2016 acs nsqip annual conference
Transcription
2016 acs nsqip annual conference
Agenda 2016 ACS NSQIP ANNUAL CONFERENCE July 16–19, 2016 | San Diego, CA 2016 ACS NSQIP ANNUAL CONFERENCE FULL CONFERENCE Saturday, July 16 to Tuesday, July 19, 2016 PRECONFERENCE WORKSHOPS Saturday, July 16, 2016 HILTON SAN DIEGO BAYFRONT SAN DIEGO, CA acsnsqipconference.org 1 2016 ACS NSQIP ANNUAL CONFERENCE July 16–19, 2016 | San Diego, CA 2016 ACS NSQIP ANNUAL CONFERENCE July 16–19, 2016 | San Diego, CA Welcome On behalf of the American College of Surgeons National Surgical Quality Improvement Program (ACS NSQIP®), I would like to welcome you to the 2016 ACS NSQIP Annual Conference. We are excited to be hosting this year’s conference in sunny San Diego, CA, at the beautiful Hilton San Diego Bayfront. The hotel is located on the San Diego Bay, just across the street from the Padres’ Petco Park and within walking distance of the Gaslamp Quarter, where attendees can enjoy shopping, dining, and nightlife. The theme of this year’s conference is “Innovate to Make a Difference.” Sessions will explore employing innovative approaches and ideas to improve patient safety and improve processes. The use of interactive workshops, informal meetings, and sessions built around personal perspectives will further drive the conference’s theme. Highlights of our sessions include: • Helping Our Patients Be Strong for Surgery: Optimizing Patients for Surgery • Using Stories and Personal Perspectives to Change Surgery • Getting Our Collaboratives to Collaborate • Town Hall with the ACS Executive Director • ACS NSQIP and Enhanced Recovery Pathways • Don’t Reinvent the Wheel, or How to Learn from Projects That Didn’t Work as Well or as Quickly as Hoped • Managing Sepsis and Improving Outcomes • Integrating Surgical Ethics into Patient Care • New Surgical Clinical Reviewer (SCR): Building Your House on Rock versus Sand This year’s conference will also include additional pediatric-specific content tailored to fit the needs of ACS NSQIP Pediatric program participants. The keynote speaker is Julie A. Freischlag, MD, FACS, Vice Chancellor for Human Health Sciences and Dean of the School of Medicine at UC Davis. For more than 15 years, she has led education and training programs at top medical schools and has more than 30 years of experience leading patient-care services at nationally ranked hospitals. As one of the most prominent leaders among the nation’s academic health centers, Dr. Freischlag is a national voice for improving health and health care. On Saturday evening, we’ll kick off the conference with a welcome reception located next to the hotel at Bayfront Park. The reception will feature typical Baja food and drink and will allow attendees to network and have some fun in a festive beach party atmosphere. This year’s social outing is a trip to the San Diego Zoo, home to more than 3,500 rare and endangered animals representing more than 650 species and subspecies. Upon arrival, attendees will experience a private animal presentation from some of the zoo’s star animals, followed by drinks and a private buffet. After dinner, guests can explore the zoo on their own, on a bus tour, or on the Skyfari Tram. Thank you for joining us! Clifford Y. Ko, MD, MS, MSHS, FACS, FASCRS Director, ACS Division of Research and Optimal Patient Care and ACS NSQIP 2 3 2016 ACS NSQIP ANNUAL CONFERENCE July 16–19, 2016 | San Diego, CA Claim Your Credits! Instructions to Claim CME Credits The deadline for physicians to claim Self-Assessment Credit and Continuing Medical Education (CME) conference evaluation credits is July 29, 2016. For physicians who only want to claim CME conference evaluation credits and forego the self-assessment activity, the deadline is September 17, 2016. It is important to keep your badge for login purposes. If you lose your badge, please contact the American College of Surgeons Convention and Meetings department at [email protected] to obtain your registration ID number. CONTINUING MEDICAL EDUCATION CREDIT INFORMATION Accreditation The American College of Surgeons is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians. AMA PRA Category 1 Credits™ The American College of Surgeons designates this live activity for a maximum of 23 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Step 1: Go to acsnsqipconference.org (attendees may also claim CME credits using the mobile app). Step 2: Log in using the BADGE ID (top login box) and password (last name). If you lose your badge, please contact ACS Convention and Meetings at [email protected] to obtain the BADGE ID. Step 3: Complete session requirements as described in session instructions on the claiming website. Final Step : Submit the Overall Evaluation to officially claim CME Credit. Access My Certificates to view, e-mail, and print CME certificates or certificate of attendance. Manage Of the AMA PRA Category 1 Credits™ listed above, a maximum of 11 credits meet the requirements for Self-Assessment. Access Program Objectives This activity is designed for physicians and nurses. The learning objectives upon completion of this course are: • Surgeons will be able to discuss and apply the most recent knowledge pertaining to national and local quality initiatives in the field of surgery. • Participants will learn to utilize statistical methods to analyze the ACS NSQIP data and demonstrate practical ways to use the data for quality improvement. • Participants will be able to manage, interpret, and analyze ACS NSQIP data to make a positive impact at their facility. 4 Disclosure Information In compliance with the ACCME Accreditation Criteria, the American College of Surgeons must ensure that anyone in a position to control the content of the educational activity has disclosed all relevant financial relationships with any commercial interest. All reported conflicts are managed by a designated official to ensure a bias-free presentation. Please refer to the virtual Tote Bag icon in the mobile app for the complete disclosure list. Transmit 5 2016 ACS NSQIP ANNUAL CONFERENCE July 16–19, 2016 | San Diego, CA 2016 ACS NSQIP ANNUAL CONFERENCE July 16–19, 2016 | San Diego, CA CNE Continuing Nursing Education Nursing Contact Hours are being offered for the following conference sessions: This continuing nursing education activity was approved by the Northeast Multi-State Division (NE-MSD), an accredited approver by the American Nurses Credentialing Center’s Commission on Accreditation. The 2016 ACS NSQIP Conference has been approved to award a maximum of 15.75 CNE contact hours per attendee. It is recommended that nurses contact their local nursing regulatory agency or nursing licensing board to determine whether the American Nurses Credentialing Center’s Commission on Accreditation (ANCC) Contact Hours being awarded at the 2016 ACS NSQIP Conference will satisfy their local/state requirements for continuing education. In order to streamline the process of claiming Continuing Nursing Education Credits, this process has been automated through our conference website: acsnsqipconference.org. Not all sessions are approved for CNE credit. Please refer to this table, which lists the sessions where CNE credit is being offered. Be sure to keep your conference badge, as conference participants will need their last name (as it appears on their conference badge) and their registration/ badge ID number to log in. The link to access the CNE system can be found at acsnsqipconference.org by clicking on the CME/CNE tab. The deadline to claim CNE credit is September 17, 2016. Instructions to Claim CNE Credits Step 1: Step 2: Step 3: Final Step : 6 Go to acsnsqipconference.org (attendees may also claim CNE credits using the mobile app). Log in using the BADGE ID (top login box) and password (last name). If you lose your badge, please contact ACS Convention and Meetings at [email protected] to obtain the BADGE ID. Complete session requirements as described in session instructions on the claiming website. Submit the Overall Evaluation to officially claim CNE Credit. Access My Certificates to view, e-mail, and print CNE certificates