Quality Assessment and Safety Committee Initiatives | ASCRS
Use of checklists has been demonstrated to improve the quality and safety of surgical care. To improve the standardization and quality of care of rectal cancer by our membership, the Quality Assessment and Safety Committee of the ASCRS developed a checklist for rectal cancer surgery which was iteratively revised by committee. The ASCRS Rectal Cancer Safety Checklist can be used to (1) raise awareness of rectal cancer guidelines; (2) enhance pre-operative, intra-operative, and post-operative documentation; and (3) facilitate integration of best practices into pre-operative cancer conferences. ASCRS members who attended the annual meeting in Vancouver provided many positive and constructive comments that were incorporated into the finalized version of the checklist. We welcome feedback on its use at firstname.lastname@example.org.
National Activities of the Quality and Safety Committee
The ASCRS Quality Assessment and Safety Committee has successfully nominated members to NQF Surgery Measures Steering Committee, the Consensus Standards and Approval Committee, and several related measurement evaluation and endorsement committees.
Links to National Quality/Policy Initiatives & Conferences
ACS (advocacy/Nora Patient safety)
Rectal Cancer Committee Update
- Value-Based Purchasing. This link outlines Value Based Purchasing redistribution of up to 2% of Medicare DRG payments to hospitals.
- Physician Value-Based Modifier Program. This link outlines redistribution of Medicare payments to individual physicians.
- Meaningful Use. This link describes basic concepts of meaningful use.
- CMS improvements to quality of care proposals (2014). This link will take you to the 2014 CMS proposals to improve quality of care in hospital inpatient stays. It also describes and links to the CMS “hospital compare” site of national quality reporting.
- CDC/ National Healthcare Safety Network (NHSN)-healthcare associated infection informational website. This link will take you to multiple publications, FAQs, and videos on the CDC/CMS guidelines for detection and reporting of hospital infections including SSI from colon and rectal surgery.
- U.S. Preventive Services Task Force- colorectal cancer screening. This link will take you to up-to-date recommendations on colorectal cancer screening.
- American College of Surgeons (ACS)/National Surgical Quality Improvement Program (NSQIP) fact sheet. This link will take you to downloadable information, overview, and outcomes for hospitals that participate in the NSQIP program.
- CMS will reduce payments by 1% to hospitals in the lowest performing quartile for “hospital acquired conditions”. Teaching hospitals will be disproportionately affected.
- 19 items were removed from the Inpatient Quality Reporting Program; this included 7 distinct SCIP process measures.
ASCRS 2014 Strategic Plan Committee Objectives
2.1 Gain recognition and increase participation in national quality groups and
2.2 Evaluate, develop and disseminate tools for outcome measures to guide
effective practice management
2.3 Select disease specific high value outcome measures for adoption by
colorectal surgeons in the following areas: ERAS, colorectal survival,
decision making for informed consent
4.3 Integrate our presence in key policy organizations and develop a succession
plan for continued involvement in current organization
4.9 Develop principles and processes for managing and responding to public
reporting of outcomes in colorectal disease, through collaboration and
Current Quality and Safety Committee Projects:
1. Website Subcommittee: Larissa Temple (lead), Scott Strong, Neal Hyman
2. Rectal Cancer Checklist Subcommittee: Arden Morris, Larissa Temple,
3. Development of IT solutions: Stefan Holubar
4. Participation in National Policy Activities