Skip to main content
Key Specialties
Cardiology Diabetology Endocrinology Gastroenterology Geriatrics and Gerontology Gynecology and Obstetrics Hematology Infectious Disease Internal Medicine Nephrology Neurology Oncology Pediatrics Respiratory Medicine Rheumatology Surgery
Congress Coverage
2024 ACC Congress 2023 ESMO Congress 2023 EASD Congress 2023 ERS Congress 2023 ESC Congress
Clinical Collections
Advances in Alzheimer’s

At a glance: The STEP trials

A round-up of the STEP phase 3 clinical trials evaluating semaglutide for weight loss in people with overweight or obesity.
ADVANCED SEARCH
Log in
Top
Hernia
Published in: Hernia 2/2016

01-04-2016 | Original Article

Design and implementation of the Americas Hernia Society Quality Collaborative (AHSQC): improving value in hernia care

Authors: B. K. Poulose, S. Roll, J. W. Murphy, B. D. Matthews, B. Todd Heniford, G. Voeller, W. W. Hope, M. I. Goldblatt, G. L. Adrales, M. J. Rosen

Published in: Hernia | Issue 2/2016

Login to get access

Abstract

Purpose

Wide variation in care and costs exists regarding the management of abdominal wall hernias, with unproven benefit for many therapies. This work establishes a specialty society-based solution to improve the quality and value of care delivered to hernia patients during routine clinical management on a national scale.

Methods

The Americas Hernia Society Quality Task Force was charged by the Americas Hernia Society leadership to develop an initiative that utilizes the concepts of continuous quality improvement (CQI). A disease-based registry was created to collect information for CQI incorporating real-time outcome reporting, patient reported outcomes, stakeholder engagement, and collaborative learning methods to form a comprehensive quality improvement effort.

Results

The Americas Hernia Society Quality Collaborative (AHSQC) was formed with the mission to provide health care professionals real-time information for maximizing value in hernia care. The initial disease areas selected for CQI were incisional and parastomal hernias with ten priorities encompassing the spectrum of care. A prospective registry was created with real-time analytic feedback to surgeons. A data assurance process was implemented to ensure maximal data quality and completeness. Four collaborative meetings per year were established to meet the goals of the AHSQC. As of the fourth quarter 2014, the AHSQC includes nearly 2377 patients at 38 institutions with 82 participating surgeons.