or certificate of attendance. Saturday, July 16, 2016 Sunday, July 17, 2016 Monday, July 18, 2016 Tuesday, July 19, 2016 P01 ACS NSQIP Basics BO01A Adult Surgical Clinical Reviewer: Discussion of Complex Clinical Scenarios and Variable Review BO01B Using ACS NSQIP Pediatric Data to Drive Quality Improvement and Patient Safety BO01C New Surgical Clinical Reviewer: Building Your House on Rock versus Sand P03 ACS NSQIP and Enhanced Recovery Pathways BO02A Pediatric Surgical Clinical Reviewer: Discussion of Complex Clinical Scenarios and Variable Review BO02B ACS NSQIP Collaboratives: Utilization Efforts at All Levels BO02C Applied Statistics: How Do I Interpret Reports to Drive Quality Improvement (QI)? P04 Getting Our Collaboratives to Collaborate: An Interactive Workshop to Enhance Learning Collaboratives BO03A The New Surgeon Champion Checklist: The Most Important Things a New SC Should Do P05 How to Be an Effective Communicator BO04A Perspectives of the Experienced Surgeon Champion P06 Basic Excel: Techniques to Organize and Analyze ACS NSQIP Data BO05A ACS NSQIP for Researchers BO06B Hospital Readmissions GS05 General Session: Don’t Reinvent the Wheel, or How to Learn from Projects that Didn’t Work as Well or as Quickly as Hoped BO07B Quality Improvement Training Initiative (QITI): Learning Modules for Front-Line Providers Using Concrete Examples GS06 General Session: Keynote GS09 General Session: Geriatric Surgery: How Do We Better Care for Elderly Patients? P02 ACS NSQIP Pathway to Improvement (P2I) P07 Understanding and Interpreting Your Data: A Scenario-Based Session Using the Semiannual Report (SAR) and Data Analytics to Identify Areas for Improvement GS02 General Session: Enhanced Recovery—Going Beyond the Basics BO07A Surgical Anatomy for Pediatric Surgical Clinical Reviewers GS03 General Session: Helping Our Patients Be Strong for Surgery—Optimizing Patients for Surgery BO08A Surgical Anatomy for Adult Surgical Clinical Reviewers GS07 General Session: Integrating Surgical Ethics into Patient Care GS08 General Session: Using Stories and Personal Perspectives to Change Surgery—Part I BO03B Using ACS NSQIP to Support Performance Improvement Systems BO04B Increase Your Data Reliability through Consistency Checks BO05B Venous Thromboembolism (VTE) BO03C A Systems Approach to ACS NSQIP Clinical Review BO04C Surgical Site Infection (SSI) BO05C Hepato-Pancreato-Biliary (HPB) Clinical Trial BO06C Residents as Leaders in Quality: The Importance of Culture BO07C Opportunities and Challenges of Implementing ACS NSQIP Projects at Small and Rural Sites GS13 General Session: Managing Sepsis and Improving Outcomes GS10 General Session: Improving Children’s Surgical Care: The Children’s Surgery Verification Program and ACS NSQIP Pediatric GS11 General Session: Best Practices and Case Studies GS12 General Session: Using Stories and Personal Perspectives to Change Surgery—Part II If you have specific questions regarding the process to claim credit, please contact the ACS NSQIP Clinical Support Team at [email protected]. 7 2016 ACS NSQIP ANNUAL CONFERENCE July 16–19, 2016 | San Diego, CA 2016 ACS NSQIP ANNUAL CONFERENCE July 16–19, 2016 | San Diego, CA Program Summary Saturday, July 16 Sunday, July 17 Breakfast for Preconference Attendees 8:00 am–12:00 noon Preconference Workshops 12:00 noon–1:00 pm Lunch for Preconference Attendees 1:00–5:30 pm General Sessions 3:15–3:45 pm Networking Break 6:00–8:00 pm Welcome Reception 7:00–8:00 am Breakfast 8:00–9:30 am Breakout Sessions 9:30–10:00 am Networking Break 10:00 am–12:15 pm General Sessions 12:15–1:45 pm Monday, July 18 Tuesday, July 19 8 7:00–8:00 am Lunch, Collaborative Lunch Meetings, and Ask-the-Expert Luncheon 1:45–2:45 pm Concurrent Breakout Sessions 2:45–3:15 pm Networking Break 3:15–4:30 pm General Sessions 4:30–7:30 pm Abstract Poster Reception 7:00–8:00 am Breakfast 8:00–9:15 am Concurrent Breakout Sessions 9:15–9:45 am Networking Break 9:45–11:15 am Concurrent General Sessions 11:15 am–12:45 pm Lunch and Ask-the-Expert Luncheons 12:45–2:45 pm General Sessions 2:45–3:10 pm Networking Break 3:10–4:30 pm Concurrent Abstract Sessions 5:30–9:00 pm Social Outing at the San Diego Zoo 7:00–8:00 am Breakfast 8:00–9:30 am Concurrent Breakout Sessions 9:30–9:45 am Break 9:45–11:30 am General Sessions 9 2016 ACS NSQIP ANNUAL CONFERENCE July 16–19, 2016 | San Diego, CA 2016 ACS NSQIP ANNUAL CONFERENCE July 16–19, 2016 | San Diego, CA Download the ACS NSQIP National Conference MOBILE APP! Navigate the event like a pro! Key features include: • Sync your conference registration and update your personal schedule • Receive up-to-the-minute speaker and event information • Take notes and download event handouts in the virtual Tote Bag icon • Access full abstracts and PDFs of the abstract posters • Interactively locate sessions on the Hilton San Diego Bayfront maps • Stay in-the-know and join in on social media with #NSQIP16 • Receive room change notifications and important real-time communications • Get CME and CNE reminders with links to the website for claiming credits • Complete and publish your profile to find attendees and connect with your colleagues through the Friends icon • Search for convenient San Diego restaurants and transportation options • Utilize the audience response polling system • And much, much more! Scan: Downloading the app is easy! Search: The App Store or Google Play for “NSQIP” For all other device types (including BlackBerry, Windows, and all other Web browser-enabled devices): While on your smartphone, point your mobile browser to m.core-apps.com/nsqip to be directed to the proper download version for your phone. Platform Compatibility: Android v4x+ and iOS v7x+ Should you have any questions, please contact [email protected] or visit the ACS NSQIP Conference IT Booth onsite. High-Speed Wireless Internet Network name: NSQIP • View available wireless networks • Connect to NSQIP • Enter password NSQIP2016 • Open your Web browser **Please note: Password is case sensitive 11 2016 ACS NSQIP ANNUAL CONFERENCE July 16–19, 2016 | San Diego, CA 2016 ACS NSQIP ANNUAL CONFERENCE July 16–19, 2016 | San Diego, CA Saturday, July 16 7:00–8:00 am Breakfast for Preconference Attendees Breakfast will be served in the main foyer of each level 8:00 am–12:00 noon Preconference Workshops P01: ACS NSQIP Basics Melissa Latus, BSN, RN Agenda Sapphire DHLP (Level 4) 8:00–8:10 am Introduction and Overview Melissa Latus, BSN, RN 8:10–8:50 am Clinical Support and Setting up for Success Rita Vargos, BSN, RN 8:50–9:15 am Data Automation Steve Merzlak 9:15–9:45 am Setting up for Workstation Success George Cheretakis 9:45–10:00 am Q&A Panel Discussion 10:00–10:15 am Break 10:15–10:35 am Risk-Adjusted Reports Kristopher Huffman, MS 10:35–11:25 am Continuous Quality Improvement (CQI): The Massachusetts General Hospital Experience Matthew M. Hutter, MD, MPH, FACS 11:25–11:40 am ACS NSQIP Tools for Success Melissa Latus, BSN, RN 11:40 am–12:00 noon Q&A Panel Discussion P02: ACS NSQIP Pathway to Improvement (P2I) Nestor F. Esnaola, MD, MPH, MBA, FACS, and Beth Turrentine, PhD, RN Aqua ABC (Level 3) 8:00–8:05 am Overview 8:05–8:15 am Discussion of P2I Case Study 8:15–8:30 am Change Management 8:30–9:00 am Drill: Putting Change Management to Work 9:00–9:20 am Lean and Six Sigma 9:20–9:50 am Drill: Processes, Variation, and Outcomes 9:50–10:00 am Putting It All Together: The ACS NSQIP P2I (Part 1— Planning for Improvement) 10:00–10:15 am Break 10:15–10:25 am Putting It All Together: The ACS NSQIP P2I (Part 1— Planning for Improvement) 10:25–11:05 am Drill: Planning for Improvement 11:05–11:15 am Putting It All Together: The ACS NSQIP P2I (Part 2— Implementing Improvement) 11:15–11:45 am Drill: Implementing Improvement 11:45 am–12:00 noon Q&A, Debriefing P03: ACS NSQIP and Enhanced Recovery Pathways Nestor F. Esnaola, MD, MPH, MBA, FACS, and Beth Turrentine, PhD, RN Nestor F. Esnaola, MD, MPH, MBA, FACS, and Beth Turrentine, PhD, RN Julia Berian, MD, and Julie K. Marosky Thacker, MD, FACS, FASCRS Indigo A (Level 2) Enhanced Recovery 12 8:00–8:30 am Overview and Principles Julia