Element	Survey Code Requirement
1. Patient and Family Education and Engagement	24(Always)
2. Patient Advocate Liaison (PAL)	14a(Y) + 14aa(Both)
3. Provider Education	14a(Y)
4. Optimize medical comorbidities	25(Always) + 34b(Y)
5. Avoid prolonged fasting	28(Y) + 28a(Always)
6. Administer non-opioid analgesia	29(Always)
7. Venous thromboembolism prophylaxis	31(Always)
8. Pre-incision antibiotic prophylaxis	33a(Always) + 33b(Y) + 33f(Y)
9. Standardized anesthetic protocol	14b(Y) + 34(Y) + 34c(Y) + 34f(81-100%)
10. Surgical procedure (i.e. minimally invasive techniques)	13(81-100%)
11. Prevention of nausea/vomiting	38(Y)
12. Avoiding nasogastric tubes	36(0-20%)
13. Standardized hypothermia prevention	34a(Y)
14. No intraperitoneal/perianastomotic drains	35(0-20%)
15. Goal directed/near-zero fluid therapy	34f(81-100%)
16. Avoiding or early removal of urinary drains	41(81-100%)
17. Prevention of ileus through gut stimulation	43(Any box checked)
18. Opioid sparing pain regimen	30(y) + 42(81-100%)
19. Early oral nutrition	37(Always)
20. Early mobilization	39(81-100%)
21. Audit protocol compliance/outcomes	14c(Y) + 18a(Y) + 23(Y)