Get Warmed Up for SCIP-INF-10
The Surgical Care Improvement Project (SCIP) is a partnership of organizations with the common goal of improving the quality of surgical care by significantly reducing surgical complications. SCIP Partners include the Steering Committee of 10 national organizations who have pledged their commitment and full support for SCIP initiatives:
• Agency for Healthcare Research and Quality
• American College of Surgeons
• American Hospital Association
• American Society of Anesthesiologists
• Association of periOperative Registered Nurses
• Centers for Disease Control and Prevention
• Centers for Medicare & Medicaid Services
• Institute for Healthcare Improvement
• The Joint Commission
• Veterans Health Administration
In addition, each SCIP target area is advised by a technical expert panel (TEP). These groups have provided their technical expertise and resources to ensure the SCIP measures are fully supported by evidence-based research.
Also, The Joint Commission aligns with Centers for Medicare and Medicaid Services (CMS) with respect to the performance measures for patients undergoing surgery. The result is the Specification Manual for National Hospital Quality Measures. This manual achieves identity among common national hospital performance measures with a single set of documentation.
Important New Reporting Requirements on Perioperative Normothermia Will Directly Impact 2011 CMS Payments.
SCIP, the Surgical Care Improvement Project, is committed to improving patient safety by driving down postoperative complications, including Surgical Site Infections by 25% by 2010.
In August, SCIP announced SCIP-INF-10, an important change in hospital reporting requirements which takes effect October 1, 2009. As described by the CMS 2010 IPPS Final Rule, reporting of a new metric is required for all discharged patients who had a surgical procedure that lasted 60 minutes or longer.
SCIP-INF-10: Surgery Patients with Perioperative Temperature Management: Patient received active warming or had a target temperature of 96.8°F (36°C) or greater recorded within 30 minutes immediately prior to or within 15 minutes immediately after anesthesia end time.
Hospitals that successfully report this data in FY2010 will receive an FY2011 inflation adjustment to their CMS payment level of +2.1%.
Hospitals that fail to successfully report this data in FY2010 will have their FY2011 CMS payment inflation offset reduced from 2.1% to only 0.1%.
The Importance of Perioperative Temperature Management
Even mild hypothermia—only 1.5°C below normal—can cause adverse outcomes resulting in additional hospital costs that average $2,500 to $7,000 per patient.1 During a typical surgery, 50% of patients leave the OR with a core temperature in the hypothermic range— <36°C/96.8°F—and 33% leave the OR with a core temperature of <35°C/95°F.2
Taking the steps necessary to keep patients normothermic during their procedures helps to:
- lower wound infection rates by 64%3
- lower myocardial infarction rates by 44%4
- reduce the need for transfusions by 40%5
- reduce time spent in the ICU by 43%4
- decrease the need for assisted ventilation by 34%4
And, of course, tracking your success in achieving the metric will help your facility meet the target reporting requirements that go into effect on October 1, 2009.
The Kimberly-Clark* Patient Warming System safely and efficiently controls patient temperature using disposable, water-circulating hydrogel pads requiring access to only 20% of the patient’s body surface area. It is ideal for surgeries that are predisposed to intraoperative hypothermia due to length and type of procedure, open body cavities, cold environment in the OR, use of cold fluids for irrigation or infusion, and limited access to body surfaces for intraoperative warming.
To learn more about the new SCIP-INF-10 CMS reporting metrics and how the Kimberly-Clark* Patient Warming System can help prevent unintentional hypothermia, contact your Kimberly-Clark representative or visit http://www.kchealthcare.com/warming.
References
1 Mahoney CB, Odom J. 1999 Apr. Maintaining Intraoperative Normothermia: A Meta-Analysis of Outcomes with Costs. AANA Journal 67(2): 155-164.; Hall, M. c. Surgical Care Improvement Project (SCIP) Module 1: Infection Prevention, 2007 May. www.medscape.com/viewprogram accessed 10/30/08.
2 Frank SM, Fleisher LA, Breslow MJ, et al. 1997 Apr 9. Perioperative Maintenance of Normothermia Reduces the Incidence of Morbid Cardiac Events. A Randomized Clinical Trial. JAMA 277(14): 1127-1134.
3 Kurz, A. et. al. 1996. New England Journal of Medicine 334(19); 1209-1215.
4 Wagner, VD. 2003, Aug. Impact of Perioperative Temperature Management on Patient Safety. SSM 9(4); 38-43, Forstot, RM. The Etiology and Management of Inadvertent Perioperative Hypothermia. 1995 Dec. journal of Clinical Anesthesiology
5 Schmied, H. et. al, 1996 Feb. Mild hypothermia increases blood loss and transfusion requirements during total hip arthroplasty, Lancet 347(8997); 289-92. Sessler, D. 1994 Sep. Consequences and Treatment of Perioperative Hypothermia, Anesthesiology Clinics of America, 12(3); 425-456.
Specifications Manual for National Hospital Quality Measures’, version 3.0 (Version 3.0 is applicable starting with 10/1/2009 discharges.)
CMS 2010 IPPS Final Rule
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