Berian, MD 8:30–8:50 am Evidence-Based Perioperative Improvement Julie K. Marosky Thacker, MD, FACS, FASCRS 13 2016 ACS NSQIP ANNUAL CONFERENCE July 16–19, 2016 | San Diego, CA 2016 ACS NSQIP ANNUAL CONFERENCE July 16–19, 2016 | San Diego, CA Saturday, July 16, continued Saturday, July 16, continued 8:50–9:10 am Education: From Team Preparation through Patient Recovery Robin Anderson, BSN, RN 9:00–9:45 am Organizing and Analyzing Data in the Case Details Report 9:10–9:30 am Common Pathway Elements and the Evidence Traci L. Hedrick, MD, FACS 9:45–10:00 am Q&A Panel Discussion 9:30–10:00 am Panel Discussion 10:00–10:15 am Break P07: Understanding and Interpreting Your Data: A Scenario-Based Session Using the Semiannual Report (SAR) and Data Analytics to Identify Areas for Improvement Details, Implementation, and Future Directions 10:15–10:35 am Enhanced Recovery: Not Just for Colorectal Surgery Anne K. Schuckman, MD 10:35–10:55 am Current Questions in Perioperative Medicine Matthew McEvoy, MD 10:55–11:15 am Panel Discussion Q&A and Open Discussion 11:15 am–12:00 noon Q&A Panel Discussion P04: Getting Our Collaboratives to Collaborate: An Interactive Workshop to Enhance Learning Collaboratives Karl Y. Bilimoria, MD, MS, FACS, and Anthony D. Yang, MD, MS, FACS Indigo E (Level 2) 8:00–8:05 am Opening Remarks and Introductions Karl Y. Bilimoria, MD; MS, FACS 8:05–9:30 am Collaboratives Overview Olakunle Ajayi, MD; Karl Y. Bilimoria, MD, MS, FACS; Chris Clarke; Robert Cooney, MD; Philip R. Corvo, MD, FACS; Kathleen Gravelle, BSN, RN, MSM; Jon Uota, MD; and Anthony D. Yang, MD, MS, FACS 9:30–10:00 am Discussion of Collaborative Projects 10:00–10:15 am Break 10:15–10:45 am Interactive Workshop: How to Improve Collaborative Reports Karl Y. Bilimoria, MD, MS, FACS 10:45–11:15 am Engagement Strategies Anthony D. Yang, MD, MS, FACS 11:15–11:45 am Collaborative Leadership Structures and Advisory Committees Karl Y. Bilimoria, MD, MS, FACS 11:45 am–12:00 noon Wrap-Up, Follow-Up Items, and Questions Anthony D. Yang, MD, MS, FACS P05: How to Be an Effective Communicator Karl Y. Bilimoria, MD, MS, FACS Scott J. Ellner, DO, MPH, FACS Aqua EF (Level 3) 10:15–11:00 am Walking through a SAR-Based Scenario to Identify and Analyze Areas of Quality Improvement (QI) 11:00–11:30 am Using Excel to Organize and Analyze Various Online Reports Data for QI 11:30 am–12:00 noon Examples, Review, and Questions 12:00 noon–1:00 pm Lunch for Preconference Attendees 1:00–5:30 pm General Sessions GS01: Welcome and Conference Overview 1:00–1:15 pm Welcome Clifford Y. Ko, MD, MS, MSHS, FACS, FASCRS 1:15–1:30 pm San Diego Stories David B. Hoyt, MD, FACS GS02: Enhanced Recovery: Going Beyond the Basics 1:30–1:55 pm Enhanced Recovery Programs: A Team Sport Efren E. Rosas, MD, and Paul Preston, MD 1:55–2:20 pm Physical Activity Interventions in Perioperative Surgical Oncology Patients Niraj J. Gusani, MD, FACS 2:20–2:45 pm Barriers to Implementing Enhanced Recovery Pathways in Small and Community Hospitals Vanita Ahuja, MD, FACS 2:45–3:15 pm Q&A Panel Discussion 3:15–3:45 pm Networking Break Sapphire Foyer (Level 4) How to Have a Difficult Conversation Oscar D. Guillamondegui, MD, MPH, FACS GS03: Helping Our Patients Be Strong for Surgery: Optimizing Patients for Surgery 8:40–9:20 am Exercise: Influencing Your Team through Communication Thomas A. Aloia, MD, FACS Sapphire Ballroom (Level 4) 9:20–10:00 am It’s Not about What You Say, It’s How You Say It! Kimberly McKinley, BSN, RN 10:00–10:15 am Break 10:15–10:40 am Delivering a Powerful Presentation Scott J. Ellner, DO, MPH, FACS 10:40–11:00 am The Hook: Capturing Audience Participation John Wieland, MD, FACS Indigo 202 (Level 2) 8:00–9:00 am 14 Thomas A. Aloia, MD, FACS, and Julia Berian, MD Sapphire Ballroom (Level 4) 8:10–8:40 am Jakob Lapsley, BSN, RN, and Bradley J. Schwab, BSN, RN Clifford Y. Ko, MD, MS, MSHS, FACS, FASCRS, and David B. Hoyt, MD, FACS Sapphire Ballroom (Level 4) Scott J. Ellner, DO, MPH, FACS Audience Craig W. Miller Bayfront Park Overview and Introductions P06: Basic Excel: Techniques to Organize and Analyze ACS NSQIP Data Craig W. Miller Indigo 202 (Level 2) 8:00–8:10 am 11:00 am–12:00 noon Exercise: Extemporaneous Speaking Jakob Lapsley, BSN, RN, and Bradley J. Schwab, BSN, RN David R. Flum, MD, FACS, and Thomas K. Varghese, Jr., MD, FACS 3:45–4:10 pm Changing the Focus of Patient Engagement: How the Surgical Clinic Plays a Key Role Thomas K. Varghese, Jr., MD, FACS 4:10–4:35 pm Smoking Cessation, Medical Optimization, Nutritional Thomas K. Varghese, Jr., MD, FACS Evaluation, and Optimization 4:35–5:00 pm Preoperative Screening for Hyperglycemia Risk, Preoperative CHO, and Perioperative Glucose Control 5:00–5:30 pm Q&A Panel Discussion 6:00–8:00 pm Welcome Reception E. Patchen Dellinger, MD, FACS Bayfront Park Basic Excel Overview Jakob Lapsley, BSN, RN, and Bradley J. Schwab, BSN, RN 15 2016 ACS NSQIP ANNUAL CONFERENCE July 16–19, 2016 | San Diego, CA 2016 ACS NSQIP ANNUAL CONFERENCE July 16–19, 2016 | San Diego, CA USS Midway, the longest-serving U.S. Navy aircraft carrier of the 20th century. USS Midway Museum Sunday, July 17 7:00–8:00 am Breakfast Breakfast will be served in the main foyer of each level 8:00–9:30 am Breakout Sessions BO01A: Adult Surgical Clinical Reviewer: Discussion of Complex Clinical Scenarios and Variable Review Melissa Latus, BSN, RN Sapphire Ballroom (Level 4) 8:00–9:00 am Complex Clinical Scenarios and Variable Review 9:00–9:30 am Q&A Panel Discussion Jakob Lapsley, BSN, RN; Bradley J. Schwab, BSN, RN; and Rita Vargos, BSN, RN BO02A: Pediatric Surgical Clinical Reviewer: Discussion of Complex Clinical Catherine Grant, BSN, RNC–NIC, and Scenarios anf Variable Review Jacqueline M. Saito, MD, FACS Aqua ABC (Level 3) 8:00–9:00 am Complex Clinical Scenarios and Variable Review 9:00–9:30 am Q&A Panel Discussion BO03A: The New Surgeon Champion (SC) Checklist: The Most Important Things a New SC Should Do Catherine Grant, BSN, RNC–NIC, and Jacqueline M. Saito, MD, FACS Efren E. Rosas, MD Indigo AE (Level 2) 8:00–8:15 am Never Criticize, Condemn, or Complain Charles A. Lane, MD, FACS 8:15–8:30 am Local Culture: Friend or Foe Pierre F. Saldinger, MD, FACS 8:30–8:45 am New Surgeon Champion Checklist: What Other SCs Wish They Had Known Efren E. Rosas, MD 8:45–9:00 am Being a New Pediatric Surgeon Champion Robert T. Russell, MD, MPH, FACS 9:00–9:30 am Q&A Panel Discussion BO04A: Perspectives of the Experienced Surgeon Champion Bruce L. Hall, MD, PhD, FACS Sapphire DHLP (Level 4) 8:00–8:15 am Two Years a Surgeon Champion Jennifer L. Rabaglia, MD, FACS 8:15–8:30 am Five Years a Surgeon Champion Robert E. Glasgow, MD, FACS 8:30–8:45 am Seven Years a Surgeon Champion Allan Siperstein, MD 8:45–9:00 am Eleven Years a Surgeon Champion Joseph B. Cofer, MD, FACS 9:00–9:30 am Q&A Panel Discussion BO05A: ACS NSQIP for Researchers Matthew M. Hutter, MD, MPH, FACS Aqua DEF (Level 3) 16 8:00–8:20 am Performing Database Research in 2016: Where Are We? Matthew M. Hutter, MD, MPH, FACS 8:20–8:40 am Using the ACS NSQIP Participant Use DataFile (PUF): Opportunities and Limitations Kristopher Huffman, MS 8:40–9:00 am Kid's Choice Awards for Research Using ACS NSQIP Pediatric Mehul V. Raval, MD, MS 9:00–9:30 am Q&A Panel Discussion 9:30–10:00 am Networking Break Sapphire Foyer (Level 4) 17 2016 ACS NSQIP ANNUAL CONFERENCE July 16–19, 2016 | San Diego, CA 2016 ACS NSQIP ANNUAL CONFERENCE July 16–19, 2016 | San Diego, CA Sunday, July 17, continued Sunday, July 17, continued 10:00 am–12:15 pm BO08A: Surgical Anatomy for Adult Surgical Clinical Reviewers General Sessions GS04: ACS NSQIP Updates Clifford Y. Ko, MD, MS, MSHS, FACS, FASCRS Sapphire Ballroom (Level 4) 10:00–10:15 am Updates GS05: Don’t Reinvent the Wheel, or How to Learn from Projects that Didn’t Work as Well or as Quickly as Hoped E. Patchen Dellinger, MD, FACS Sapphire Ballroom (Level 4) Sapphire Ballroom (Level 4) 1:45–2:00 pm Ventral Hernia Lillian Kao, MD, FACS 2:00–2:15 pm Pancreatectomy Henry A. Pitt, MD, FACS 2:15–2:30 pm Hepatectomy Henry A. Pitt, MD, FACS 2:30–2:45 pm Q&A Panel Discussion 2:45–3:15 pm Networking