Clin Colon Rectal Surg 2023; 36(04): 252-258
DOI: 10.1055/s-0043-1761593
Review Article

National Databases for Assessment of Quality

Hillary R. Johnson
1   Department of Surgery, University of Wisconsin, Madison, Wisconsin
,
Jacqueline A. Murtha
1   Department of Surgery, University of Wisconsin, Madison, Wisconsin
,
Julia R. Berian
2   Division of Colorectal Surgery, Department of Surgery, University of Wisconsin, Madison, Wisconsin
› Institutsangaben
Funding JM: NIH Metabolism and Nutrition Training Program T32 (grant DK 007665). HJ: Surgical Oncology T32 Training Grant (T32CA090217 – NIH).

Abstract

With the rise in the availability of large health care datasets, database research has become an important tool for colorectal surgeon to assess health care quality and implement practice changes. In this chapter, we will discuss the benefits and drawbacks of database research for quality improvement, review common markers of quality for colorectal surgery, provide an overview of frequently used datasets (including Veterans Affairs Surgical Quality Improvement Program, National Surgical Quality Improvement Project, National Cancer Database, National Inpatient Sample, Medicare Data, and Surveillance, Epidemiology, and End Results), and look ahead to the future of database research for the improvement of quality.



Publikationsverlauf

Artikel online veröffentlicht:
13. März 2023

© 2023. Thieme. All rights reserved.

Thieme Medical Publishers, Inc.
333 Seventh Avenue, 18th Floor, New York, NY 10001, USA

