title: Creating a learning healthcare system in surgery: Washington State's Surgical Care and Outcomes Assessment Program (SCOAP) at 5 years.
abstract: There are increasing efforts towards improving the quality and safety of surgical care while decreasing the costs. In Washington state, there has been a regional and unique approach to surgical quality improvement. The development of the Surgical Care and Outcomes Assessment Program (SCOAP) was first described 5 years ago. SCOAP is a peer-to-peer collaborative that engages surgeons to determine the many process of care metrics that go into a "perfect" operation, track on risk adjusted outcomes that are specific to a given operation, and create interventions to correct under performance in both the use of these process measures and outcomes. SCOAP is a thematic departure from report card oriented QI. SCOAP builds off the collaboration and trust of the surgical community and strives for quality improvement by having peers change behaviors of one another. We provide, here, the progress of the SCOAP initiative and highlight its achievements and challenges.
authors: Department of Surgery and the Surgical Outcomes Research Center, University of Washington, Seattle, WA 98195-6410, USA.
authors: Steve
authors: S
authors: Kwon
authors: Michael
authors: M
authors: Florence
authors: Peter
authors: P
authors: Grigas
authors: Marc
authors: M
authors: Horton
authors: Karen
authors: K
authors: Horvath
authors: Morrie
authors: M
authors: Johnson
authors: Gregory
authors: G
authors: Jurkovich
authors: Wendy
authors: W
authors: Klamp
authors: Kristin
authors: K
authors: Peterson
authors: Terence
authors: T
authors: Quigley
authors: William
authors: W
authors: Raum
authors: Terry
authors: T
authors: Rogers
authors: Richard
authors: R
authors: Thirlby
authors: Ellen T
authors: ET
authors: Farrokhi
authors: David R
authors: DR
authors: Flum
mesh_terms: D003695:Delivery of Health Care / Q000639:trends*; D013502:General Surgery / Q000592:standards*; D006801:Humans; D059032:Learning Curve; D017146:Models, Organizational; D017063:Outcome Assessment, Health Care / Q000592:standards*; D014861:Washington