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Surgical Care Improvement Project
"SCIP"

US Dept. of Health & Human Services
The U.S. Department of Health and Human Services' MedQIC (Medicare Quality Improvment Community) has drafted the following performance measures for surgical care. These measures are finalized and were announced on May 28th, 2005, for implementation starting in January of 2006. Let's get going on implementation!

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Surgical Care Improvement Project (SCIP) Draft Performance Measures for Perioperative Cardiac Events (Adobe .pdf)


The Surgical Care Improvement Project (SCIP) pilot studies used these definitions:

SCIP Cardiac 1: Percent of major non-cardiac vascular surgery patients with prior evidence of coronary disease, without contraindications to receiving beta-blockers, who received beta-blockers on the day of surgery, preoperatively or intraoperatively.
Num: Number of patients with prior evidence of coronary disease who received beta-blockers on the day of surgery, preoperatively or intraoperatively.
Den: All selected surgical patients with prior evidence of coronary artery disease, without contraindications to receiving beta-blockers

SCIP Cardiac 2: Percent of major non-cardiac vascular surgery patients with a history of coronary disease, without contraindications to receiving beta-blockers, who were started on beta-blockers the day of surgery that received beta-blockers until discharge (and up to 30 days postoperatively)
Num: Number of patients who received beta-blockers postoperatively until discharge, up to 30 days postoperatively.
Den: All major non-cardiac vascular surgical patients with prior evidence of coronary artery disease, without contraindications to receiving beta-blockers, who received beta-blockers preoperatively or intraoperatively on the day of surgery,

SCIP Cardiac 3: Percent of major surgery patients, maintained on a beta-blocker prior to surgery that received a beta-blocker during the perioperative period.
Num: Number of major surgical patients maintained on a beta-blocker who receive a beta-blocker perioperatively
Den: All major surgical patients maintained on a beta-blocker prior to admission

These measures are finalized and were announced on May 28th, 2005, for implementation starting in January of 2006.

 

Content by Art Wallace MD PhD
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