Image/Figure Surgical Performance Improvement in a Health System - ACS NSQIP and a System Surgical Council as a Driver for Change Participation in ACS NSQIP provides the foundation for collaboration and continuous improvement in a health care system. Hartford Healthcare Surgical Council brings its surgical departments together under the banner of NSQIP, with a vision to create a single standard of surgical best practice. Local initiatives at system hospitals gain a step-up, with the advantage of shared lessons and system wide solutions. A Surgical Council was established in 2013 to create a single standard of surgical care across a diverse healthcare system. At its inception each of the five hospitals, ranging from small community to tertiary care centers, had variable approaches to data and processes, and different cultures. ACS NSQIP was implemented as the vehicle for measuring outcomes. Council members include system medical and quality directors, surgical chiefs, surgeon champions and surgical clinical reviewers. American College of Surgeons NSQIP Participation Image/Figure Monthly Quality Dashboard Review Surgical Services Performance Improvement Committees (interdisciplinary) at each hospital Sharing site specific quality initiatives Colorectal Subcommittee VTE – Patient Safety Indicator 12 System Value Analysis and Standardization High quality outcomes through best practice Product and equipment standardization Economies of scale and cost reduction System wide IRB for emerging technologies Sharing Our Stories: Successes and Opportunities Scheduled reporting to system Peri-op Council Partnering with other Clinical Councils Bidirectional communication with hospital Departments of Surgery and Peri-op Safety stories shared across system Reporting to Quality Boards Regional and National Presentations Rekha Singh MD FACS, Sharon Weintraub MD MPH FACS, Cynthia Ross-Richardson MS RN CNOR, Mary Beland MSN RN CNOR, Jay Encarnacion RN BSN, Linda Wood MSN, Patricia Sobieski RN BSN CPHQ, Patricia Blake RN BSN, Samantha Grable RN, Rafal Barczak MD FACS, Michael Posner MD FACS MBA, David Kalla MD, Leszek Kolodziejczak MD, Joseph Portereiko DO FACS, Orlando Kirton MD FACS MCCM FCCP, Rocco Orlando MD FACS