Surgical Care and Outcomes Assessment Program What is scoap?


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Surgical Care and Outcomes Assessment Program


What is SCOAP?

  • “A quality of care improvement program providing hospital specific data feedback and best practices regarding processes of care and outcomes across the Pacific Northwest”

    • All stakeholders working together (physicians, quality of care personnel, hospital administrators, purchasers of healthcare, insurers)
    • Drives QI using meaningful data
      • Thoughtful approach to transparency
    • Works within a statewide statue that protects confidentiality


“Who is behind SCOAP?”

  • Foundation for Healthcare Quality

  • SCOAP Partners and Stakeholders

    • Washington State Health Care Authority
    • Washington State Medicaid Assistance Administration
    • Group Health Cooperative
    • Premera Blue Cross
    • Regence Blue Shield
    • Washington State Hospital Association




Participating Hospitals

  • Enrolled and submitting data:

  • Central Washington Hospital, Wenatchee

  • Children’s Hospital and Regional Medical Center, Seattle

  • Grays Harbor Community Hospital, Aberdeen

  • Harborview Medical Center, Seattle 

  • Jefferson Healthcare, Port Townsend

  • Kadlec Medical Center, Richland

  • Madigan Army Medical Center, Tacoma

  • Sacred Heart Medical Center, Spokane

  • Sunnyside Community Hospital, Sunnyside

  • Swedish Health Services, Seattle

  • University of Washington Medical Center, Seattle

  • Virginia Mason Medical Center, Seattle

  • Wenatchee Valley Medical Center, Wenatchee

  • Yakima Valley Memorial Hospital, Yakima

  • Enrolled, not yet submitting data:

  • Group Health Cooperative/Eastside Hospital, Redmond

  • Skagit Valley Hospital, Mount Vernon

  • Commitment to enroll:

  • Olympic Medical Center, Port Angeles



SCOAP Development

  • Four procedures to start

    • Appendectomy, Colectomy/Proctectomy, Gastric bypass
    • Vascular surgery pilot
  • Focus on important process of care measures for surgeons/hospitals

  • In hospital outcome measures-risk adjustment

  • Data abstracted by local staff/web-based entry

  • Quarterly reporting to surgeons, QI and hospital leadership



SCOAP Metrics

  • # 1 Normothermia

  • # 2 Euglycemia

  • # 3 VTE Chemoprophylaxis

  • # 4 Antibiotic Use

  • # 5 Pain Control

  • # 6 Transfusion Use

  • # 7 Post-operative Respiratory Failure

  • # 8 Myocardial Infarction Prevention

  • # 9 Diagnostic Imaging for Appendectomy

  • # 10 Imaging Accuracy for Appendectomy

  • # 11 Operative process

  • # 12 Lymph Nodes Removed for Colon Cancer

  • # 13 Post Operative Interventions

  • # 14 Hospital Stay and Discharge Status

  • # 15 Negative Appendectomy



What has SCOAP learned so far?

  • “Baby steps are important”

  • Data show widespread variability

    • Opportunities for improvement
  • Physician engagement works

  • Data collection only works when its relevant data and fed back to engaged staff working with local QI

  • Local success stories drive regional success stories




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