National Quality Program Participation

Participating in multi-center quality programs is a vital part the surgical quality program here at Mount Sinai. Each of the programs detailed below focus on particular surgical specialties, allowing better-powered studies and collaborative approaches to improving surgical patient outcomes.

National Surgical Quality Improvement Program® (NSQIP)
The American College of Surgeons’ flagship quality database, the National Surgical Quality Improvement Program®, helps hundreds of hospitals across the country gauge the quality of their surgical programs through the collection of data on adult patients undergoing a wide variety of different surgeries that provides risk-adjusted, in-depth and insightful analytic reports. This data helps surgeons and hospitals better understand the quality of specific aspects of clinical care compared to similar hospitals with similar patients.

Pediatric ACS NSQIP®
Similar to the adult NSQIP program detailed above, Pediatric NSQIP allows hospitals to submit data on a wide variety of procedures relevant to children, and returns risk adjusted reports on surgical outcomes for the pediatric population. Participation in Pediatric NSQIP is crucial to securing verification as a premier Children’s Surgery program.

Collaborative Endocrine Surgery Quality Improvement Program (CESQIP)
The Collaborative Endocrine Surgery Quality Improvement Program (CESQIP) aims to improve the value of care delivered by helping endocrine surgeons make informed decisions quickly and facilitate continuous improvement. The program captures and analyzes data that are clinically relevant for endocrine surgeons.  We are pleased to report that all of our surgeons who specialize in endocrinology have made the significant time commitment involved in participating in CESQIP.

Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program® (MBSAQIP)
The Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program® (MBSAQIP) accredits bariatric surgery centers in the United States and Canada in accordance with internationally recognized bariatric surgical and medical standards. MBSAQIP® aims to provide continuous quality improvement of bariatric patient care (with both surgical and medical weight loss components), and accredits only those institutions that meet its rigorous standards. The Mount Sinai Health System Bariatric Collaborative allows our hospital sites to share quality initiatives and best practices. The Collaborative meets twice a year to discuss clinical cases, changes in procedures and case volumes, changes to patient qualifications and insurance requirements, new data collection variables, and other topics. Currently both The Mount Sinai Hospital and Mount Sinai Morningside hold this prestigious accreditation.

Vascular Quality Initiative® (VQI®)
The Society for Vascular Surgery’s Vascular Quality Initiative® (VQI) aims to improve the quality of vascular health care in participating centers. The VQI® is administered by the Society for Vascular Surgery Patient Safety Organization (SVS PSO), which partners with M2S to provide a secure database for data collection and analysis. Participation in the VQI® is divided into modules focusing on both complex, high risk procedures as well as commonly performed surgeries, tailoring data collection by module and comparing practices and outcomes with aggregate data from participating centers. Across the system, data is currently collected on Carotid Artery Stents, Peripheral Vascular Interventions, Venous Stents, Infra-Inguinal Bypasses and Hemodialysis Access. The VQI® also utilizes a network of regional quality groups that collaborate and share best practices with an aim to reduce hospital costs through participation in quality projects that improve patient care.

Trauma Quality Improvement Program (TQIP)
The American College of Surgeons Trauma Quality Improvement Program (ACS TQIP®) is dedicated to improving care of patients with acute, traumatic injuries. With both surgical and non-surgical components, TQIP provides a holistic approach to trauma care. Mount Sinai Morningside houses the Health System’s trauma program and is designated as a verified trauma center.