Break Sapphire Foyer (Level 4) 3:15–4:30 pm General Sessions 10:15–10:30 am Readmissions after Complex Abdominal Surgery: They Just Keep Coming Back! Elizabeth C. Wick, MD, FACS 10:30–10:45 am Prevention of Hypothermia during Complex Surgery: Is It Possible? Jyotirmay Sharma, MD, FACS GS07: Integrating Surgical Ethics into Patient Care 10:45–11:00 am Change Takes Five Years: Successes and Failures in Implementing a Reducing Wound Infection Plan Saulat Sheikh, MD Sapphire Ballroom (Level 4) 11:00–11:15 am Patterns of Failure of a Standardized Perioperative Venous Thromboembolism Prophylaxis Protocol: Will Certain Patients Require “Enhanced” Prophylaxis to Approach a Zero Incidence of VTE? Ryan D. Macht, MD 11:15–11:30 am Clifford Y. Ko, MD, MS, MSHS, FACS, FASCRS Sapphire Ballroom (Level 4) 11:30 am–12:15 pm Career Satisfaction by the Way of Resilience 12:15–1:45 pm Attendee Lunch Optimal Professionalism GS08: Using Stories and Personal Perspectives to Change Surgery—Part I Peter Angelos, MD, FACS Scott J. Ellner, DO, MPH, FACS 3:45–3:50 pm Introduction Scott J. Ellner, DO, MPH, FACS 3:50–4:10 pm Communication: Maybe It Is What You Say Kimberly McKinley, BSN, RN 4:10–4:30 pm Should Zero Be the Goal? Thomas A. Aloia, MD, FACS 4:30–7:30 pm Abstract Poster Reception Indigo Ballroom (Level 2) Julie A. Freischlag, MD, FACS Bayfront Park 12:15–1:45 pm 3:15–3:45 pm Clifford Y. Ko, MD, MS, MSHS, FACS, FASCRS Sapphire Ballroom (Level 4) Q&A Panel Discussion GS06: Keynote Rita Vargos, BSN, RN, and Michael Wandling, MD NOTE S Collaborative Lunch Meetings For collaborative members and by invitation only 12:15–1:45 pm Ask-the-Expert Luncheon Ticketed event, preregistration is required AE26: Surgical Clinical Reviewer: Sharing Your Ideas to Improve ACS NSQIP Sapphire Boardroom (Level 4) 1:45–2:45 pm Clifford Y. Ko, MD, MS, MSHS, FACS, FASCRS Concurrent Breakout Sessions BO06A: Town Hall with the ACS Executive Director Bruce L. Hall, MD, PhD, FACS Sapphire DHLP (Level 4) 1:45–2:45 pm Update on the American College of Surgeons BO07A: Surgical Anatomy for Pediatric Surgical Clinical Reviewers David B. Hoyt, MD, FACS Albert W. Dibbins, MD, FACS, and Catherine Grant, BSN, RNC–NIC Indigo AE (Level 2) 1:45–2:00 pm Ureteral Reimplant Procedures Emilie K. Johnson, MD, MPH 2:00–2:15 pm Open Operations versus Endoscopic Procedures Michael J. Goretsky, MD, FACS 2:15–2:30 pm Gastroschisis and Omphalocele Procedures Albert W. Dibbins, MD, FACS 2:30–2:45 pm Q&A Panel Discussion 18 19 2016 ACS NSQIP ANNUAL CONFERENCE July 16–19, 2016 | San Diego, CA 2016 ACS NSQIP ANNUAL CONFERENCE July 16–19, 2016 | San Diego, CA A M E R I C A N CO L L E G E O F S U R G E O N S Monday, July 18 7:00–8:00 am Breakfast Breakfast will be served in the main foyer of each level 8:00–9:15 am Concurrent Breakout Sessions BO01B: Using ACS NSQIP Pediatric Data to Drive Quality Improvement and Patient Safety Shawn J. Rangel, MD, MSCE, FACS Indigo CD (Level 2) Influence. Honor. Respect. Share. Belong. 8:00–8:05 am Introduction Shawn J. Rangel, MD, MSCE, FACS 8:05–8:15 am Practical Applications of Applying SAR Data Adam Alder, MD 8:15–8:20 am Increasing Value through an Evidence-Based Appendectomy Pathway Robert A. Cina, MD, FACS 8:20–8:25 am Making Big Data Small: Providing Campus-, Specialty-, and Provider-Specific Report Cards Mehul V. Raval, MD, MS 8:25–8:30 am Appendicitis “SCORE” Christopher A. Gitzelmann, MD 8:30–8:35 am Multidisciplinary Development of a Six-Month Pilot Incorporating MRI in the Evaluation of Suspected Appendicitis Jeannie Chun, MD 8:35–8:40 am Balancing Act: Optimizing Outcomes and Antibiotics for Perforated Appendicitis Regan Williams, MD 8:40–9:15 am Q&A Panel Discussion BO02B: ACS NSQIP Collaboratives: Utilization Efforts at All Levels Ali Khaki, MD, FACS, FRCS, and Oscar D. Guillamondegui, MD, MPH, FACS Aqua DEF (Level 3) I am a Fellow. 8:00–8:15 am How to Maintain Momentum (without Funding) and a Few Tips on How to Get Funding for Your Collaborative Philip R. Corvo, MD, FACS 8:15–8:30 am Projects across Collaboratives: The Challenge of Competing Priorities Kimberly McKinley, BSN, RN 8:30–8:45 am Building the Ontario Surgical Quality Improvement Network (ON-SQIN) Timothy D. Jackson, MD, MPH, FACS 8:45–9:00 am Infrastructure and Benefits of a System Collaborative Richi Chaudhry, MHA, PMP, CPHQ 9:00–9:15 am Q&A Panel Discussion BO03B: Using ACS NSQIP to Support Performance Improvement Systems Molly P. Clopp, RN, MS, MBATM Sapphire Ballroom (Level 4) PROUDLY DISPLAY THAT YOU’RE A FELLOW OF THE AMERICAN COLLEGE OF SURGEONS. Download FACS artwork at www.facs.org. 20 8:00–8:15 am Emory Healthcare John F. Sweeney, MD, FACS 8:15–8:30 am Kaiser Permanente Molly P. Clopp, RN, MS, MBATM 8:30–8:45 am Memorial Hermann Health System Michelle Wells, LVN 8:45–9:00 am Partners HealthCare Matthew M. Hutter, MD, MPH, FACS 9:00–9:15 am Q&A Panel Discussion BO04B: Increase Your Data Reliability through Consistency Checks Jakob Lapsley, BSN, RN, and Bradley J. Schwab, BSN, RN Sapphire DHLP (Level 4) 8:00–8:15 am ACS NSQIP Data Validation Tool Jakob Lapsley, BSN, RN, and Bradley J. Schwab, BSN, RN 21 2016 ACS NSQIP ANNUAL CONFERENCE July 16–19, 2016 | San Diego, CA 2016 ACS NSQIP ANNUAL CONFERENCE July 16–19, 2016 | San Diego, CA Monday, July 18, continued Monday, July 18, continued 8:15–8:30 am How to Perform a Self-Audit Jakob Lapsley, BSN, RN, and Bradley J. Schwab, BSN, RN 8:30–9:00 am Case Study: Maximizing Your Data Integrity Kathleen Swierzewski, RN, and Sarah Bird, BA 9:00–9:15 am Q&A Panel Discussion BO05B: Venous Thromboembolism (VTE) Venous Thromboembolism (VTE): Successful Use of ACS NSQIP to Reduce VTE Anthony D. Yang, MD, MS, FACS The Affordability of Outpatient Low Molecular Weight Heparin: Addressing a Key Barrier to VTE Prophylaxis in a Safety-Net Hospital Ryan D. Macht, MD 8:30–8:45 am Utilizing ACS NSQIP to Decrease VTE Rate on a Surgical Service Karen Dorio, RN 8:45–9:00 am ACS NSQIP Data Help Identify Key Patient Subset for Postoperative VTE Reduction Samantha Grable, RN 9:00–9:15 am Q&A Panel Discussion 8:15–8:30 am BO06B: Hospital Readmissions 8:00–8:15 am Reducing Hospital Readmissions after Surgery: Prevention Strategies and Improving Patient Care Jyotirmay Sharma, MD, FACS 8:15–8:30 am DROP (Decreasing Readmissions through Opportunities Provided): The First National Quality Improvement from the Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program (MBSAQIP) John Morton, MD, MPH, FACS, FASMBS Lessons Learned before and after ACS NSQIP Monitoring of Enhanced Recovery Protocol (ERP) Measures for Colorectal Patients: How Much Compliance Is Needed to Achieve the Goal? Audrey S. Kulaylat, MD 8:45–9:00 am Understanding Reasons for Readmission in Children Undergoing Surgery: An ACS NSQIP Pediatric Analysis Afif N. Kulaylat, MD, MSc 9:00–9:15 am Q&A Panel Discussion 8:30–8:45 am BO07B: Quality Improvement Training Initiative (QITI): Learning Modules for Front-Line Providers Using Concrete Examples 9:45–10:05 am ACS NSQIP Best Practices: Optimal Perioperative Management of the Geriatric Patient Ronnie A. Rosenthal, MD, FACS 10:05–10:25 am ACS NSQIP Geriatric Surgery Pilot Collaborative: The First 20,000 Patients and Beyond Thomas N. Robinson, MD, FACS 10:25–10:45 am ACS NSQIP Coalition for Quality in Geriatric Surgery Project Julia Berian, MD 10:45–11:15 am Q&A Panel Discussion GS10: Improving Children’s Surgical Care: The Children’s Surgery Verification Program and ACS NSQIP Pediatric Douglas C. Barnhart, MD, MSPH, FACS Sapphire DHLP (Level 4) 9:45–9:55 am The Case for a Children’s Surgery Verification Program Keith T. Oldham, MD, FACS 9:55–10:10 am Focusing the Institutional Commitment to Children’s Surgery through Verification Diana L. Farmer, MD, FACS, FRCS 10:10–10:25 am Creating a Surgical Patient-Centered Systems Improvement Program Laura Higgins 10:25–10:35 am Data-Driven Quality Improvement: ACS NSQIP Pediatric’s Role in Verification Jacqueline M. Saito, MD, FACS 10:35–10:45 am The Importance of Rare Events as a Measure of Performance: Safety Event Data R. Lawrence Moss, MD, FACS 10:45–11:15 am Q&A Panel Discussion 11:15 