Conclusions

The AHSQC has been established as a quality improvement initiative utilizing concepts of CQI. This ongoing effort will continually refine its scope and goals based on stakeholder input to improve care delivered to hernia patients.
Appendix
Available only for authorised users
Literature
1.
Poulose BK, Shelton J, Phillips S, Moore D, Nealon W, Penson D, Beck W, Holzman MD (2012) Epidemiology and cost of ventral hernia repair: making the case for hernia research. Hernia 16:179–183CrossRefPubMed
2.
Poulose BK, Beck WC, Phillips SE, Sharp KW, Nealon WH, Holzman MD (2013) The chosen few: disproportionate resource use in ventral hernia repair. Am Surg 79:815–818PubMed
3.
Hofer MD, Meeks JJ, Cashy J, Kundu S, Zhao LC (2013) Impact of increasing prevalence of minimally invasive prostatectomy on open prostatectomy observed in the national inpatient sample and national surgical quality improvement program. J Endourol 27:102–107CrossRefPubMed
4.
Birkmeyer JD, Finks JF, O’Reilly A, Oerline M, Carlin AM, Nunn AR, Dimick J, Banerjee M, Birkmeyer NJ, Michigan Bariatric Surgery, C (2013) Surgical skill and complication rates after bariatric surgery. N Engl J Medicine 369:1434–1442CrossRef
5.
Jeffs L, Law MP, Straus S, Cardoso R, Lyons RF, Bell C (2013) Defining quality outcomes for complex-care patients transitioning across the continuum using a structured panel process. BMJ Quality Safety 22:1014–1024CrossRefPubMedPubMedCentral
6.
Hickam D, Totten A, Berg A, Rader K, Goodman S, Newhouse, R. (2013) The PCORI Methodology Report. (PCORI Methodology Committee)
7.
O’Neill SM, Hempel S, Lim YW, Danz MS, Foy R, Suttorp MJ, Shekelle PG, Rubenstein LV (2011) Identifying continuous quality improvement publications: what makes an improvement intervention ‘CQI’? BMJ Qual Safety 20:1011–1019CrossRef
8.
Muysoms FE, Miserez M, Berrevoet F, Campanelli G, Champault GG, Chelala E, Dietz UA, Eker HH, El Nakadi I, Hauters P et al (2009) Classification of primary and incisional abdominal wall hernias. Hernia 13:407–414CrossRefPubMedPubMedCentral
9.
American College of Surgeons (2012) National surgical quality improvement project operations manual: ACS NSQIP variables and definitions 7/1/2012, Chap 4, vol 2012
10.
Kanters AE, Krpata DM, Blatnik JA, Novitsky YM, Rosen MJ (2012) Modified hernia grading scale to stratify surgical site occurrence after open ventral hernia repairs. J Am Coll Surg 215:787–793CrossRefPubMed
11.
Revicki DA, Chen WH, Harnam N, Cook KF, Amtmann D, Callahan LF, Jensen MP, Keefe FJ (2009) Development and psychometric analysis of the PROMIS pain behavior item bank. Pain 146:158–169CrossRefPubMedPubMedCentral
12.
Muysoms FE, Deerenberg EB, Peeters E, Agresta F, Berrevoet F, Campanelli G, Ceelen W, Champault GG, Corcione F, Cuccurullo D et al (2013) Recommendations for reporting outcome results in abdominal wall repair: results of a Consensus meeting in Palermo, Italy, 28–30 June 2012. Hernia 17:423–433CrossRefPubMed
13.
Baucom RB, Ousley J, Feurer ID, Beveridge GB, Pierce RA, Holzman MD, Sharp KW, Poulose BK (2015) Patient reported outcomes after incisional hernia repair—establishing the ventral hernia recurrence inventory. Am J Surg (in press)
14.
Krpata DM, Schmotzer BJ, Flocke S, Jin J, Blatnik JA, Ermlich B, Novitsky YW, Rosen MJ (2012) Design and initial implementation of HerQLes: a hernia-related quality-of-life survey to assess abdominal wall function. J Am Coll Surg 215:635–642CrossRefPubMed
15.
Garner JS (1986) CDC guideline for prevention of surgical wound infections, 1985. Supersedes guideline for prevention of surgical wound infections published in 1982. (Originally published in November 1985) Revised. Infection Control 7:193–200PubMed
16.
Wick EC, Shore AD, Hirose K, Ibrahim AM, Gearhart SL, Efron J, Weiner JP, Makary MA (2011) Readmission rates and cost following colorectal surgery. Dis Colon Rectum 54:1475–1479CrossRefPubMed
17.
Schweizer M, Cullen J, Eli P, Mary V-S (2014) Costs associated with surgical site infections in veterans affairs hospitals. JAMA Surgery 149:575–581CrossRefPubMed
18.
Greenberg C, Ghousseini H, Pavuluri-Quamme S, Beasley H, Wiegmann D (2015) Surgical coaching for individual performance improvement. Ann Surg 261:32–34CrossRefPubMed
19.
Carolinas Equation for Quality of Life (CeQOL). Volume 2015
20.
Frobert O, Lagerqvist B, Olivecrona GK, Omerovic E, Gudnason T, Maeng M, Aasa M, Angeras O, Calais F, Danielewicz M et al (2013) Thrombus aspiration during ST-segment elevation myocardial infarction. N Engl J Med 369:1587–1597CrossRefPubMed
21.
Hess CN, Rao SV, Kong DF, Aberle LH, Anstrom KJ, Gibson CM, Gilchrist IC, Jacobs AK, Jolly SS, Mehran R et al (2013) Embedding a randomized clinical trial into an ongoing registry infrastructure: unique opportunities for efficiency in design of the Study of Access site For Enhancement of Percutaneous Coronary Intervention for Women (SAFE-PCI for Women). Am Heart J 166:421–428CrossRefPubMedPubMedCentral
22.
Carroll JD, Shuren J, Jensen TS, Hernandez J, Holmes D, Marinac-Dabic D, Edwards FH, Zuckerman BD, Wood LL, Kuntz RE et al (2015) Transcatheter valve therapy registry is a model for medical device innovation and surveillance. Health Aff 34:328–334CrossRef
23.
Muysoms F, Campanelli G, Champault GG, DeBeaux AC, Dietz UA, Jeekel J, Klinge U, Kockerling F, Mandala V, Montgomery A et al (2012) EuraHS: the development of an international online platform for registration and outcome measurement of ventral abdominal wall hernia repair. Hernia 16:239–250CrossRefPubMedPubMedCentral
Metadata
Title
Design and implementation of the Americas Hernia Society Quality Collaborative (AHSQC): improving value in hernia care
Authors
B. K. Poulose
S. Roll
J. W. Murphy
B. D. Matthews
B. Todd Heniford
G. Voeller
W. W. Hope
M. I. Goldblatt
G. L. Adrales
M. J. Rosen
Publication date
01-04-2016
Publisher
Springer Paris
Published in
Hernia / Issue 2/2016
Print ISSN: 1265-4906
Electronic ISSN: 1248-9204
DOI
https://doi.org/10.1007/s10029-016-1477-7

Other articles of this Issue 2/2016

Hernia 2/2016 Go to the issue

Comment

The best of two worlds: a new innovative laparoscopic Rives-Stoppa technique for ventral/incisional hernias—“the Brazilian technique”

Original Article

Planned ventral hernia following damage control laparotomy in trauma: an added year of recovery but equal long-term outcome

Comment

Comment to “One-stop endoscopic hernia surgery: efficient and satisfactory” Voorbrood et al. Hernia 19:395-400

Original Article

Patient profiles and outcomes following repair of irreducible and reducible Ventral Wall Hernias

Original Article

Retrospective observational study on the incidence of incisional hernias after reversal of a temporary diverting ileostomy following rectal carcinoma resection with follow-up CT scans

Comment

Comment to: A purse-string suture at the level of internal inguinal ring, taking only the peritoneum leaving the distal sac: is it enough for inguinal hernia in pediatric patients? Lee DY, Baik YH, Kwak BS, Oh MG, Choi WY. Hernia 2015;19:607–610