Surgical Care Improvement Project in the Value-Based Purchasing Era: More Harm Than Good?
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 confusio...
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| Veröffentlicht in: | Clinical infectious diseases 2013-02, Vol.56 (3), p.424-427 |
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| creator | Weston, Adam Caldera, Kathleen Doron, Shira |
| description | 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. |
| doi_str_mv | 10.1093/cid/cis940 |
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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. 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| source | MEDLINE; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; Jstor Complete Legacy; Oxford University Press Journals All Titles (1996-Current); Alma/SFX Local Collection |
| subjects | Biological and medical sciences Clinical outcomes Humans Infectious diseases Invited Medical sciences Medicare - economics Medicare - standards Morbidity Mortality Patients Perioperative Care - economics Perioperative Care - standards Postoperative Complications - economics Postoperative Complications - prevention & control Quality Assurance, Health Care - economics Quality Assurance, Health Care - standards QUALITY IMPROVEMENT Reimbursement Mechanisms - economics Reimbursement Mechanisms - standards Surgery Surgical Wound Infection - economics Surgical Wound Infection - prevention & control United States Value-Based Purchasing - economics Value-Based Purchasing - standards |
| title | Surgical Care Improvement Project in the Value-Based Purchasing Era: More Harm Than Good? |
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