am–12:45 pm Attendee Lunch Bayfront Park 11:15 am–12:45 pm Ask-the-Expert Luncheons Ticketed events, preregistration is required Rachel R. Kelz, MD, MSCE, FACS Aqua ABC (Level 3) 8:00–8:05 am Introduction Rachel R. Kelz, MD, MSCE, FACS 8:05–8:25 am Stop the Clot Elliott R. Haut, MD, PhD, FACS 8:25–8:45 am Nurse-Driven Protocols Bridget Major-Joynes, RN 8:45–9:05 am Big Picture Lessons for Resident Education on Quality Improvement Rebecca L. Hoffman, MD, and Lillian Kao, MD, FACS 9:05–9:15 am Q&A Panel Discussion 9:15–9:45 am Networking Break Sapphire Foyer (Level 4) 22 Emily Finlayson, MD, FACS, and Marcia McGory-Russell, MD Sapphire Ballroom (Level 4) Jyotirmay Sharma, MD, FACS Indigo AE (Level 2) Concurrent General Sessions GS09: Geriatric Surgery: How Do We Better Care for Elderly Patients? Anthony D. Yang, MD, MS, FACS Indigo BF (Level 2) 8:00–8:15 am 9:45–11:15 am AE01: Adult Surgeon Champion (SC): The SC as a Leader Cobalt 501A (Level 5) Joseph B. Cofer, MD, FACS AE02: Adult Surgeon Champion (SC): The Role of the SC in Defining a Quality Improvement (QI) Initiative Cobalt 502A (Level 5) Jyotirmay Sharma, MD, FACS AE03: Adult Surgical Clinical Reviewer (SCR): The SCR as an Agent for Change Cobalt 502B (Level 5) Martha J. Antal, BSN, RN, and Nancy Anzlovar, BSN, RN AE04: Adult Surgical Clinical Reviewer (SCR): The Tools and Resources Available to the SCR Sapphire 400A (Level 4) Mitzi Hirbe, RHIA, CPHQ, and Devauna Riley, RN AE05: Pediatric Surgeon Champion (SC): Communication Strategies to Share Pediatric Quality Improvement (QI) Data Sapphire 400B (Level 4) Marjorie J. Arca, MD, FACS 23 2016 ACS NSQIP ANNUAL CONFERENCE July 16–19, 2016 | San Diego, CA 2016 ACS NSQIP ANNUAL CONFERENCE July 16–19, 2016 | San Diego, CA Monday, July 18, continued 24 Monday, July 18, continued AE06: Pediatric Surgeon Champion (SC): The Pediatric SC Role from the “Front Line” to the “Board” Cobalt 520 (Level 5) Patricia A. Valusek, MD AE07: Pediatric Surgical Clinical Reviewer (SCR): More than Five Years of Pediatric Abstraction—What We’ve Learned from the Data Cobalt 501B (Level 5) Robert M. Beck, BBA, RRT-NPS, and Susan M. Scarlott, BSN, JD AE08: Pediatric Surgical Clinical Reviewer (SCR): From Data Abstraction to Driving Process Improvement Initiatives—The Many Roles of the Pediatric SCR Aqua 313 (Level 3) Debra A. Liebrecht, RN, CPHQ, and Laura Smith, BSN, RN AE09: Comprehensive Unit-Based Safety Program (CUSP)/Surgical Unit-Based Safety Program (SUSP) Indigo 204B (Level 2) 12:45–2:45 pm AE24: Venous Thromboembolism (VTE) Aqua 303 (Level 3) David McAneny, MD, FACS AE25: Surgeon Champion: Sharing Your Ideas to Improve ACS NSQIP Sapphire Boardroom (Level 4) Clifford Y. Ko, MD, MS, MSHS, FACS, FASCRS General Sessions GS11: Best Practices and Case Studies Joe H. (Pat) Patton, Jr., MD, FACS Sapphire Ballroom (Level 4) 12:45–12:50 pm Introduction Joe H. (Pat) Patton, Jr., MD, FACS 12:50–1:00 pm Brendan T. Campbell, MD, MPH, FACS Deborah B. Hobson, BSN, RN, and Elizabeth C. Wick, MD, FACS Paving the Road to “As Expected”: A Common-Sense Approach to Decreasing Blood Transfusions in Pediatric Spine Surgery 1:00–1:10 pm Effect of Colon Bundle Implementation in a Community Hospital Michael L. Barringer, MD, FACS AE10: Addressing Barriers Aqua 305 (Level 3) John F. Sweeney, MD, FACS 1:10–1:20 pm The Impact of Hospital Safety Culture on Surgical Outcomes David D. Odell, MD, MMSc AE11: Enhanced Recovery Cobalt 500 (Level 5) Thomas A. Aloia, MD, FACS, and Julie K. Marosky Thacker, MD, FACS 1:20–1:30 pm Preventing Catheter-Associated Urinary Tract Infections: One Patient at a Time Eddie Leonhardt, BSN, RN, NE-BC AE12: Collaborative Development: Creating a Meaningful Infrastructure for Collaborative Success Aqua 307 (Level 3) Karl Y. Bilimoria, MD, MS, FACS 1:30–1:40 pm Postoperative Pneumonia Reduction in Surgical Patients Lori E. Abel, RN, ONC, M.Ed 1:40–2:00 pm Q&A Panel Discussion AE13: Collaborative Development: Strategic and Operational Processes Aqua 309 (Level 3) Oscar D. Guillamondegui, MD, MPH, FACS AE14: Surgical Site Infections (SSIs) Aqua Boardroom (Level 3) E. Patchen Dellinger, MD, FACS AE15: Creating a High-Functioning Quality Improvement (QI) Team Cobalt 501C (Level 5) Hemant V. Keny, MD, and Christina Solis, BSN, CLSSBB AE16: Quality and Patient Safety Aqua 310A (Level 3) David S. Shapiro, MD, FACS, FCCM AE17: Hospital-Acquired Conditions (HACs) Aqua 310B (Level 3) J. Michael Henderson, MB ChB, FACS AB01: Surgical Potpourri AE18: Hepato-Pancreato-Biliary (HPB) Collaborative Aqua 300A (Level 3) Molly Kilbane, BSN, RN, and Henry A. Pitt, MD, FACS Sapphire Ballroom (Level 4) AE19: Resident Development Aqua 311A (Level 3) Rachel R. Kelz, MD, MSCE, FACS AE20: Geriatric Surgery Indigo 202 (Level 2) GS12: Using Stories and Personal Perspectives to Change Surgery—Part II Scott J. Ellner, DO, MPH, FACS Sapphire Ballroom (Level 4) 2:00–2:05 pm Introduction Scott J. Ellner, DO, MPH, FACS 2:05–2:25 pm Privilege Rachel R. Kelz, MD, MSCE, FACS 2:25–2:45 pm My Advice for the Modern Surgeon Oscar D. Guillamondegui, MD, MPH, FACS 2:45–3:10 pm Networking Break Sapphire Foyer (Level 4) 3:10–4:30 pm Concurrent Abstract Sessions Kristen A. Ban, MD, and Jonah Stulberg, MD, PhD 3:10–3:20 pm Surgical Safety Checklists: A Challenging Yet Effective Investment Kathryn T. Anderson, MD, MPH 3:20–3:30 pm Susann Camus, MA, MPH, LSSGB Thomas N. Robinson, MD, FACS, and Ronnie A. Rosenthal, MD, FACS Operating Room Traffic Monitoring Improves Patient Safety 3:30–3:40 pm Kristen A. Ban, MD AE21: Bariatric Surgery Indigo 204A (Level 2) Matthew M. Hutter, MD, MPH, FACS, and John M. Morton, MD, MPH, FACS, FASMBS Is the Publicly Available ProPublica Surgeon Scorecard Valid? An Empirical Evaluation of Their Outcome Measure and Methods 3:40–3:50 pm Teresa Zurberg AE22: How to Make Process Improvement (PI) Work at Your Site: A Community Hospital Perspective Indigo 206 (Level 2) Cynthia Ross-Richardson, MS, BSN, CNOR, and Rekha Singh, MD, FACS Angus: Who Said Training a C.Diff Detection Dog Is Easy? 3:50–4:00 pm An Executive Summary of the Physician’s Report Card: Another Benefit of ACS NSQIP Vijay K. Maker, MD AE23: Pneumonia Aqua 311B (Level 3) Kimberly A. Davis, MD, FACS 4:00–4:10 pm Communicating Surgeon-Specific Patient Data and Outcomes Utilizing ACS NSQIP Information Tammie Crowder, RN 25 2016 ACS NSQIP ANNUAL CONFERENCE July 16–19, 2016 | San Diego, CA 2016 ACS NSQIP ANNUAL CONFERENCE July 16–19, 2016 | San Diego, CA Monday, July 18, continued 4:10–4:20 pm Meaningful Changes to Improve ACS NSQIP Data Collection and Capacity 4:20–4:30 pm Q&A AB02: Education Monday, July 18, continued Susan Sullivan, RHIA, CPHQ AB04: Quality Improvement I Sapphire DHLP (Level 4) Rachel R. Kelz, MD, MSCE, FACS 3:10–3:20 pm Critical Communication in the Operating Room (OR): Surgical Wound Class and the Surgical Debrief Focus Groups—Exploring the Current State Maggie Kare Elestwani, BSN, RN 3:20–3:30 pm Not Too Sweet in the OR Suite Krista Curtis, BSN, RN, MPH 3:30–3:40 pm Improving VTE Prophylaxis Compliance in Surgical Inpatients Arun A. Mavanur, MBBS, FACS 3:40–3:50 pm Pediatric Skin Injury Reduction in the OR Janet C. Berry, DNP, RN 3:50–4:00 pm Implementation of an Enhanced Recovery Protocol Can Improve Outcomes for Patients Undergoing Radical Cystectomy Tracey Hong, RN, BScN 4:00–4:10 pm Enhanced Recovery Program (ERP): Where Do We Go from Here? Jules E. Garbus, MD, FACS 4:10–4:20 pm Defining Continuous Improvement Methodology in Enhanced Recovery Julie K. Marosky Thacker, MD, FACS 4:20–4:30 pm Reducing Catheter-Associated Urinary Tract Infections in the Perioperative Area Nicky N. Huang, MSN Aqua ABC (Level 3) 3:10–3:20 pm Increase in Quality and Process Improvement Knowledge Following a Formal Educational Curriculum within a Statewide Collaborative Lindsey Kreutzer, MPH 3:20–3:30 pm An Online Morbidity and Mortality Application Integrates with ACS NSQIP for Institutional Quality Improvement Timothy K. Liem, MD, MBA 3:30–3:40 pm Impact of Surgical Trainee Involvement on Postoperative Outcomes after Radical Cystectomy: An Analysis Utilizing ACS NSQIP Leah