OR QUALITY

Establishing industry standards.

SpecialtyCare is committed to designing systems that evaluate and improve the OR quality, safety, and effectiveness of clinical services.

Joint Commissioned Accredited

ACCREDITED BY THE JOINT COMMISSION

Quality Operating Rooms

There are few places where quality is more vital than in an operating room. When lives are on the line, surgeons need to be surrounded by the best – an outstanding surgical team, top-of-the-line equipment, and processes that ensure their OR is running as smoothly and as efficiently as possible. SpecialtyCare is committed to delivering this and more by designing systems that evaluate and improve the quality, safety, and effectiveness of clinical services. We are proud to be accredited and certified by The Joint Commission, which validates our commitment to a higher standard of service and care.

Measuring Clinical Quality

The SpecialtyCare Clinical Quality Indicator Program provides every customer with confidential quality reports on a regular basis to support their quality and process improvement initiatives. Clinical quality measures are collected and compared to benchmarks to identify best practices and highlight improved outcomes. We also use our proprietary and robust multi-institutional database, SCOPE, the SpecialtyCare Operative Procedural Registry™, to conduct research that drives improvement throughout the industry.

All of these performance metrics help our medical office, which offers both clinical and statistical expertise, to:

  • Identify successful processes and benchmark performance
  • Evaluate and modify clinical procedures to provide the best patient outcomes
  • Increase the industry’s body of knowledge
  • Develop best-in-class education for our associates

 

Joint Commission

Accredited and certified by The Joint Commission – evidence of our commitment to a higher standard of service and care.

Members of the public and the SpecialtyCare team may contact The Joint Commission’s Office of Quality Monitoring to report any concerns about the quality and safety of patient care by calling 800.994.6610 or emailing [email protected] SpecialtyCare associates may also use the internal Alertline at 800.481.6982 to file a concern.

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Perfusion Quality Program

Our centralized database collects and reports individual, patient-related clinical process data from all clinical sites across the country. We emphasize blood utilization, anemia management, glucose management, and track these key perfusion-related indicators:

  • Highest intraoperative glucose level: % of patients <180 mg/dl
  • Intraoperative red blood cells (RBC’s) transfused: % of patients
  • Red blood cells (RBC’s) on CPB transfused: % of patients
  • Net prime volume: % of patients <1000 mL
  • Lowest hematocrit (HCT) on cardiopulmonary bypass (CPB): % of patients >24%

 

Over the past few years, we instituted a major quality initiative to lower the transfusion rate of red blood cells and blood products in order to reduce hospital expense and improve patient outcomes. A 39% decrease has been achieved.

Intraoperative Neuromonitoring Quality Program

The SpecialtyCare IONM Clinical Quality Indicator Program tracks key measures of neuromonitoring performance that are used to establish clinical standards and identify opportunities for improvement. These measures include clinical impact variables, such as the incidence of adverse intraoperative neuromonitoring changes, and operational process variables, such as the incidence of technical confounds during monitoring. As well as:

  • Incidence of adverse neuromonitoring changes
  • Resolution of adverse neuromonitoring changes
  • Documentation of postoperative neurologic status
  • Incidence of new onset postoperative deficits
  • Incidence of technical confounds
  • Incidence of anesthesia confounds

Sterile Processing

We offer comprehensive operational assessments to identify Sterile Processing Department (SPD) strengths and weaknesses that ultimately create a blueprint for improvement and optimization. We improve processes around:

  • Joint Commission and other accreditation readiness assessments
  • Sterile processing certification education program
  • Instrument set standardization and utilization
  • Instrument tracking system implementation
  • Case cart system implementation

 
As part of our assessment, we can help SPDs establish clinical quality measures focusing on five key indicators:

  • Case cart error frequency
  • Instrument set error frequency
  • Sterilization documentation error frequency
  • Immediate use steam sterilization frequency
  • First case surgery delay frequency

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Autotransfusion

The SpecialtyCare Autotransfusion (ATS) Dashboard is a web-based, interactive report that graphically summarizes clinical indicator results by month and indicates trends. This allows us to help customer hospitals and clinicians improve local processes by benchmarking to a national or best-performing standard. In addition to our regular monthly reports, we can also customize data analyses and post hoc investigations using our clinical quality database to produce reports for our hospital administrators and surgeons. We collect a comprehensive list of indicators including four key indicators:

  • Air removed from bag: frequency
  • Maximum vacuum: %≤150 mmHg
  • Microaggregate filter utilized: frequency
  • Blood returned to patient: frequency

 

These variables measure the quality and adequacy of the ATS procedure with the end goal of ensuring patient safety and improved outcomes. The safety measures include removing the air from the bag, maintaining the maximum vacuum below 150, and ensuring the use of the microaggregate filter. We also track how often patients have their own blood returned to them in order to increase patient safety, maximize operational efficiencies, and minimize wasteful spending.

Surgical Assist

To measure and demonstrate the effectiveness of our surgical assistants, we track efficiency- and quality-related variables. By analyzing these variables to find areas of improvement, we can implement changes to improve safety and patient outcomes. The variables we track include:

  • First-case start delay
  • Participation in surgical timeout
  • Incision time
  • Closure time
  • Time surgeon leaves operating room

Minimally Invasive Surgical Support

The SpecialtyCare Minimally Invasive Surgical Support (MISS) Dashboard is a web-based, interactive report that graphically summarizes clinical indicator results by month. We collect a comprehensive list of clinical quality measures including these key indicators:

  • Immediate use steam sterilization frequency
  • Equipment failure frequency

Listen to our Healthcare Innovation Podcast

Scrubbing In, powered by SpecialtyCare, is a medical podcast about innovation in the OR. In these discussions, we will be speaking to industry leaders in OR quality and those making a positive impact on health care, in the operating room, and in the perfusion industry. This medical podcast is designed to reach all of those within the medical field specifically those in the OR, including; surgeons, nurses, perfusionists, surgical assistants, hospital management, neurophysiologists, supply chain associates, medical researchers, and all those that assist in making surgery safe and successful.

LISTEN TO SCRUBBING IN HERE

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