Photo courtesy William Beaumont AMC / Facebook

WBAMC honored nationally for meritorious outcomes from American College of Surgeons

William Beaumont Army Medical Center was recently recognized by The American College of Surgeons National Surgical Quality Improvement Program (ACS NSQIP) as one of seven military treatment facilities in the Department of Defense and 88 participating hospitals across that nation, that have achieved meritorious outcomes for surgical patient care in 2018.

As a participant in ACS NSQIP, WBAMC is required to track the outcomes of inpatient and outpatient surgical procedures and collect data that assesses patient safety and can be used to direct improvement in the quality of surgical care.

The ACS NSQIP recognition program commends a select group of hospitals for achieving a meritorious composite score in either an “All Cases” category or a category which includes only “High Risk” cases.

Risk-adjusted data from the July 2019 ACS NSQIP Semiannual Report, which presents data from the 2018 calendar year, were used to determine which hospitals demonstrated meritorious outcomes. WBAMC has been recognized on the “All Cases” Meritorious list.

“In an era that places military doctors for long periods in harm’s way, it is great to know that we accomplish both our deployed mission and our domestic mission with excellence, providing the very best care for our military families,” said Lt. Col. Eric Ahnfeldt, General Surgery Residency Program director and chief of Bariatric Surgery. “This recognition validates the quality care that WBAMC provides, which is above and beyond many other medical centers.”

Each composite score was determined through a different weighted formula combining eight outcomes.

The outcome performances related to patient management were in the following eight clinical areas: mortality, unplanned intubation, ventilator > 48 hours, renal failure, cardiac incidents (cardiac arrest and myocardial infarction); respiratory (pneumonia); SSI (surgical site infections-superficial and deep incisional and organ-space SSIs); or urinary tract infection. WBAMC achieved the distinction “All Cases” list based on their outstanding composite quality score across these eight areas.

“It is the aggregate outcomes regarding these complications and shows that all our services exceeded national averages in quality and safety,” said Maj. C. Rees Porta, Chief of general surgery and the NSQIP Surgeon Champion. “There is no better metric to get a 30,000 foot view of an institutions commitment to quality surgical care than this.”
WBAMC services such as orthopedics, neurosurgery, vascular, cardiothoracic, plastic surgery, general surgery, bariatric surgery, colo-rectal, gynecology, and ENT are all a part of the ACS NSQIP recognition and evaluation process.

“I am very proud of our staff for achieving this significant distinction,” said Col. Michael S. Oshiki, commander of WBAMC. “This achievement illustrates our support of the Defense Health Agency’s commitment to better care, which is one of the four tenets of the DHA Quadruple Aim.”

ACS NSQIP is the only nationally validated quality improvement program that measures and enhances the care of surgical patients. This program measures the actual surgical results 30 days postoperatively as well as risk adjusts patient characteristics to compensate for differences among patient populations and acuity levels.

The goal of ACS NSQIP is to reduce surgical morbidity (infection or illness related to a surgical procedure) and surgical mortality (death related to a surgical procedure) and to provide a firm foundation for surgeons to apply what is known as the “best scientific evidence” to the practice of surgery.

Furthermore, when adverse effects from surgical procedures are reduced and/or eliminated, a reduction in health care costs follows. ACS NSQIP is a major program of the American College of Surgeons and is currently used in nearly 850 adult and pediatric hospitals.

The American College of Surgeons is a scientific and educational organization of surgeons that was founded in 1913 to raise the standards of surgical practice and to improve the care of the surgical patient.

The College is dedicated to the ethical and competent practice of surgery. Its achievements have significantly influenced the course of scientific surgery in America and have established it as an important advocate for all surgical patients. The College has more than 82,000 members and it is the largest organization of surgeons in the world.

Maj. Daniel Nelson, surgical oncologist, instructs medical residents during a bilateral mastectomy at WBAMC, April 22, 2019.

Story+Photo courtesy William Beaumont Army Medical Center/Facebook