P. McMann, MD, FACS 3:40–3:50 pm Meeting the Quality Needs of the Surgical and Perioperative Staff at Our Institution Mary Beth Cotter, RN 3:50–4:00 pm Where Are We Now? Two-Year Review of a Single Institution Experience Implementing a Pilot Quality In-Training Initiative (QITI) Curriculum Mary M. Mrdutt, MD 4:00–4:10 pm Readmission for Laparoscopic and Open Colectomy Amanda Green, MD 4:10–4:20 pm Using QITI Data as the Foundation for a Comprehensive Quality Improvement Curriculum for Surgery Residents Kristin Noonan, MD 4:20–4:30 pm AB05: Quality Improvement II Vanita Ahuja, MD, FACS, and Jason Liu, MD Indigo BF (Level 2) Q&A AB03: ACS NSQIP Collaboratives Joe H. (Pat) Patton, Jr., MD, FACS, and Julie K. Marosky Thacker, MD, FACS Molly P. Clopp, RN, MS, MBATM, and Ali Khaki, MD, FACS, FRCS Aqua DEF (Level 3) 3:10–3:20 pm Practice Changes for Reducing Urinary Tract Infections in Colon and Rectal Surgical Patients Mary Ward, BSN, RN 3:20–3:30 pm ACS NSQIP Benefits: The Improvement beyond Surgical Care Weiming Shi, MD 3:30–3:40 pm Early Intervention in Enhanced Recovery Pathway Implementation Using ACS NSQIP Data Collection Improves Adherence Dianne Bettick, MSN, CNS 3:10–3:20 pm Improving Colectomy Outcomes in the Enhanced Recovery in ACS NSQIP (ERIN) Pilot Julia R. Berian, MD 3:20–3:30 pm Collaborative Synergism Accelerates Statewide General Surgical Performance Brian J. Daley, MD, MBA, FACS 3:40–3:50 pm Shifting Risk Profiles: Trends in Mortality Risk in the 2005–2012 ACS NSQIP Cohort Vamsi V. Alli, MD 3:30–3:40 pm Using a Surgical Quality Improvement Plan to Bridge the Gap between Data and Improvement Pierrette L. Price Arsenault, LSSBB 3:50–4:00 pm Katherine Hawkins, MD 3:40–3:50 pm A Generalizable Model for Collaborative Quality Improvement Projects Lindsey Kreutzer, MPH Implementation of a Surgical Site Infection (SSI) Reduction Bundle: How Process Changes and a Cohesive Cultural Approach Can Lead to Sustained Improvements at the Community Hospital Level 3:50–4:00 pm Facilitating Better Data Collection through Process Improvement Bradley J. Hensley, MD, MBA 4:00–4:10 pm Reducing SSIs in Colorectal Surgery: The Impact of an Infection Prevention Bundle Kerri A. Ohman, MD 4:00–4:10 pm Transformation of ACS NSQIP: Journey to Efficiency and Reliability Richi Chaudhry, MHA, PMP, CPHQ 4:10–4:20 pm Using ACS NSQIP and Your Own Antibiogram to Decrease SSIs Philip R. Corvo, MD, MA, FACS 4:10–4:20 pm Surgical Performance Improvement in a Health System: ACS NSQIP and a System Surgical Council as a Driver for Change Rekha K. Singh, MD, FACS 4:20–4:30 pm Using 30-Day Follow-Up Calls to Increase Patient and Karen Donaldson, BSN, RN Staff Satisfaction 4:20–4:30 pm Q&A 26 27 2016 ACS NSQIP ANNUAL CONFERENCE July 16–19, 2016 | San Diego, CA 2016 ACS NSQIP ANNUAL CONFERENCE July 16–19, 2016 | San Diego, CA Monday, July 18, continued AB06: Pediatric Surgery Erik D. Skarsgard, MD, FACS Indigo AE (Level 2) 3:10–3:20 pm Implementation of a Comprehensive Unit-Based Safety Program to Reduce Pediatric SSIs William P. Lancaster, MD 3:20–3:30 pm Minimizing Variance in Pediatric Nonperforated Appendicitis: Can Standardized Care Decrease Costs and Improve Outcomes? Sabrina MacDuff, MD 3:30–3:40 pm Effects of Intraoperative Hypothermia and Hypotension on Pediatric Surgical Outcomes Julie Bedford, RN, BSc, MSN 3:40–3:50 pm Early Quality Benefits to Participation in the ACS Optimal Surgical Care of the Child Pilot Project Suzyn Daniel 3:50–4:00 pm Practice Changes Lead to Decreased Transfusions, Superficial SSIs, and Overall Morbidity Kori Wolcott, BSN, RN 4:00–4:10 pm Identifying Adverse Events in Pediatric Surgery: Comparing Morbidity and Mortality Conference with ACS NSQIP Pediatric Barrett Cromeens, DO, PhD 4:10–4:30 pm Q&A AB07: Elderly Surgery and Outcomes Giant panda. sandiegozoo.org Thomas N. Robinson, MD, FACS, and Ronnie A. Rosenthal, MD, FACS Indigo CD (Level 2) 3:10–3:20 pm Frailty as a Predictor of Morbidity and Mortality Following Liver Surgery Timothy M. Pawlik, MD, MPH, PhD, FACS 3:20–3:30 pm Should We Perform Elective Inguinal Hernia Repair in the Elderly? Blair C. Baldwin, DO 3:30–3:40 pm Preoperative Frailty Predicts Postoperative Complications and Mortality in Urology Patients Jennifer Dwyer, MD 3:40–3:50 pm Multimodal Strategy Decreased the Incidence of Postoperative Acute Renal Failure (ARF) Luis A. de la Cruz, MD, MBA 3:50–4:00 pm Sarcopenia as a Prognostic Factor in Emergency Abdominal Surgery Beth Turrentine, PhD, RN 4:00–4:10 pm Utilizing the ACS NSQIP Risk Calculator in Surgery Morbidity and Mortality Conference Jonathan S. Abelson, MD 4:10–4:20 pm Loss of Independence Is Associated with Readmission Julia R. Berian, MD and Delayed Death in Older Surgical Patients 4:20–4:30 pm Q&A 5:30–9:00 pm Social Outing at the San Diego Zoo Shuttles will load at 5:15 pm and depart from the Hilton Gull Street Entrance at 5:30 pm 28 29 2016 ACS NSQIP ANNUAL CONFERENCE July 16–19, 2016 | San Diego, CA 2016 ACS NSQIP ANNUAL CONFERENCE July 16–19, 2016 | San Diego, CA Tuesday, July 19 8:10–8:30 am Why Should We Do a Trial? Michael D’Angelica, MD, FACS 8:30–8:50 am Which Trial Should We Do? Chad G. Ball, MD, FACS 7:00–8:00 am Breakfast Breakfast will be served in the main foyer of each level 8:50–9:10 am What Are the Barriers? Bruce L. Hall, MD, PhD, FACS 9:10–9:30 am Q&A Panel Discussion 8:00–9:30 am Concurrent Breakout Sessions BO01C: New Surgical Clinical Reviewer: Building your House on Rock versus Sand BO06C: Residents as Leaders in Quality: The Importance of Culture Anita Volpe, DNP, APRN Indigo CD (Level 2) 8:00–8:20 am Foundation Seth Gregory, MSN, RN 8:20–8:40 am Relationships Anita Volpe, DNP, APRN 8:40–9:00 am Big Picture and Data Beth Turrentine, PhD, RN 9:00–9:30 am Q&A Panel Discussion BO02C: Applied Statistics: How Do I Interpret Reports to Drive Quality Improvement (QI)? Mark Cohen, PhD The Semiannual Report (SAR): Site Summary Report, Bar Plots, Case Occurrences Report, and Model Drill Down Kristopher Huffman, MS 8:35–8:55 am Finding and Evaluating Events and Developing an Action Plan Bruce L. Hall, MD, PhD, FACS 8:55–9:10 am Using the On-Demand Application Mark Cohen, PhD 9:10–9:20 am Collaborative Reports Vanessa Thompson, PhD 9:20–9:30 am Q&A Panel Discussion 8:00–8:35 am BO03C: A Systems Approach to ACS NSQIP Clinical Review Tammy Peacock, BSN, RN, MAPSY Indigo AE (Level 2) 8:00–8:20 am BC Patient Safety and Quality Counsil Kimberly McKinley, BSN, RN 8:20–8:40 am Memorial Hermann Health System Richi Chaudhry, MHA, PMP, CPHQ 8:40–9:00 am Kaiser Permanente Tammy Peacock, BSN, RN, MAPSY 9:00–9:30 am Q&A Panel Discussion BO04C: Surgical Site Infection (SSI) 8:00–8:05 am Introduction Rachel R. Kelz, MD, MSCE, FACS 8:05–8:15 am The Athlete John F. Sweeney, MD, FACS 8:15–8:25 am The President Lillian Kao, MD, FACS 8:25–8:35 am The Firefighter Joseph V. Sakran, MD, MPH, MPA, FACS 8:35–9:15 am Culture Activity 9:15–9:30 am Debrief BO07C: Opportunities and Challenges of Implementing ACS NSQIP Projects at Small and Rural Sites Sapphire Ballroom (Level 4) E. Patchen Dellinger, MD, FACS Sapphire DHLP (Level 4) Garth Miller, MD Aqua DEF (Level 3) 8:00–8:20 am Virtual Management of Small and Rural Hospitals Vanita Ahuja, MD, FACS 8:20–8:40 am Lessons Learned from Implementation of Quality Metrics in a Rural Hospital Robert Wilmoth, MD 8:40–9:00 am Implementation of Complex Projects at a Small and Rural Site Garth Miller, MD, and Beverly Squillante, RN 9:00–9:30 am Q&A Panel Discussion 9:30–9:45 am Networking Break Sapphire Foyer (Level 4) 9:45–11:30 am General Sessions GS13: Managing Sepsis and Improving Outcomes Susan D. Moffat-Bruce, MD, PhD, FACS Sapphire Ballroom (Level 4) 9:45– 10:05 am Strategies for Reducing Preventable Mortality Jyotirmay Sharma, MD, FACS 10:05–10:25 am Preventing Failure to Rescue from Sepsis Lillian Kao, MD, FACS 10:25–10:45 am The Role of the Surgeon Champion and Surgical Clinical Reviewer in Reducing Sepsis Mortality Susan D. Moffat-Bruce, MD, PhD, FACS Q&A Panel Discussion 8:00–8:15 am Overview with Discussion of the Breadth of SSI Issues E. Patchen Dellinger, MD, FACS and Discussion of Strength