Creating a learning healthcare system in surgery: Washington State's Surgical Care and Outcomes Assessment Program (SCOAP) at 5 years

Steve Kwon, Michael Florence, Peter Grigas, Marc Horton, Karen Horvath, Morrie Johnson, Gregory Jurkovich, Wendy Klamp, Kristin Peterson, Terence Quigley, William Raum, Terry Rogers, Richard Thirlby, Ellen T. Farrokhi, David R. Flum

Research output: Contribution to journalReview article

51 Scopus citations

Abstract

There are increasing efforts towards improving the quality and safety of surgical care while decreasing the costs. In Washington state, there has been a regional and unique approach to surgical quality improvement. The development of the Surgical Care and Outcomes Assessment Program (SCOAP) was first described 5 years ago. SCOAP is a peer-to-peer collaborative that engages surgeons to determine the many process of care metrics that go into a "perfect" operation, track on risk adjusted outcomes that are specific to a given operation, and create interventions to correct under performance in both the use of these process measures and outcomes. SCOAP is a thematic departure from report card oriented QI. SCOAP builds off the collaboration and trust of the surgical community and strives for quality improvement by having peers change behaviors of one another. We provide, here, the progress of the SCOAP initiative and highlight its achievements and challenges.

Original languageEnglish (US)
Pages (from-to)146-152
Number of pages7
JournalSurgery
Volume151
Issue number2
DOIs
StatePublished - Feb 1 2012
Externally publishedYes

ASJC Scopus subject areas

  • Surgery

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    Kwon, S., Florence, M., Grigas, P., Horton, M., Horvath, K., Johnson, M., Jurkovich, G., Klamp, W., Peterson, K., Quigley, T., Raum, W., Rogers, T., Thirlby, R., Farrokhi, E. T., & Flum, D. R. (2012). Creating a learning healthcare system in surgery: Washington State's Surgical Care and Outcomes Assessment Program (SCOAP) at 5 years. Surgery, 151(2), 146-152. https://doi.org/10.1016/j.surg.2011.08.015