosis Tested\" href=\"\/downloads\/scoap\/0906-Slide4.jpg\" rel=\"lightbox[timetrends]\">Anastomosis Tested<\/a><\/span><\/li>\n<li><span style=\"font-family: arial, helvetica, sans-serif\"><a title=\"12+ Lymph Nodes Removed\" href=\"\/downloads\/scoap\/0906-Slide5.jpg\" rel=\"lightbox[timetrends]\">12+ Lymph Nodes Removed<\/a><\/span><\/li>\n<li><span style=\"font-family: arial, helvetica, sans-serif\"><a title=\"Preoperative Imaging\" href=\"\/downloads\/scoap\/0906-Slide6.jpg\" rel=\"lightbox[timetrends]\">Preoperative Imaging<\/a><\/span><\/li>\n<\/ul>\n<h3 style=\"color: #13c5dd\"><span style=\"font-family: arial, helvetica, sans-serif\">Reducing Complications and Decreasing Length of Stay<\/span><\/h3>\n<ul>\n<li><span style=\"font-family: arial, helvetica, sans-serif\"><a title=\"Before SCOAP there was a scary amount of variation in hospital performance Here we look at rates of serious complications after colon resection-a disaster for the patient AND for the hospital\u2019s bottom line as these cases use resources, nursing over time, and Operating Room space that could be generating revenue. The X-axis represents the hospital (by a code number); the Y-axis shows the rate of reoperation after a colon is removed and reattached for each of those hospitals. While the average is 10% (1 in 10 get a reoperation before SCOAP) -look at all the hospitals with rates above 15% Widespread variation in a hospital near you\" href=\"\/downloads\/scoap\/0906-Slide7.jpg\" rel=\"lightbox[timetrends2]\">Before SCOAP Variability<\/a><\/span><\/li>\n<li><span style=\"font-family: arial, helvetica, sans-serif\"><a title=\"This slide illustrates how SCOAP mitigates variability and improves the quality and efficiency of surgical care. The red line shows that prior to SCOAP, hospitals had an average reoperative rate for colon resections of about 10%. The green line shows that SCOAP reduced this rate by half to nearly 5% in hospitals who were SCOAP participants for more than one year.This reduction in reoperations represents significant dollars saved in the increased cost of care that reoperations impose upon the healthcare system. It also represents a significant improvement in the quality of care experienced by patients and highlights a core strength of SCOAP : the ability to produce safe, quality care within a system that operates efficiently and cost effectively.\" href=\"\/downloads\/scoap\/0906-Slide8.jpg\" rel=\"lightbox[timetrends2]\">Colon Resection Reoperation &#8211; SCOAP data 2009<\/a><\/span><\/li>\n<li><span style=\"font-family: arial, helvetica, sans-serif\"><a title=\"Because docs are engaged with SCOAP these are not one time gains but sustained benfits for the hospital and its patients\" href=\"\/downloads\/scoap\/0906-Slide9.jpg\" rel=\"lightbox[timetrends2]\">Re-operative Complications &#8211; Elective Colon Resection<\/a><\/span><\/li>\n<li><span style=\"font-family: arial, helvetica, sans-serif\"><a title=\"Decreased reoperative complications results in a better patient experience as well as a better use of hospital resources, as shown in the decreased length of stay for both colon resections and gastric bypass.\" href=\"\/downloads\/scoap\/0906-Slide10.jpg\" rel=\"lightbox[timetrends2]\">Impact on Length of Stay<\/a><\/span><\/li>\n<li><span style=\"font-family: arial, helvetica, sans-serif\"><a title=\"This slide is a perfect illustration of SCOAP\u2019s core competency in changing physician behavior to produce better care while conserving critical healthcare dollars. Testing for a leak after a colon resection is a vital step that can help prevent reoperative complications. This is a simple process of care step that SCOAP has highlighted as directly linkable to better outcomes, and now over 80% of hospitals are checking for a leak in the Operating Room versus only 60% in quarter 1. This is a result of physicians engaging with the data and using the SCOAP collaborative to understand what impacts outcomes and why it is so important to follow the SCOAP metrics.