and Evidence 10:45–11:15 am 8:15–8:30 am Bundle up for Colorectal Quality Vicki Hughes, BSN, RN GS14: General Session: Conference Wrap-Up 8:30–8:45 am Impact of Surgical Site Infection Reduction Strategy after Colorectal Resection Lisa Wilbert, RN 8:45–9:00 am Efforts to Reduce Surgical Site Infections in Children Brian D. Kenney, MD, FACS 9:00–9:15 am Which Elements in a Wound Infection Prevention Process are Important? Jyotirmay Sharma, MD, FACS 9:15–9:30 am Q&A Panel Discussion BO05C: Hepato-Pancreato-Biliary (HPB) Clinical Trial Rachel R. Kelz, MD, MSCE, FACS Aqua ABC (Level 3) Clifford Y. Ko, MD, MS, MSHS, FACS, FASCRS Sapphire Ballroom (Level 4) 11:15–11:30 am Closing Remarks Clifford Y. Ko, MD, MS, MSHS, FACS, FASCRS Meeting room locations are subject to change. Please refer to the mobile app for up-to-date locations. David J. Bentrem, MD, FACS, and Henry A. Pitt, MD, FACS Indigo BF (Level 2) 8:00–8:10 am 30 Where Do We Stand with Surgical Site Infections (SSIs)? David J. Bentrem, MD, FACS 31 acsnsqipconference.org rk B lvd = Function Space = Elevators & Escalators = Restrooms = Stairs PROMENADE PLAZA GIFT SHOP PROMENADE LEVEL FITNESS CENTER POOL Level 1 KIDS SPLASH ZONE EXIT Floor plans | Promenade Level PROMENADE PROMENADE WEST FOYER LOW-RISE VELA RESTAURANT PRIVATE DINING HIGH-RISE PROMENADE EAST FOYER GULL STREET SAVE THE DATE PROMENADE BAYFRONT PARK SAN DIEGO CONVENTION CENTER HOTEL ENTRANCE PARKING GARAGE 2016 ACS NSQIP ANNUAL CONFERENCE July 16–19, 2016 | San Diego, CA 33 Pa 2016 ACS NSQIP ANNUAL CONFERENCE July 16–19, 2016 | San Diego, CA TO PARKING GARAGE 2016 ACS NSQIP ANNUAL CONFERENCE July 16–19, 2016 | San Diego, CA = Function Space = Elevators & Escalators = Restrooms = Stairs FRONT DESK HOTEL ENTRANCE Indigo Level Level 2 E CONCIERGE LOBBY F G 410B BELL DESK A LOW-RISE HIGH-RISE INDIGO WEST FOYER 202 B NORTH INDIGO TERRACE FOYER 204 A 204 B 206 SAPPHIRE BOARD ROOM INDIGO LEVEL TERRACE = Function Space = Elevators & Escalators = Restrooms = Stairs SAPPHIRE PATIO FOYER 402 SOUTH INDIGO TERRACE TERRACE = Function Space = Elevators & Escalators = Restrooms = Stairs M I N O P J K L SAPPHIRE BALLROOM E F G H A B C D LOW-RISE 202 A TERRACE D SAPPHIRE PATIO HIGH-RISE C 410A INDIGO LIGHT WALL PORTE COCHERE B 411A Level 4 INDIGO BALLROOM INDIGO NORTH FOYER 411B Sapphire Level H SAPPHIRE NORTH FOYER EXIT EXIT GREEN ROOM 400B 400A SAPPHIRE NORTH WEST FOYER SAPPHIRE WEST FOYER NORTH SOUTH SAPPHIRE TERRACE SAPPHIRE LEVEL 313 Aqua Level 311B Level 3 311A Cobalt Level 314 Level 5 310B 310A 303 AQUA TERRACE HIGH-RISE 34 307 309 AQUA WEST FOYER LOW-RISE AQUA TERRACE FOYER A B C D AQUA SALON E F AQUA PATIO AQUA BOARD ROOM 300 B 305 300A AQUA LEVEL 35 2016 ACS NSQIP ANNUAL CONFERENCE July 16–19, 2016 | San Diego, CA 2016 ACS NSQIP ANNUAL CONFERENCE July 16–19, 2016 | San Diego, CA ACS NSQIP® Hospital Compare Reporting Be a Quality Leader with ACS NSQIP® Join ACS NSQIP Hospital Compare Reporting Registration Instructions: In order to provide proven and stronger quality information, the American College of Surgeons (ACS) has partnered with the Centers for Medicare and Medicaid Services (CMS) to allow ACS NSQIP hospitals across the country the opportunity to report surgical outcomes to Hospital Compare, the CMS website that provides quality information to health care consumers. The program provides hospitals participating in the ACS NSQIP Adult Program Options the chance to voluntarily, publically report on one or any combination of three National Quality Forum (NQF)endorsed measures—elderly surgery outcomes, colon surgical outcomes, and lower-extremity bypass outcomes. Information on the Hospital Compare website will explain the rigors of ACS NSQIP so that patients better understand what the measures mean, the importance of accurate riskadjusted data, and how to use the information in making their care decisions. Because ACS NSQIP is based on the best available data—clinical, risk-, and case-mix-adjusted, nationally benchmarked and audited 30-day patient outcomes—the program provides arguably the most valid and reliable look at surgical quality. It provides a better gauge of quality than many other public measures, many of which are based on compliance with process measures or based on administrative data. Registration will take place in electronic format only. Hospitals interested in participating in this pilot are required to submit an Addendum. An Exhibit Form is also required for hospitals that share a CMS Certification Number (CCN). These documents need to be submitted at the time of initial registration only. Once these documents have been submitted, hospitals will be able to electronically select the measure(s) they wish to publically report to Hospital Compare. Your Authorized Institutional Signatory is responsible for submission of the Addendum and Exhibit Form. Measure selection can be completed by a designated hospital representative. 1 2 Please start at acsnsqip.org/cmsdatasharingweb. Create a new account: • In order to create your account, you will need the following information: • Hospital FEIN (Federal Employer Identification Number) • Hospital CCN • E-mail address of your Authorized Institutional Signatory • This account is separate from your ACS NSQIP Workstation account. An e-mail confirmation of account creation will be provided within one hour of your submission. The e-mail message will be sent from the following: [email protected]. 3 Once your account has been created, log in and electronically complete/ submit the Addendum and associated Exhibit Form (the Exhibit Form is only required for hospitals that share a CCN with another hospital). • Only one account is required. The Authorized Institutional Signatory does not need to create a separate account if the Addendum and/or Exhibit Form are forwarded to them. Instructions for sending these documents can be found once your account has been created. • For the Exhibit Form, you will be required to list all hospitals that share the same CCN and their associated FEIN. 4 Once the Addendum and Exhibit Form have been submitted, you are eligible to select the measures. • Please see the Measure Selection page within your account, which provides the opportunity for your hospital to indicate the measure(s) they wish to publically report on the Hospital Compare website. The account creator is responsible for submitting the measure(s) selection. • Measure selection will take place prior to each reporting period. Once the ACS NSQIP Semiannual Report (SAR) has been released, results will be posted on the Measure Selection page. Please see the ACS NSQIP website, acsnsqip.org, for deadline information. Public reporting will continue to expand in the future. We hope your ACS NSQIP hospital will be among the quality leaders joining this important initiative to help better inform the public on how to most accurately understand hospital quality. For more information, please contact [email protected]. Top hospitals on the U.S. News and World Report’s America’s Best Hospitals rankings participate in ACS NSQIP 36 37 2016 ACS NSQIP ANNUAL CONFERENCE July 16–19, 2016 | San Diego, CA 2016 ACS NSQIP ANNUAL CONFERENCE July 16–19, 2016 | San Diego, CA ACS NSQIP® Hospital Compare Reporting These ACS NSQIP hospitals have enrolled for participation Brigham and Women’s Hospital Boston, MA Doctors Hospital Coral Gables, FL Milton S. Hershey Medical Center Hershey, PA Mary Hitchcock Memorial Hospital Lebanon, NH Massachusetts General Hospital Boston, MA Memorial University Medical Center Savannah, GA Carilion Medical Center Roanoke, VA Wellstar Douglas Hospital Douglasville, GA Newton-Wellesley Hospital Newton, MA Lahey Hospital & Medical Center, Burlington Burlington, MA Sinai Hospital of Baltimore Baltimore, MD Advocate Good Shepherd Hospital Barrington, IL Faulkner Hospital-Brigham and Women’s Boston, MA Scott & White Memorial Hospital Temple, TX John Muir Medical Center–Concord Campus Concord, CA University of North Carolina Hospital Chapel Hill, NC Exempla Saint Joseph Hospital Denver, CO OHSU Hospital Portland, OR El Camino Hospital Mountain View, CA Inova