 
  • References

  • 1 Kaji AH, Rademaker AW, Hyslop T. Tips for analyzing large data sets from the JAMA surgery statistical editors. JAMA Surg 2018; 153 (06) 508-509
  • 2 Daly M, Paquette I. Surveillance, Epidemiology, and End Results (SEER) and SEER-Medicare Databases: use in clinical research for improving colorectal cancer outcomes. Clin Colon Rectal Surg 2019; 32 (01) 61-68
  • 3 Eisenstein S, Stringfield S, Holubar SD. Using the National Surgical Quality Improvement Project (NSQIP) to perform clinical research in colon and rectal surgery. Clin Colon Rectal Surg 2019; 32 (01) 41-53
  • 4 Berian JR, Ban KA, Liu JB. et al. Association of an enhanced recovery pilot with length of stay in the National Surgical Quality Improvement Program. JAMA Surg 2018; 153 (04) 358-365
  • 5 Alluri RK, Leland H, Heckmann N. Surgical research using national databases. Ann Transl Med 2016; 4 (20) 393
  • 6 Centers for Medicare & Medicaid Services. Meaningful Measures Initiative. Accessed August 1, 2022 at: https://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/QualityInitiativesGenInfo/CMS-Quality-Strategy. Published 2022
  • 7 Centers for Medicare & Medicaid Services, HHS. Medicare program; hospital inpatient prospective payment systems for acute care hospitals and the long-term care hospital prospective payment system and FY 2012 rates; hospitals' FTE resident caps for graduate medical education payment. Final rules. Fed Regist 2011; 76 (160) 51475-51846
  • 8 Center for Disease Control and Prevention. Operational Guidance for Reporting Surgical Site Infection (SSI) Data to CDC's NHSN for the Purpose of Fulfilling CMS's Hospital Inpatient Quality Reporting (IQR) Program Requirements. Division of Healthcare Quality Promotion. Accessed August 1, 2022 at: https://www.cdc.gov/nhsn/pdfs/cms/ssi/Final-ACH-SSI-Guidance.pdf. November 2019.
  • 9 Centers for Medicare & Medicaid Services. Quality Initiatives Patient Assessment Instruments—Quality Measures. Accessed August 1, 2022 at: https://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/QualityMeasures 2015
  • 10 Centers for Disease Control and Prevention. National Healthcare Safety Network (NHSN). Accessed August 1, 2022 at: https://www.cdc.gov/nhsn/index.html. October 2021
  • 11 National Quality Forum. Measuring Performance. Accessed August 1, 2022 at: https://www.qualityforum.org/Measuring_Performance/Measuring_Performance.aspx. Published 2022
  • 12 National Quality Forum. Department of Health and Human Services. NQF-Endorsed Measures for Surgical Procedures—Technical Report. February 13, 2015. Accessed Aug 1, 2022 at: https://www.qualityforum.org/Projects/s-z/Surgery_Project/Final_Report.aspx
  • 13 Khuri SF, Henderson WG, Daley J. et al; Principal Investigators of the Patient Safety in Surgery Study. Successful implementation of the Department of Veterans Affairs' National Surgical Quality Improvement Program in the private sector: the patient safety in surgery study. Ann Surg 2008; 248 (02) 329-336
  • 14 Massarweh NN, Kaji AH, Itani KMF. Practical guide to surgical data sets: Veterans Affairs Surgical Quality Improvement Program (VASQIP). JAMA Surg 2018; 153 (08) 768-769
  • 15 Davis CL, Pierce JR, Henderson W. et al. Assessment of the reliability of data collected for the Department of Veterans Affairs national surgical quality improvement program. J Am Coll Surg 2007; 204 (04) 550-560
  • 16 Cohen ME, Ko CY, Bilimoria KY. et al. Optimizing ACS NSQIP modeling for evaluation of surgical quality and risk: patient risk adjustment, procedure mix adjustment, shrinkage adjustment, and surgical focus. J Am Coll Surg 2013; 217 (02) 336-46.e1
  • 17 American College of Surgeons National Surgical Quality Improvement Program. User Guide for the 2020 ACS NSQIP Procedure Targeted Participant Use Data File (PUF). Accessed August 1, 2022 at: https://www.facs.org/media/c1afx4fn/pt_nsqip_puf_userguide_2020.pdf. November 2021
  • 18 Rodríguez GB, Balla A, Corradetti S. et al. What have we learned in minimally invasive colorectal surgery from NSQIP and NIS large databases? A systematic review. Int J Colorectal Dis 2018; 33 (06) 663-681
  • 19 Eisenstein S, Holubar SD, Hilbert N. et al; The ACS National Surgical Quality Improvement Program-Inflammatory Bowel Disease Collaborative. The ACS National Surgical Quality Improvement Program-Inflammatory Bowel Disease Collaborative: design, implementation, and validation of a disease-specific module. Inflamm Bowel Dis 2019; 25 (11) 1731-1739
  • 20 Luo WY, Holubar SD, Bordeianou L. et al; National Surgical Quality Improvement Program-Inflammatory Bowel Disease (NSQIP-IBD) Collaborative: Collaborating Institutions and Investigators. Better characterization of operation for ulcerative colitis through the National surgical quality improvement program: a 2-year audit of NSQIP-IBD. Am J Surg 2021; 221 (01) 174-182
  • 21 Merkow RP, Rademaker AW, Bilimoria KY. Practical guide to surgical data sets: National Cancer Database (NCDB). JAMA Surg 2018; 153 (09) 850-851
  • 22 MacCallum C, Skandarajah A, Gibbs P, Hayes I. The value of clinical colorectal cancer registries in colorectal cancer research: a systematic review. JAMA Surg 2018; 153 (09) 841-849
  • 23 Ghaferi AA, Dimick JB. Practical guide to surgical data sets: Medicare claims data. JAMA Surg 2018; 153 (07) 677-678
  • 24 Doll KM, Rademaker A, Sosa JA. Practical Guide to Surgical Data Sets: Surveillance, Epidemiology, and End Results (SEER) database. JAMA Surg 2018; 153 (06) 588-589
  • 25 Epic Cosmos. A universe of data that drives evidence-based research and individualized patient care. Accessed June 25, 2022 at: https://cosmos.epic.com/. Published 2022
  • 26 Ong MBH. Epic EHR data: cancer screenings nosedive in 2021 despite easing of COVID restrictions. Cancer Lett 2021;47(34). Accessed on January 24, 2023 at: https://cancerletter.com/issues/20210917/
  • 27 The National Patient-Centered Clinical Research Network. PCORnet: a network of networks. Accessed August 1, 2022 at: https://pcornet.org/about/. 2022
  • 28 Arterburn D, Wellman R, Emiliano A. et al; PCORnet Bariatric Study Collaborative. Comparative effectiveness and safety of bariatric procedures for weight loss: A PCORnet cohort study. Ann Intern Med 2018; 169 (11) 741-750
  • 29 U.S. Department of Veterans Affairs. Office of Research & Development: Million Veteran Program (MVP). Accessed April 23, 2022 at: https://www.research.va.gov/MVP/default.cfm. Published 2022
  • 30 U.S. Department of Health and Human Services. All of Us Research Program: Research Hub. Accessed April 23, 2022 at: https://www.researchallofus.org/. Published 2022
  • 31 Childers CP, Maggard-Gibbons M. Same Data, Opposite Results?: a call to improve surgical database research. JAMA Surg 2021; 156 (03) 219-220