TY - JOUR
T1 - Surgical care improvement project in the value-based purchasing era
T2 - More harm than good?
AU - Perl, Trish M.
AU - Weston, Adam
AU - Caldera, Kathleen
AU - Doron, Shira
N1 - Funding Information:
Financial support. This work was supported by the National Institutes of Health (2T32AI055412-06 to A. W.). Potential conflicts of interest. All authors: No reported conflicts. All authors have submitted the ICMJE Form for Disclosure of Potential Conflicts of Interest. Conflicts that the editors consider relevant to the content of the manuscript have been disclosed.
PY - 2013/2
Y1 - 2013/2
N2 - The Surgical Care Improvement Project (SCIP) started in 2006 as a core measure to reduce perioperative morbidity and mortality, with many measures addressing perioperative antibiotic usage and timing. However, measures are often rolled out without consideration of their full impact, causing confusion, frustration, and possibly patient harm. We have provided examples of each. The institution of SCIP has markedly increased the compliance to its measures but little evidence shows that it provides any substantial benefit to patients, whereas this improved compliance comes at the cost of significant time, money, and staff resources. Despite this, several SCIP measures, which are currently incorporated into quality contracts, will be tied to Medicare reimbursement in 2013 under value-based purchasing, with third-party payers likely following suit. This may lead to inappropriate lower compensation of hospitals providing good care with questionable effects on patient outcomes.
AB - The Surgical Care Improvement Project (SCIP) started in 2006 as a core measure to reduce perioperative morbidity and mortality, with many measures addressing perioperative antibiotic usage and timing. However, measures are often rolled out without consideration of their full impact, causing confusion, frustration, and possibly patient harm. We have provided examples of each. The institution of SCIP has markedly increased the compliance to its measures but little evidence shows that it provides any substantial benefit to patients, whereas this improved compliance comes at the cost of significant time, money, and staff resources. Despite this, several SCIP measures, which are currently incorporated into quality contracts, will be tied to Medicare reimbursement in 2013 under value-based purchasing, with third-party payers likely following suit. This may lead to inappropriate lower compensation of hospitals providing good care with questionable effects on patient outcomes.
KW - SCIP
KW - Surgical Care Improvement Project
KW - antibiotics
KW - prophylaxis
KW - surgical site infection
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U2 - 10.1093/cid/cis940
DO - 10.1093/cid/cis940
M3 - Article
C2 - 23143099
AN - SCOPUS:84872310790
SN - 1058-4838
VL - 56
SP - 424
EP - 427
JO - Clinical Infectious Diseases
JF - Clinical Infectious Diseases
IS - 3
ER -