2024 Quality Improvement

The 2024 MSQC Quality Initiatives are aimed at continuing the work started in 2023 for three projects, the Surgical Urinary Catheter Care Enhancement Safety Study (SUCCESS), Preoperative Testing for Low-Risk Surgeries, and Frailty. In 2024 we will offer a new project option, Breast Surgery Quality. Sites will select from one of these four options. In addition, MSQC will continue to focus on Hernia surgery and appropriateness, as a collaborative-wide measure, and focus on improving documentation of selected cancer variables.

P4P Resources

Option A: SUCCESS Project

The 2024 SUCCESS project will build on the work begun in 2023. This intervention aims to (1) reduce inappropriate perioperative urinary catheter use, (2) reduce catheter-associated trauma, and (3) improve the management of postoperative urinary retention. The project focuses on common general surgery procedures: appendectomy, cholecystectomy, colorectal surgery, and hernia repair. This project will include the implementation and/or evaluation of toolkit elements that will address clinician knowledge and urinary catheterization skills, as well as communication and implementation challenges anticipated to affect catheter use in different types of perioperative clinical settings, and meet process/outcome measures, and develop or refine the urinary care pathway. 

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Option B: Frailty Pathway Project

The 2024 frailty project will build on the work begun in 2023 which introduced a system to assess vulnerable patients for frailty using a validated screening tool with an informed discussion regarding the results of frailty screening during the surgical planning phase. For 2024, the goal is to improve the surgical experience for patients identified as frail through interventions shown to potentially improve outcomes. This year will see an enhanced informed decision-making discussion with surgical candidates and caregivers and add interventions aimed at improving the surgical experience for candidates identified as frail.

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Option C: Breast Surgery Quality

This project focuses on improving the performance of evidence-based quality measures for patients undergoing partial mastectomy and mastectomy. MSQC began capturing breast surgery data in 2023, so this project will lay the groundwork and encourage engagement from the multidisciplinary team to promote high-quality treatment to improve short- and long-term outcomes.

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Option D: Preoperative Testing for Low-Risk Surgeries (invited sites ONLY)

In collaboration with MVC and MPrOVE, this project will continue to work toward reducing unnecessary, routine preoperative testing for low-risk surgeries, as well as implement interventions to heighten awareness and reduce variation among hospitals. Through a multi-faceted approach, invited sites will: 1) abstract preoperative testing variables on low-risk surgical cases, 2) implement a standard protocol defining appropriate use of preoperative testing, 3) employ strategies to promote adoption of the protocol, and 4) analyze MSQC, MVC, and internal data reports to monitor progress. Continuing sites who participated in the pilot project in 2023 are eligible if their average rate of preoperative testing is >20% from 4/1/2023 to 6/30/2023, and sites who did not select preoperative testing as their QII in 2023 will be eligible to participate.

MVC Preoperative Testing Workgroups:

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