print this page

Reduction of Surgical Complications

Many of the nearly 30 million operations performed each year have surgical care complications.  Each complication can increase the length of hospital stay, the likelihood of a critical care admission, the incidence of readmission, and the risk of death.  

 

It is estimated that 50% of surgical complications can be prevented with appropriate interventions.  Baystate Health (BH) participates in the nationwide quality improvement initiative, the “Surgical Care Improvement Project (SCIP),” led by the Centers for Medicare & Medicaid Services (CMS) to improve the quality of care surgical patients receive by ensuring that each surgical patient gets the right care at the right time.

 

Since 2004, all Baystate Health facilities have been publicly reporting Surgical Care Improvement Project data through the Hospital Quality Alliance (HQA).  This reporting helps to ensure that every patient who has inpatient surgery at a Baystate Health facility receives all appropriate treatments to reduce sickness and death.

SURGICAL CARE IMPROVEMENT PROJECT (SCIP) Care Measures

 

HIGHER IS BETTER   

Baystate Medical Center Best U.S. Hospitals*
October - December 2012
Prophylactic antibiotic received within 1 hour prior to surgical incision:  When patients receive antibiotics within one hour before surgery, their risk of getting a wound infection is reduced. 99.2% 100%
Prophylactic antibiotic selection for surgical patients:  It is important to select the right antibiotic for surgical patients to help prevent a surgical wound infection.   98.3% 100%
Prophylactic antibiotics discontinued within 24 hours after surgery end time:  It is important to stop antibiotics within a specific amount of time after the surgery ends to decrease possible side effects and complications of taking an antibiotic too long. 98.3% 99.4%
Cardiac surgery patients with controlled 6 a.m. post-operative serum glucose:  It is important to control blood sugar levels after surgery to reduce in-hospital complications, including surgical site infections.   94.4% 99.6%
Surgical patients with appropriate hair removal: Patients undergoing surgery may need to have hair removed from the operative site or other areas of the body.  It is important to remove hair with electric clippers or hair removal cream to decrease the risk of infection.  Shaving with a razor may increase the risk of infection.   100% 100%
Urinary catheter removed on post-operative day 1 or post-operative day 2, with day of surgery being day 0: Patients who are having surgery may need to have a urinary catheter placed, which is a tube that goes into the bladder and drains urine out of the body into a bag which collects the urine.  It is important to remove the catheter within 2 days of surgery (for most patients) in order to help prevent infection. 99% 100%^
Surgery patients with peri-operative temperature management:  Patients whose body temperature drops during surgery have a greater risk of infection and their wounds might not heal as quickly.  It is important to make sure that patients are kept warm during and right after surgery to help prevent infections and complications.   100% 100%^
Surgery patients on beta-blocker therapy who received beta-blocker during peri-operative period:  A beta-blocker is a type of medication that reduces blood pressure and helps blood vessels open up to improve blood flow.  Patients with heart disease who receive a beta-blocker prior to surgery have a reduced risk of death following surgery. 96.8% 100%
Surgery patients with recommended venous thromboembolism prophylaxis ordered:  Sometimes patients who have surgery develop blood clots, and certain surgeries increase the chance of getting a blood clot.  It is important to order the right treatments to help prevent blood clots from forming. 99% 100%
Received appropriate venous thromboembolism prophylaxis within 24 hours prior to through 24 hours after surgery:  It is important to give patients the right treatments before, during and after surgery to help prevent blood clots from forming. 99% 99.8%
Composite Process Score: A summary score of how often we provide each of the above-listed recommended measures to patients based on their specific conditions. 98.9% 99.4%
Appropriate Care Score:  A score that summarizes whether patients received all of the appropriate treatments that they should have based on their specific conditions. 94.4% 97.7%

*Benchmark is HQID Top 10%

^Benchmark is The Joint Commission Top 10%

For more information on Quality at Baystate Health

For more information on Baystate Medical Center

For more information on Baystate Franklin Medical Center

For more information on Baystate Mary Lane Hospital

For more information on Surgery at Baystate Health

For more information on the Centers for Medicare and Medicaid Services

SURGICAL CARE IMPROVEMENT PROJECT (SCIP) Care Measures

 

