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. 2014 Apr 19;23(7):589–599. doi: 10.1136/bmjqs-2013-002223

Table 4.

Published examples of changes in complications and costs following participation in ACS NSQIP

Hospital Complication reduction Savings
Surrey Memorial Hospital32 Reduced SSI over four years: from 13%, to 10%, to 7.5%, to 7.2% US$2.54 million in savings
Henry Ford Hospital36 Reduced LOS by 1.54 days over 4 years for general surgery, vascular and colorectal procedures US$2 million in annual savings (increased billing by US$2.25 million/year as underbillings were identified)
VA8 Surgical pneumonia alone US$9.3 million in savings annually
University of Michigan Medical Center5 Respiratory complication US$51 409 per event; a reduction of two such complications per year pays for participation
Hershey Medical Center, Penn State33 Additional cost attributable to a postoperative complication is US$16 371 Avoiding one postoperative complication equals a cost saving of US$9052

ACS NSQIP, American College of Surgeons National Surgical Quality Improvement Project; LOS, length of stay; VA, Veterans Affairs.