• Dong H Kim, Miriam Morales, Rahil Tai, Georgene Hergenroeder, Chirag Shah, Joanna O'Leary, Nicole Harrison, Gabrielle Edquilang, Emily Paisley, Enedra Allen-McBride, Allison Murphy, Justin Smith, William Gormley, and Amanda Spielman.
• Department of Neurosurgery, The Uni-versity of Texas Medical School at Hous-ton, Houston, Texas.
• Neurosurgery. 2017 Apr 1; 80 (4S): S65-S74.

AbstractThe importance of outcome measures is steadily increasing due to the rise of "pay for performance" and the advent of population health. In 2007, a quality initiative was started due to poor performance on rankings such as the University Health Consortium (UHC) report card. Inherent to all such efforts are common challenges: how to engage the providers; how to gather and ensure the accuracy of the data; how to attribute results to individuals; how to ensure permanent improvements. After analysis, a strategy was developed that included an initial focus on 3 metrics (mortality, infection rates, and complications), leadership from practicing neurosurgeons, protocol development and adherence, and subspecialization. In addition, it was decided that the metrics would initially apply to attending physicians only, but that the entire team would need to be involved. Once the fundamental elements were established, the process could be extended to other measures and providers. To support this effort, special information system tools were developed and a support team formed. As the program matured, measured outcomes improved and more metrics were added (to a current total of 48). For example, UHC mortality ratios (observed over expected) decreased by 75%. Infection rates decreased 80%. The program now involves all trainee physicians, advanced practice providers, nurses, and other staff. This paper describes the design, implementation, and results of this effort, and provides a practical guide that may be useful to other groups undertaking similar initiatives.Copyright © 2017 by the Congress of Neurological Surgeons.

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