Tennessee Surgical Quality Collaborative Says It Saves 533 Lives, $75 Million in Three Years

Tuesday, July 29, 2014

A unique collaborative of Tennessee surgeons, hospitals, and insurers, established in 2008 to share data, compare results, and improve outcomes, said it came up with impressive results to the American College of Surgeons National Surgical Quality Improvement Program (ACS NSQIP) National Conference in New York City this week.

Ten hospitals in the Tennessee Surgical Quality Collaborative (TSQC), including Erlanger Health System, the first Tennessee hospital to join the NSQIP and then participate in the collaborative, have reduced surgical complications by 19.7 percent since 2009, resulting in at least 533 lives saved and $75.2 million in reduced costs, officials said.

“It’s rare for three major stakeholders in healthcare—hospitals, surgeons, and insurers—to work together on measuring and improving the quality of surgical care in hospitals, but that’s exactly what the collaborative has accomplished,” explained Joseph B. Cofer, MD, FACS, of University Surgical Associates, and one of the authors of the study. “We also discovered that Tennessee hospitals have not only improved care, but sustained those improvements over time.”

Between 2009 and 2012, ten TSQC hospitals collected clinical, 30-day outcomes data on more than 55,000 surgical procedures, and researchers examined rates of 17 types of surgical complications.  In 2012 another eleven Tennessee hospitals joined the TSQC.

Compared with complication rates in 2009, the 21 hospitals in the TSQC achieved 19.7 percent fewer postoperative occurrences, and the postoperative mortality rate dropped 31.5 percent. Hospitals prevented an estimated 3.75 deaths per 1,000 surgical procedures and avoided $75.2 million in excess costs. The collaborative saw improvements in 13 of the 17 types of complications, and nine improved significantly, including surgical site infections, pneumonia, and urinary tract infections. 

A study published in the Journal of the American College of Surgeons in 2012 showed the initial 10 TSQC members reduced complication rates and saved more than $8 million in excess costs from 2009 to 2010. This new study shows TSQC hospitals continued to improve in the years after the program was launched.  

 The hospital collaborative is a partnership of the Tennessee Chapter of the American College of Surgeons and the Tennessee Hospital Association’s (THA) Center for Patient Safety, with support from Blue Cross Blue Shield’s Tennessee Health Foundation.

 “The TSQC has helped align the efforts of hospitals and surgeons around quality improvement, which supports the THA board's commitment toward zero incidents of preventable harm in our state's hospitals,” stated Craig A. Becker, THA president.

Study authors include lead author, Brian Daley, MD, MBA, FACS; Joseph B. Cofer, MD, FACS; William C. Gibson, MD, FACS; Scott A. Copeland, MD, FACS; Chris Clarke, RN; William Cecil, MBA; and Barbara J. Martin, RN, MBA, CCRN.

 

Participating hospitals in the Tennessee Surgical Quality Initiative include:

Saint Thomas Midtown Hospital (formerly Baptist Hospital)

Baptist Memorial Hospital - Memphis

Claiborne County Hospital

Cookeville Regional Medical Center - Cookeville

Cumberland Medical Center

Erlanger Health System - Chattanooga

Ft. Sanders Regional Medical Center

Henry County Medical Center

Jackson Madison Co General Hospital

Maury Regional Medical Center

Memorial Health Care System

Methodist University Hospital - Memphis

NorthCrest Medical Center

Parkwest Medical CenterKnoxville

Regional One Health - Memphis

Saint Francis Hospital - Memphis

Saint Thomas West Hospital

Summit Medical Center

University of Tennessee Medical Center -Knoxville

Vanderbilt University Medical Center- Nashville

Wellmont Bristol Regional


HRC Medical And Its Principals Ordered To Pay $18 Million And Stop Unlawful Activity

Attorney General Herbert H. Slatery III announced Friday Senior Judge Don Ash, serving as special judge for the Davidson County Circuit Court, has granted the State’s Motion for Partial Summary Judgment in its lawsuit against HRC Medical Centers, Inc. and the company’s principals, Dan Hale, Don Hale, and Dixie Hale. The Order is a significant step in concluding the case, officials ... (click for more)

3 Chattanooga Imaging Centers Sold For $11.1 Million

Three Chattanooga imaging facilities have sold for a total $11.1 million. Chattanooga Imaging at 1710 Gunbarrel Road was sold for $5,250,000. Chattanooga Imaging at 440 N. Holtzclaw Ave., sold for $3,650,000. Those sales were  to Chattanooga 1710 Medical Properties Llc from Plaza Development Co Llc. Also,   Chattanooga Imaging at  2070 Hamill ... (click for more)

Bradley County Sheriff Eric Watson Booked At County Jail; Says He Is Not Guilty

Bradley County Sheriff Eric Watson was booked at the Bradley County Jail Friday morning. He faces six separate charges of altering/falsifying/forging a title plate assignment. Sheriff Watson, a former state legislator, posted a $30,000 bond. He issued this statement, "For more than a year, I have confronted numerous accusations from some who desire to have more control ... (click for more)

County School Board Members, Rep. Favors Rap State Take-Over Plans For Low Performing Schools; New Superintendent To Come Up With Community Plan

County School Board members at a Thursday work session took turns rapping a state take-over plan for low performing schools. New Supt. Bryan Johnson said he will work over the next 30-45 days to come up with a community proposal for strengthening the iZone schools. He said, "I'm not sold myself" on some of the aspects of a proposed state partnership with the school district. ... (click for more)

Do Something To Protect Our Children

It is unconscionable in this day and age that these children had to exist in such deplorable conditions and that an innocent baby suffered and died alone in a locked car.  Yes, there is blame and accountability considering this family had child neglect charges filed a few years ago (that were apparently dropped and expunged) and a large part of the responsibility should ... (click for more)

Roy Exum: The Saturday Funnies

Every week I get emails full of inspiration and funny stories. This summer I have gathered a sampling of my weekly harvest and presented the collection as a reminder we ought to cherish laughter with those we love and the weekend. I am not only amazed how popular my ‘Summer Saturdays’ have become but this week I have gotten funnies from California, Texas and Arizona, to mention ... (click for more)