Academic journal article Journal of Healthcare Management

PRACTITIONER APPLICATION: Does Patient Safety Pay? Evaluating the Association between Surgical Care Improvement Project Performance and Hospital Profitability

Academic journal article Journal of Healthcare Management

PRACTITIONER APPLICATION: Does Patient Safety Pay? Evaluating the Association between Surgical Care Improvement Project Performance and Hospital Profitability

Article excerpt

As an anesthesiologist, I care for patients using Surgical Care Improvement Project (SCIP) protocols; I have seen patients who have suffered from the morbidity and mortality of perisurgical complications-especially from surgical site infections. SCIP is a quality program with proven clinical benefit (Munday, Deveaux, Roberts, Fry, & Polk, 2014). More than a decade has passed since SCIP was implemented, and the volume of SCIP data generated from different types of acute care facilities in a variety of settings allows for the analysis Beauvais, Richter, Kim, Sickels, Hook, Kiley, and Horal have provided. Their research is timely and unique.

Physicians are constantly seeking ways to improve care and reduce complications, but as the authors suggest, not all quality projects or programs improve clinical outcomes or are cost effective. The findings on net patient revenue and SCIP-Inf-4, for example, are not surprising. Interestingly, aggressive postoperative glucose management in cardiac patients has been challenged, and there is no consensus opinion on acceptable values for this metric (Reddy, Duggar, & Butterworth, 2014). However, the impact of SCIP-Inf-4 on operating margin is positive. This is a puzzling finding, and I am curious if compliance with SCIP-Inf-4 consumes more resources and time than the other metrics.

The authors suggest there is a correlation between Leapfrog scores and hospital financial performance. …

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