TY - JOUR AU - Bosk, Charles L. AB - Opinion VIEWPOINT Are 2 Systems Better Than 1? Hospital-acquired infections are common and public NHSN, over the past 10 years, hospital participation in Elizabeth C. Wick, MD Department of Surgery, reporting of their incidence is integral to defining “af- NSQIP has been associated with significant improve- Johns Hopkins fordable and accountable care.” In the surgical patient ments in morbidity, mortality, and cost savings. University, Baltimore, population,surgicalsiteinfections(SSIs)occurinasmany Since the implementation of mandatory colon SSI Maryland. as 5% of patients following inpatient procedures and ac- reporting, a growing number of hospitals are using both count for up to 17% of all hospital-acquired infections. NHSN and NSQIP data to monitor colectomy SSI rates. Caitlin Hicks, MD, MHS Department of Surgery, Over the past 10 years, hospitals have devoted signifi- Subtleredundanciesandinconsistenciesthatresultfrom Johns Hopkins cant resources toward SSI prevention with mixed re- monitoring colon SSI data using 2 methods complicate University, Baltimore, sults. At the same time, the cost of health care in the quality improvement efforts and stymie progress. In Maryland. United States continues to increase. As a means of con- many instances, both the numerator (number of pa- trolling cost, payers are pushing for outcomes-based re- tients with infections) and denominator (total TI - Surgical Site Infection Monitoring JF - JAMA Surgery DO - 10.1001/jamasurg.2013.3020 DA - 2013-12-01 UR - https://www.deepdyve.com/lp/american-medical-association/surgical-site-infection-monitoring-RGdwBAi61P SP - 1085 EP - 1086 VL - 148 IS - 12 DP - DeepDyve ER -