\" href=\"\/downloads\/scoap\/0906-Slide11.jpg\" rel=\"lightbox[timetrends2]\">Testing for Leak in Operating Room<\/a><\/span><\/li>\n<li><span style=\"font-family: arial, helvetica, sans-serif\"><a title=\"SCOAP is doing this in a myriad of ways - here are just a couple of the more than 100 process measures that SCOAP docs are working on. Here are some more examples of how SCOAP changes physician behavior in order to impact both quality and efficiency.\" href=\"\/downloads\/scoap\/0906-Slide12.jpg\" rel=\"lightbox[timetrends2]\">SCOAP Changing Behavior Around Quality<\/a><\/span><\/li>\n<\/ul>\n<p>[\/vc_column_text][vc_message]&#8221;We are top ranked in our surgical performance measures. SCOAP will allow us to benchmark our performance so our patients can compare our outcomes with other hospitals. We volunteered to participate in the SCOAP program because we want our patients to have full transparency on our surgical outcomes.&#8221;<br \/>\n<em>&#8212;<a href=\"http:\/\/www.peacehealth.org\/apps\/news\/NDetails.asp?NewsID=1095\" target=\"_blank\" rel=\"noopener\">Dr. Eleen Kirman<\/a>, LCR\u2019s Medical Director of Surgical Services. <\/em><\/p>\n<hr \/>\n<p>You may also view our\u00a0<a href=\"\/downloads\/scoap\/Public-Report-v6.pdf\" target=\"_blank\" rel=\"noopener\">Public Report on SCOAP Participation &amp; Performance<\/a>\u00a0[.pdf] to see if your hospital is releasing performance data to the public on selected surgical procedures performed on patients.[\/vc_message][\/vc_column][\/vc_row]<\/p>\n<\/div>","protected":false},"excerpt":{"rendered":"[vc_row full_width=&#8221;stretch_row&#8221; content_placement=&#8221;top&#8221; overlay_dotted=&#8221;&#8221; css=&#8221;.vc_custom_1548381681121{background-color: #0063a7 !important;}&#8221;][vc_column][vc_wp_custommenu nav_menu=&#8221;6&#8243; el_class=&#8221;about-wpsc-menu&#8221;][\/vc_column][\/vc_row][vc_row full_width=&#8221;stretch_row&#8221; equal_height=&#8221;yes&#8221; content_placement=&#8221;bottom&#8221; parallax=&#8221;content-moving&#8221; parallax_speed_bg=&#8221;1.2&#8243; overlay_dotted=&#8221;&#8221; css=&#8221;.vc_custom_1548437465805{background-color: #91278f !important;background-position: center;background-repeat: no-repeat !important;background-size: contain !important;}&#8221; overlay_color=&#8221;rgba(0,0,0,0.22)&#8221;][vc_column][vc_empty_space height=&#8221;50px&#8221;][\/vc_column][\/vc_row][vc_row][vc_column][vc_empty_space height=&#8221;10px&#8221;][\/vc_column][\/vc_row][vc_row overlay_dotted=&#8221;&#8221; css=&#8221;.vc_custom_1561678252954{margin-bottom: 3em !important;}&#8221;][vc_column][vc_column_text] Latest Reports We are happy to proved the Spine SCOAP report with 2015-2017 data. General SCOAP will be producing their latest annual report in the&#8230;","protected":false},"author":4,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_bbp_topic_count":0,"_bbp_reply_count":0,"_bbp_total_topic_count":0,"_bbp_total_reply_count":0,"_bbp_voice_count":0,"_bbp_anonymous_reply_count":0,"_bbp_topic_count_hidden":0,"_bbp_reply_count_hidden":0,"_bbp_forum_subforum_count":0,"footnotes":""},"class_list":["post-36","page","type-page","status-publish","hentry"],"aioseo_notices":[],"_links":{"self":[{"href":"https:\/\/www.qualityhealth.org\/spinecoap\/wp-json\/wp\/v2\/pages\/36","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.qualityhealth.org\/spinecoap\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.qualityhealth.org\/spinecoap\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.qualityhealth.org\/spinecoap\/wp-json\/wp\/v2\/users\/4"}],"replies":[{"embeddable":true,"href":"https:\/\/www.qualityhealth.org\/spinecoap\/wp-json\/wp\/v2\/comments?post=36"}],"version-history":[{"count":4,"href":"https:\/\/www.qualityhealth.org\/spinecoap\/wp-json\/wp\/v2\/pages\/36\/revisions"}],"predecessor-version":[{"id":67800,"href":"https:\/\/www.qualityhealth.org\/spinecoap\/wp-json\/wp\/v2\/pages\/36\/revisions\/67800"}],"wp:attachment":[{"href":"https:\/\/www.qualityhealth.org\/spinecoap\/wp-json\/wp\/v2\/media?parent=36"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}