How do (and why should) I use the National Surgical Quality Improvement Program?

BACKGROUND: The National Surgical Quality Improvement Program (NSQIP) is celebrating its 15th year in the Veterans Affairs. The full implementation of this program in the VA was associated with a 27% reduction in mortality and a 45% reduction in morbidity in the VA over this timeframe. The objective of this article is to understand the internal and external motivations for using the NSQIP and how NSQIP data can be used to improve outcomes. We also outline several methods to identify the opportunities for improvement. DATA SOURCES: Multiple methods of using the NSQIP for practice improvement were explored by using published data and reviewing hospital practices. CONCLUSIONS: NSQIP data can be used by individuals, services, hospitals. and systems to improve outcomes. It fulfills the current and likely future requirements for Part IV of Maintenance of Certification. (C) 2009 Published by Elsevier Inc.