Fairfax Hospital Fall Church, VA Beth Israel Medical Center–Petrie Campus New York, NY John Muir Medical Center–Walnut Creek Campus Walnut Creek, CA Cleveland Clinic Cleveland, OH Legacy Good Samaritan Medical Center Portland, OR University of California Irvine Medical Center Orange, CA St. Bernards Medical Center Jonesboro, AR Doctors Hospital at Renaissance Edinburg, TX Exempla Good Samaritan Medical Center LLC Lafayette, CO Novant Health Forsyth Medical Center Winston Salem, NC New York University Langone Medical Center New York, NY Northwestern Memorial Hospital Chicago, IL Meriter Hospital Madison, WI St. Francis Hospital & Medical Center Hartford, CT Legacy Emanuel Medical Center Portland, OR Duke University Hospital Durham, NC Boone Hospital Center Columbia, MO Reading Hospital and Medical Center West Reading, PA Advocate Christ Hospital & Medical Center Oak Lawn, IL Eastern Maine Medical Center Bangor, ME Cookeville Regional Medical Center Cookeville, TN Baystate Medical Center Springfield, MA Saratoga Hospital Saratoga Springs, NY William Beaumont Hospital Royal Oak Royal Oak, MI IU Health Goshen Hospital Goshen, IN Beaumont Hospital, Grosse Pointe Grosse Pointe, MI Advocate BroMenn Medical Center Normal, IL Advocate Lutheran General Hospital Park Ridge, IL Jackson-Madison County General Hospital Jackson, TN Riverside County Regional Medical Center Moreno Valley, CA Tufts Medical Center Boston, MA Beth Israel Deaconess Medical Center Boston, MA Mayo Clinic Florida Jacksonville, FL Boston Medical Center Boston, MA Strong Memorial Hospital Rochester, NY Hennepin County Medical Center Minneapolis, MN University of California Davis Medical Center Sacramento, CA Scottsdale Healthcare Osborn Medical Center & Greenbaum Surgical Scottsdale, AZ Greater Baltimore Medical Center Baltimore, MD Wilcox Memorial Hospital Lihue, HI William Beaumont Hospital–Troy Troy, MI Union Hospital Inc. Terre Haute, IN Kaiser Sunnyside Medical Center Clackamas, OR Pali Momi Medical Center Aiea, HI Bon Secours–St. Francis Xavier Hospital Charleston, SC Ohio State University State Health System Columbus, OH Straub Clinic and Hospital Honolulu, HI California Pacific Medical Center–Pacific Campus Hospital San Francisco, CA Mercy Hospital and Medical Center Chicago, IL University of WI Hospitals & Clinics Authority Madison, WI Christiana Hospital Newark, DE Winter Haven Hospital (FSCI) Winter Haven, FL Alegent Creighton Health-Creighton University Medical Center Omaha, NE Grinnell Regional Medical Center Grinnell, IA Barnes Jewish Hospital St. Louis, MO Southwest Memorial Hospital Cortez, CO Roper Hospital Charleston, SC Winthrop University Hospital Mineola, NY Roswell Park Cancer Institute Buffalo, NY Hartford Hospital Hartford, CT Novant Health Park Hospital Winston Salem, NC Windham Hospital Willimantic, CT William W. Backus Hospital Norwich, CT Hahnemann University Hospital Philadelphia, PA Henry Ford Hospital Detroit, MI Stanford Hospital Stanford, CA Indiana University Health Methodist Hospital (Indianapolis) Indianapolis, IN Indiana University Health Ball Memorial Hospital Muncie, IN Bronson Methodist Hospital Kalamazoo, MI South Miami Hospital Miami, FL Peninsula Medical Center Burlingame, CA Medical Center of Central Georgia Macon, GA Parrish Medical Center Titusville, FL Scripps Green Hospital La Jolla, CA Indiana University Health Arnett Hospital Lafayette, IN Howard County General Hospital Columbia, MD Shands Jacksonville Jacksonville, FL University of Iowa Hospital & Clinics Iowa City, IA Emory University Hospital Atlanta, GA Sibley Memorial Hospital Washington, DC Wellstar Kennestone Hospital Marietta, GA University of Washington Medical Center Seattle, WA Cox Medical Center Springfield, MO The Hospital Of Central Connecticut New Britain, CT Piedmont Hospital Atlanta, GA The Nebraska Methodist Hospital Omaha, NE Homestead Hospital Homestead, FL Midstate Medical Center Hartford, CT Claiborne County Hospital Tazewell, TN Sacred Heart Medical Center–Riverbend Springfield, OR Saint Vincent Healthcare Billings, MT North Mississippi Medical Center Tupelo, MS Wellstar Cobb Hospital Austell, GA Advocate Illinois Masonic Medical Center Chicago, IL Wellstar Paulding Hospital Dallas, GA Memorial Medical Center, an Affiliate of Memorial Health System Springfield, IL Sanford USD Medical Center Sioux Falls, SD Rush University Medical Center Chicago, IL Johns Hopkins Hospital, The Baltimore, MD Columbus Regional Hospital Columbus, IN University of Alabama Hospital Birmingham, AL Albany Medical Center Hospital Albany, NY North Shore Medical Center Salem, MA Advocate Good Samaritan Hospital Downers Grove, IL Novant Health Presbyterian Medical Center Charlotte, NC Maine Medical Center Portland, ME Baptist Hospital of Miami Inc. Miami, FL Abington Memorial Hospital Abington, PA Kootenai Medical Center Coeur d’Alene, ID Kaiser Foundation Hospital–Walnut Creek Walnut Creek, CA Highland Hospital Rochester, NY 38 Congratulations to the hospitals who volunteered to publically report their ACS NSQIP results and are leading the way to better surgical quality. 39 2016 ACS NSQIP ANNUAL CONFERENCE July 16–19, 2016 | San Diego, CA 2016 ACS NSQIP ANNUAL CONFERENCE July 16–19, 2016 | San Diego, CA Collaboratives: Shared Learning, Meaningful Data Benefits of joining Imagine having the ability to leverage expertise and data to maximize quality and efficiency in your surgical program and improve patient outcomes and your bottom line. That’s what more than 400 hospitals and health care organizations are already doing as members of an American College of Surgeons National Surgical Quality Improvement Program (ACS NSQIP®) Collaborative. • Ability to exchange ideas and problem-solve with hospitals in your collaborative • Access to enhanced data sharing and specialized reports, beyond the standard semiannual and online benchmarking report, allowing for: • Site to collaborative comparisons • Collaborative to all ACS NSQIP comparisons “To identify what to work on as a collaborative, we analyze our data and look at the areas where we need improvement as a whole. We then discuss with the entire collaborative to create an action plan.” “Helping take data and turn it into actionable information has been key in helping hospitals move forward with improvements. Having each team present to their peers over the past several years has really changed the culture and the level of accountability among the surgeons.” MOLLY CLOPP, KAISER PERMANENTE NORTHERN CALIFORNIA CHRIS CLARKE, TENNESSEE HOSPITAL ASSOCIATION, REGIONAL NSQIP COLLABORATIVE TENNESSEE SURGICAL QUALITY COLLABORATIVE Working together in an environment focused on sharing information rather than competition, ACS NSQIP Collaboratives create an opportunity for hospitals to come together to: • Share data • Discuss best practices ACS NSQIP Collaboratives are available to all hospitals in ACS NSQIP. Collaboratives can be regional, systemwide, or virtual and range from highly structured groups with formal data sharing agreements, payor support, group oversight, and specialized reporting to an informal group of hospitals coming together simply to discuss their quality improvement experiences. For more information on joining a current collaborative or forming a new collaborative, visit facs. org/nsqipcollaboratives or e-mail [email protected]. • Identify quality improvement opportunities • Design quality improvement initiatives • Measure results 41 2016 ACS NSQIP ANNUAL CONFERENCE July 16–19, 2016 | San Diego, CA CLINI CAL CON G R ES S 2 0 1 6 OCTOBER 16–20 | WALTER E. WASHINGTON CONVENTION CENTER WASHINGTON, DC The Best Surgical Education All in One Place THE AMERICAN COLLEGE OF SURGEONS is a leader in initiatives to improve quality of care for surgical patients in the areas of trauma, cancer, bariatric surgery, breast care, general surgery, and surgeon-specific outcomes. Visit facs.org/quality-programs to learn more. Register now! facs.org/clincon2016 42 2016 ACS NSQIP ANNUAL CONFERENCE July 16–19, 2016 | San Diego, CA 2016 ACS NSQIP ANNUAL CONFERENCE July 16–19, 2016 HILTON SAN DIEGO BAYFRONT SAN DIEGO, CA 44