Enter Email:

Surgical Care Improvement Project (SCIP) Measures

Printable PDF Version

Click Here for SCIP Testimonials

With a major focus on process improvement, Ohio KePRO will work with hospitals in the Identified

Participant Group to facilitate the adoption of standard processes of care for surgical patients.

Interventions will be directed towards the prevention of surgical site infections, venous

thromboembolism, ventilator associated pneumonia, cardiovascular complications and promotion

of the use of fistulas for hemodialysis.

SCIP Measures

• Infection:
  

  SCIP-Inf 1: Prophylactic Antibiotic received within one hour prior to surgical incision
  

  SCIP-Inf 2: Prophylactic Antibiotic selection for surgical patients
  

  SCIP-Inf 3: Prophylactic Antibiotics discontinued within 24 hours after surgery end time

  (48 hours for cardiac patients)
  

  SCIP-Inf 4: Cardiac surgery patients with controlled 6 a.m. postoperative serum glucose
  

  SCIP-Inf 5: Postoperative wound infections diagnosed during index hospitalization (OUTCOME)
  

  SCIP-Inf 6: Surgical patients with appropriate hair removal
  

  SCIP-Inf 7: Colorectal surgical patients with immediate postoperative normothermia
  
  
• Cardiovascular
  

  SCIP-Card 2: Surgery patients on a beta-blocker prior to arrival that received a beta-
  blocker during the perioperative period
  

  SCIP-Card 3: Intra or postoperative acute myocardial infarction (AMI) diagnosed during

  index hospitalization and within 30 days of surgery (OUTCOME)

  
  

• Thromboembolic
  SCIP-VTE 1: Surgery patients with recommended venous thromboembolism prophylaxis ordered
  

  SCIP-VTE 2: Surgery patients who received appropriate venous thromboembolism prophylaxis
  within 24 hours prior to surgery to 24 hours after surgery
  

  SCIP-VTE 3: Intra or postoperative pulmonary embolism (PE) diagnosed during index

  hospitalization and within 30 days of surgery (OUTCOME)
  

  SCIP-VTE 4: Intra or postoperative deep venous thrombosis (DVT) diagnosed during index
  hospitalization and within 30 days of surgery (OUTCOME)

  
  

The following measures are still being reviewed and may be added at a later date:

 

• Respiratory
  SCIP-Resp 1: Number of days ventilated surgery patients had documentation of the Head of the

  Bed (HOB) being elevated from recovery end date (day zero) through postoperative day seven
  

  SCIP-Resp 2: Patients diagnosed with postoperative ventilator associated pneumonia (VAP) during

  index hospitalization (OUTCOME)
  

  SCIP-Resp 3: Number of days ventilated surgery patients had documentation of stress ulcer

  disease (SUD) prophylaxis from recovery end date (day zero) through postoperative day seven
  

  SCIP-Resp 4: Surgery patients whose medical record contained an order for a ventilator weaning
  program (protocol or clinical pathway)

  
  

• Global
  SCIP-Global 1: Mortality within 30 days of surgery
  

  SCIP-Global 2: Readmission within 30 days of surgery
  
  

• Vascular Access
  VA 1: Proportion of permanent hospital ESRD vascular access procedures that are autogenous

  AV fistulas