Surgical Care Improvement Project (SCIP) - Quality Measurement
The Surgical Care Improvement Project, or SCIP, is a set of measures determined by national experts and Medicare to reflect quality of care in surgery. Two very important complications of surgery that can be minimized by good quality care are infections, and deep venous thrombosis or thromboembolism.
There are many ways to reduce the likelihood of infections after surgery but appropriate timing and choices of antibiotics, along with blood sugar management, are key.
Infections are less likely for many surgeries if the right antibiotic is given just before surgery, and then stopped within a short time. Giving antibiotics too long may increase side effects or cause susceptibility to more serious infections. We measure the timing of antibiotic administration, the choice, and the proper timing for discontinuing the antibiotics.
Blood sugar management, especially in cardiac surgery patients, has been shown to decrease infections as well as other complications, even if the patient doesn’t have diabetes. We measure the blood sugar for these cardiac surgical patients on the morning after surgery.
Deep Venous Thrombosis Measurement
Deep venous thrombosis means that blood clots form in the larger veins in a patient’s leg or pelvis. These clots may have no symptoms and can occur during hospitalization for surgery or even after discharge.
Sometimes these clots can break away and travel to the lungs (thromboembolism), where they can cause serious harm. These clots can be treated with anticoagulant drugs that prevent blood from clotting (commonly called blood thinners), but it’s better to prevent the clots in the first place. Various treatments, including low doses of “blood thinners” or anticoagulants, have been clearly shown to reduce the likelihood of this complication if administered or applied after surgery. We measure whether or not doctors order these preventive or prophylactic measures appropriately.
SCIP Performance Report of Danbury Hospital
All of these SCIP measures are very specific so that they can be measured accurately and compared to the performance of other hospitals.
Medicare, or Centers for Medicare and Medicaid Services (CMS), requires all hospitals to track and report on a number of measures for surgical care. We have selected those to report here which we believe are most critical or most challenging. Medicare sends auditors to each hospital to ensure that the reporting is accurate. We have always been found to be reporting accurately.
You may review our performance on these and all the other Medicare mandated measures by going to the Hospital Compare web site from the U.S. Department of Health and Human Services.