An Economic Evaluation of the National Surgical Quality Improvement Program (NSQIP) in Alberta, Canada

Annals of Surgery
Nguyen X. ThanhStacey Litvinchuk

Abstract

The aim of this study was to analyze the health care costs and savings associated with quality improvement (QI) interventions initiated and implemented utilizing NSQIP. Five acute care facilities of Alberta Health Services (AHS) adopted NSQIP in 2015 for a pilot project. The cost-savings of NSQIP were estimated from the start of NSQIP to the end of 2017 under an AHS perspective using this formula: Gross cost-savings = N * (p1 - p2) * unit cost, where N was the number of surgical patients after the intervention, p1 was the probability of event occurrence (within 30 days of surgery) before the intervention, p2 was the probability of event occurrence after the intervention, and unit cost is health care cost per event. To calculate the net cost-savings, we deducted the costs of NSQIP and its interventions from the gross cost-savings. The QI initiatives initiated by NSQIP to reduce surgical events had significant impacts clinically and economically. The gross cost-savings of NSQIP were estimated at $11.4 million. Subtracting the costs of NSQIP and its interventions ($2.6 million) from the gross cost-savings, the net cost-savings were $8.8 million. The return on investment ratio was 4.3, meaning that every $1.00 invested in NSQIP wou...Continue Reading

Citations

Nov 24, 2018·Infection Control and Hospital Epidemiology : the Official Journal of the Society of Hospital Epidemiologists of America·Sasha van KatwykDavid Schramm
Apr 14, 2019·American Journal of Transplantation : Official Journal of the American Society of Transplantation and the American Society of Transplant Surgeons·Justin R ParekhStuart Greenstein
Feb 6, 2021·International Journal for Quality in Health Care : Journal of the International Society for Quality in Health Care·Bastien BoussatWilliam A Ghali
Mar 3, 2021·The Journal of Surgical Research·Andres F DovalFeibi Zheng
Oct 5, 2020·Journal of the American College of Surgeons·Sanjay BeesoonMary E Brindle
Nov 28, 2020·Journal of the American College of Surgeons·Bruce L Hall
Oct 7, 2021·International Journal for Quality in Health Care : Journal of the International Society for Quality in Health Care·Julie GawthorneSandy Middleton

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