HIGHER IS BETTER   

Baystate Franklin Medical Center Best U.S. Hospitals*
October - December 2012
Prophylactic antibiotic received within 1 hour prior to surgical incision:  When patients receive antibiotics within one hour before surgery, their risk of getting a wound infection is reduced. 100% 100%
Prophylactic antibiotic selection for surgical patients:  It is important to select the right antibiotic for surgical patients to help prevent a surgical wound infection.   95.5% 100%
Prophylactic antibiotics discontinued within 24 hours after surgery end time:  It is important to stop antibiotics within a specific amount of time after the surgery ends to decrease possible side effects and complications of taking an antibiotic too long. 86.4% 99.4%
Surgical patients with appropriate hair removal: Patients undergoing surgery may need to have hair removed from the operative site or other areas of the body.  It is important to remove hair with electric clippers or hair removal cream to decrease the risk of infection.  Shaving with a razor may increase the risk of infection.   100% 100%
Urinary catheter removed on post-operative day 1 or post-operative day 2, with day of surgery being day 0: Patients who are having surgery may need to have a urinary catheter placed, which is a tube that goes into the bladder and drains urine out of the body into a bag which collects the urine.  It is important to remove the catheter within 2 days of surgery (for most patients) in order to help prevent infection. 88.9% 100%^
Surgery patients with peri-operative temperature management:  Patients whose body temperature drops during surgery have a greater risk of infection and their wounds might not heal as quickly.  It is important to make sure that patients are kept warm during and right after surgery to help prevent infections and complications.   100% 100%^
Surgery patients on beta-blocker therapy who received beta-blocker during peri-operative period:  A beta-blocker is a type of medication that reduces blood pressure and helps blood vessels open up to improve blood flow.  Patients with heart disease who receive a beta-blocker prior to surgery have a reduced risk of death following surgery. 90% 100%
Surgery patients with recommended venous thromboembolism prophylaxis ordered:  Sometimes patients who have surgery develop blood clots, and certain surgeries increase the chance of getting a blood clot.  It is important to order the right treatments to help prevent blood clots from forming. 96.9% 100%
Received appropriate venous thromboembolism prophylaxis within 24 hours prior to through 24 hours after surgery:  It is important to give patients the right treatments before, during and after surgery to help prevent blood clots from forming. 90.6% 99.8%
Composite Process Score: A summary score of how often we provide each of the above-listed recommended measures to patients based on their specific conditions. 95.4% 99.4%
Appropriate Care Score:  A score that summarizes whether patients received all of the appropriate treatments that they should have based on their specific conditions. 75% 97.7%

*Benchmark is HQID Top 10%

^Benchmark is The Joint Commission Top 10%

For more information on Quality at Baystate Health

For more information on Baystate Medical Center

For more information on Baystate Franklin Medical Center

For more information on Baystate Mary Lane Hospital

For more information on Surgery at Baystate Health

For more information on the Centers for Medicare and Medicaid Services

SURGICAL CARE IMPROVEMENT PROJECT (SCIP) Care Measures

 

HIGHER IS BETTER

Baystate Mary Lane Hospital Best U.S. Hospitals*
October - December 2012
Prophylactic antibiotic received within 1 hour prior to surgical incision:  When patients receive antibiotics within one hour before surgery, their risk of getting a wound infection is reduced. 100% 100%
Prophylactic antibiotic selection for surgical patients:  It is important to select the right antibiotic for surgical patients to help prevent a surgical wound infection.   100% 100%
Prophylactic antibiotics discontinued within 24 hours after surgery end time:  It is important to stop antibiotics within a specific amount of time after the surgery ends to decrease possible side effects and complications of taking an antibiotic too long. 100% 99.4%
Surgical patients with appropriate hair removal: Patients undergoing surgery may need to have hair removed from the operative site or other areas of the body.  It is important to remove hair with electric clippers or hair removal cream to decrease the risk of infection.  Shaving with a razor may increase the risk of infection.   100% 100%
Urinary catheter removed on post-operative day 1 or post-operative day 2, with day of surgery being day 0: Patients who are having surgery may need to have a urinary catheter placed, which is a tube that goes into the bladder and drains urine out of the body into a bag which collects the urine.  It is important to remove the catheter within 2 days of surgery (for most patients) in order to help prevent infection. 100% 100%^
Surgery patients with peri-operative temperature management:  Patients whose body temperature drops during surgery have a greater risk of infection and their wounds might not heal as quickly.  It is important to make sure that patients are kept warm during and right after surgery to help prevent infections and complications.   100% 100%^
Surgery patients on beta-blocker therapy who received beta-blocker during peri-operative period:  A beta-blocker is a type of medication that reduces blood pressure and helps blood vessels open up to improve blood flow.  Patients with heart disease who receive a beta-blocker prior to surgery have a reduced risk of death following surgery. 100% 100%
Surgery patients with recommended venous thromboembolism prophylaxis ordered:  Sometimes patients who have surgery develop blood clots, and certain surgeries increase the chance of getting a blood clot.  It is important to order the right treatments to help prevent blood clots from forming. 91.7% 100%
Received appropriate venous thromboembolism prophylaxis within 24 hours prior to through 24 hours after surgery:  It is important to give patients the right treatments before, during and after surgery to help prevent blood clots from forming. 91.7% 99.8%
Composite Process Score: A summary score of how often we provide each of the above-listed recommended measures to patients based on their specific conditions. 98% 99.4%
Appropriate Care Score:  A score that summarizes whether patients received all of the appropriate treatments that they should have based on their specific conditions. 92.9% 97.7%

*Benchmark is HQID Top 10%

^Benchmark is The Joint Commission Top 10%

For more information on Quality at Baystate Health

For more information on Baystate Medical Center

For more information on Baystate Franklin Medical Center

For more information on Baystate Mary Lane Hospital

For more information on Surgery at Baystate Health

For more information on the Centers for Medicare and Medicaid Services

 

 

   

      

 

   

 

For more information on Quality at Baystate Health

For more information on Baystate Medical Center

For more information on Baystate Franklin Medical Center

For more information on Baystate Mary Lane Hospital

For more information on Surgery at Baystate Health

For more information on the Centers for Medicare and Medicaid Services