Title
Ratify execution by the designee of the Chief Executive Officer for Natividad Medical Center (NMC) of a Hospital Participation Agreement with American College of Surgeons (A-16042) for participation in the National Surgical Quality Improvement Program, for an amount not to exceed $70,000 with an agreement term October 1, 2022 through September 30, 2027.
Report
RECOMMENDATION:
It is recommended the Board of Supervisors:
Ratify execution by the designee of the Chief Executive Officer for Natividad Medical Center (NMC) of a Hospital Participation Agreement with American College of Surgeons (A-16042) for participation in the National Surgical Quality Improvement Program, for an amount not to exceed $70,000 with an agreement term October 1, 2022 through September 30, 2027.
SUMMARY/DISCUSSION:
The American College of Surgeons National Surgical Quality Improvement Program is a database and reporting system providing NMC with fact-based information needed to make quick, confident decisions supporting the hospital's quality improvement initiatives. The database and reporting system allow NMC to evaluate performance compared to peer hospitals; and evaluate outcomes, complications, and risk-adjusted mortality. In addition, the database and reporting system enables NMC to compare patient-care patterns among physicians and compare expected and observed results. Participation in the American College of Surgeons National Surgical Quality Improvement Program satisfies the Centers for Medicare and Medicaid Services surgical quality measure requirement (NQF #0493), "Participation in a Systematic Clinical Database Registry for General Surgery."
On September 27, 2022, the Board of Supervisors approved execution by the NMC CEO or his designee of the agreement for the participation in the National Surgical Quality Improvement Program for a total agreement amount of $14,000 and a term of October 1, 2022, through September 30, 2023. The Board Report submitted did not accura...
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