The Future. Through the Eyes of a Surgeon
Dear Wisconsin Surgical Members:
We had another great conference at the American Club last November with a record number of attendees. A highlight of the conference was a Town Hall Meeting with Senator Ron Johnson. It is important for all of us to communicate with our elected officials regarding our areas of interest and concern. The Wisconsin Surgical Society is proud of our education and advocacy efforts. A big thank you goes to the program committee for their hard work and planning. If you were there, then thank you for attending. For those of you that could not make it, please make plans to join us next year on November 2 – 3, 2018 in Kohler.
Just a quick reminder – we are once again a sponsor for Dr. Day on January 30, 2018 at the State Capitol. Please join us as we share our legislative concerns on a local level. As a member of WSS, we will pay for your attendance! Please register online and note your affiliation with WSS. This was a great event last year and we already have a number of members participating this year. Then, plan on joining us at Rare on the Square for a dinner to recap the days events and to plan for next year.
The number of dues paying members in Society has steadily been declining. If you haven’t done so already, please visit the Wisconsin Surgical Society website at http://www.wisurgicalsociety.com where the easy online payment option is available. We will also be conducting a membership campaign to attract new members to the Society. If you have practice partners, or local colleagues that are not yet members, please extend an invitation to them to join. You can also find the application for membership on the website. You can download the dues renewal form and the application form here.
Thank you for your continued support of the Wisconsin Surgical Society. Please feel to email me at firstname.lastname@example.org with any concerns or new ideas for the Society.
David Schultz, MD, FACS
President, Wisconsin Surgical Society
ACS celebrates 100 years
FEBRUARY 2018 BOARD OF REGENTS TOP 10 LIST
1. ACS Statement on Medical Student Use of the Electronic Health Record
Along with organizations from a variety of disciplines, the American College of Surgeons supports the following regarding medical student participation in the EHR:
- Unrestricted access to the EHR
- Document in the EHR with appropriate supervision
- With appropriate supervision and counter-signature, should be allowed to enter orders
- Medical schools should develop curricula to address the education of medical students about EHR
- EHR software developers must consider the education of students
- Support the Alliance for Clinical Education’s call for LCME to ensure compliance by schools
2. Proposed Statement on Volume Performance (Summary)
- Depends on the training, experience and skills of the surgeon, resources, and the ability to measure surgical outcomes.
- Standard objective criteria should be used in considering surgeons for appointment to a medical staff appointment including training, board certification, op logs, NPDB adverse events, malpractice history, peer references.
- Considerable variation exists with respect to privileging practices, ranging from very broad criteria, e.g.; “general surgery”, to very detailed lists, e.g.; and the institution’s surgical leadership should take the initiative in developing these criteria.
- Operative and patient management experience, especially in “complex” procedures varies widely among surgical training programs. Initial evaluation should include operative logs, and some institutions may require fellowship for “complex” procedures. Periodic re-credentialing and re-privileging is customary to ensure that surgeons continue to qualify for privileges they hold.
- For some “complex” procedures, published evidence suggests that a high case volume is associated with improved surgical outcomes. However, these outcomes may reflect not only the knowledge, experience and skill of the individual surgeons, but also the aggregate ability of the institution and hospital staff to provide high quality care for specific groups of patients.
- Numeric criterion for privileges in specific procedures, likely cannot be determined. Quality measurement systems, at the surgeon specific level remain under-developed, especially for uncommon complex procedures
- New procedures and technologies will also require privileging.
- The surgical credentials committee should have a document that outlines its governance, role, and responsibilities, including an organizational chart and composition. Essential core functions include oversight of credentialing, privileging, and FPPE’s and OPPE’s.
3. Board of Governors Report
2017-2018 Governor Demographics
- 289 Governors
- 203 Governors-At-Large (i.e., Chapters)
- 86 Specialty Society Governors (includes military)
- 242 Male
- 47 Female
- 164 in First Term
- 125 in Second Term
- 45 Countries Represented
- 13 Specialties Represented
- 66% General Surgery
- 14 < 45 years of age
2018 Leadership & Advocacy Summit
- May 19-22, 2018
- Renaissance Downtown Hotel Washington, DC
- All workgroups (except International Chapters) will meet along with the five Pillars
- Holding orientation and networking event for new Governors
4. ACS Quality and Safety Conference
- The ACS Quality and Safety Conference (QSC), formerly known as the ACS NSQIP Annual Conference, was expanded in 2017 to offer sessions for participants from multiple ACS quality programs including ACS NSQIP Adult and Pediatric, Children’s Surgery Verification, and the Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program (MBSAQIP). The 2018 ACS QSC will be held July 21-24 in Orlando, Florida. The conference will further expand to include two additional ACS quality program tracks: Cancer and Trauma.
5. Optimal Resources for Surgical Quality and Safety
- The College officially released the Optimal Resources for Surgical Quality and Safety in July 2017 during the ACS Quality and Safety Conference.
- Exploratory work is well underway to develop adjunctive and integrated resources/standards within the manual to ultimately launch a Surgical Quality Verification Program.
6. Division of Research and Optimal Patient Care
7. Cancer Accreditation Program
- 1,500 CoC-accredited programs and
- close to 600 breast centers accredited by the NAPBC.
- 460 cancer programs accreditation surveys are due for survey in 2017.
- Beginning January 1, 2016, all CoC-accredited cancer programs are required to participate in the Rapid Quality Reporting System (RQRS).
- National Accreditation Program for Rectal Cancer (NAPRC) is launching in 2018 with surveyor training confirmed for early February and first surveys scheduled to take place in late March and April 2018.
8. Committee on Trauma
- As of January 16, 2018, there are a total of 506 hospitals participating in ACS Verification.
- Adult ACS Verified Centers: total of 405
- 126 Level I
- 180 Level II
- 99 Level III
- Pediatric ACS Verified Centers: Total of 58
- 53 Stand-alone Pediatric Level I
- 5 Stand-alone Pediatric Level II
- Adult ACS Verified Centers: total of 405
- Combined Adult & Pediatric Centers: total of 43 combined facilities
- 30 Adult Level I with Pediatric Level II
- 13 Adult Level II with Pediatric Level II
9. Gun Violence Report of Working Group
The group developed action steps to bring to the Board of Regents for consideration:
- ACS should do a broad survey of membership on firearms and firearm injury prevention
- ACS should work to develop many collaborations in this area.
- Broad prevention strategy efforts by the Committee on Trauma need to move to the implementation stage.
- ACS should develop a plan and structure for how ACS can do research in this area. This may eventually include having an ACS Fellow(s) working on this topic.
- ACS should strongly support federal funding of research
- Repeal dickey amendment
- ACS should promote responsible gun ownership and teach conflict resolution
- ACS should work in collaboration with the mental health community in support of increased funding for mental health programs.
- ACS should work to enhance background checks including closing the gun show loophole.
- ACS should enhance the workgroup by bringing firearm-owning Fellows into the group to help enhance the discussions on a number of issues including specific gun issues.
- ACS should continue to strong support the development of trauma systems across the country.
10. MOC Update: FROM ABMS
- ABMS Planning Committee of the Continuing Board Certification: Vision for the Future initiative (Vision Initiative) announced today the members who will comprise the Vision Initiative Commission (Commission). The newly selected Commission members will be responsible for assessing the status of continuing board certification and making recommendations to help enable the current process to become a system that demonstrates the profession’s commitment to professional self-regulation, offers a consistent and clear understanding of what continuing certification means, and establishes a meaningful, relevant and valuable program that meets the highest standard of quality patient care.