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SCIP/SIP
“A 2003 study published in the Journal of the American Medicine Association found that postoperative complications accounted for up to 22 percent of preventable deaths among patients, depending on the complication. The same study looked at 18 types of medical injuries during hospitalization and found those events accounted for 2.4 million additional hospital days and $9.3 billion in excess charges each year.”1 In 2005, the Surgical Care Improvement Project (SCIP), a national partnership of organizations committed to improving the safety of surgical care through the reduction of postoperative complications began. This multi-year campaign, stemming from the Surgical Infection Prevention Project (SIPP) aims to reduce the incidence of surgical complications nationally by 25 percent by the year 2010.
Over the course of the past 20 years, Masspro, through its collaborative sessions and work with individual Massachusetts hospitals, has worked to reduce surgical site infections to 1/3 of 1%. Of note, hospitals that have chosen not to work on the reduction of surgical site infection maintain infection rates of 1% to 2%. Although these percentages seem small, they represent health complications, quality of life issues, and possibly even death, in addition to longer lengths of stay and increased cost to the hospital, payer, and patient.
Masspro works with hospitals by evaluating both pre and post-operative procedures, identifying areas for improvement, and providing recommendations for change in the areas of process redesign, transformational culture change, and enhanced performance measurement and tracking.
Drawing on the expertise of its partners, which include the American College of Surgeons, the End Stage Renal Disease (ESRD) Network of New England, and teaching hospitals, Masspro is also working with frontline hospital staff, talking to clinicians and conducting academic detailing to provide the latest information in the prevention of ventilator associated pneumonia. Working together, Masspro has been able to assist Massachusetts hospitals in driving post-operative pneumonia to near 0%.
Masspro is also partnering with the End Stage Renal Network of New England in its Fistula First initiative to educate physicians on infection prevention in diabetic patients undergoing renal dialysis with vascular access.
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