AHSQC: Moving the needle in reducing readmissions

Americas Hernia Society Quality CollaborativeThe repair of inguinal hernias is one of the most common surgical procedures in the United States - with approximately 700,000 operations done each year. “Although inguinal hernia repair is a common procedure, there are still many unanswered questions that rigorous assessment of real world data may address,” said Benjamin K. Poulose, M.D., M.P.H, Director for Quality and Outcomes, Americas Hernia Society Quality Collaborative (AHSQC). “Incorporating the AHSQC into clinical practice has the potential to help improve efficiency and enhance care by analyzing some of these unknowns.”

Dr. Poulose and Michael J. Rosen, M.D., F.A.C.S., President and Medical Director, AHSQC, co-organized a group of private practice and academic hernia surgeons in 2013 to form the AHSQC. The collaborative uses a national registry powered by ArborMetrix to:

  • Accelerate quality improvement
  • Facilitate clinical research
  • Meet requirements for maintaining board certification (MOC Part 4)
  • Fulfill its mission of “providing health care professionals with real-time information for maximizing value in hernia care”

After achieving early results with its objectives for quality improvement in the repair of ventral hernias, the AHSQC registry expanded to include an inguinal hernia module in early 2017.3

“We designed the inguinal module with our patients and colleagues in mind,” shared David Chen, M.D., member of the AHSQC Inguinal Task Force. “Using a critical, targeted approach, important information is captured with minimal data entry time required.”

To build and support a tailored registry, AHSQC leadership and ArborMetrix defined and configured specific measures, data models, and reports that bring together clinical data and patient reported outcomes for hernia repair in one easily accessible cloud-based system. The precise measures and models within the AHSQC registry provide clinical relevance and a clear picture of performance to participating surgeons.

By using the ArborMetrix analytics engine, and real-time measures and reports, the AHSQC is able to identify which processes are associated with the best outcome, and learn what can be done differently to improve standards of care. “ArborMetrix dynamically benchmarks performance in real-time, which is crucial for tracking the impact of quality improvement interventions,” said Dr. Poulose. “This has allowed AHSQC to improve the quality and cost-effectiveness of hernia repair by providing surgeons with immediate, risk-stratified metrics to determine the best procedure for an individual patient based on various factors."

The actionable reports powered by ArborMetrix help AHSQC facilitate a process for continuous improvement at the society and individual surgeon level. 

AHSQC results achieved

AHSQC and its members have collectively achieved outstanding results and greatly enhanced care for their patients. A few highlights include:

  • Grown substantially since inception. The patient case volume has grown 104% year over year
  • Established and funded the AHSQC Resident/Fellow Research Grant Program
  • Identified actionable ways to reduce post-operative wound complications
  • Published significant research in peer-reviewed publications
  • Moved the needle in reducing early readmissions
  • AHSQC Endorsed as an MDEpiNet Approved Program
  • Development of an Inguinal Hernia Module
  • MOC part IV recognition by American Board of Surgery

Learn more about AHSQC at ahsqc.org.

patient case volume

for inguinal hernias

recognition by ABS

What our customers say

“ArborMetrix dynamically benchmarks performance in real-time, which is crucial for tracking the impact of quality improvement interventions. This has allowed AHSQC to improve the quality and cost-effectiveness of hernia repair by providing surgeons with immediate, risk-stratified metrics to determine the best procedure for an individual patient based on various factors."

Director for Quality and Outcomes, Americas Hernia Society Quality Collaborative

References

1 AHSQC Newsletter, September 2016. https://www.ahsqc.org/images/uploads/general_images/AHSQC_Newsletter_FINAL.pdf

2 AHSQC Website, June 2017. https://www.ahsqc.org/news

3 AHSQC Press Release, February 2017. http://www.prweb.com/releases/2017/02/prweb14054179.htm

About AHSQC

Through data collection, analysis and collaborative learning, the AHSQC provides best practices, decision support, care pathways and ongoing performance feedback. The AHSQC is an authoritative resource for organizations to assess quality metrics and demonstrate a commitment to efficient, value-based patient-centered hernia care.

Key Uses and Features

  • Quality improvement
  • Decision support
  • Clinical research
  • CMS quality reporting
  • Patient-reported outcomes

Solution launch

2013

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