Surgical Appropriateness

In addition to reporting on the surgical volume standard, hospitals are asked to report on their implementation of a hospital-wide policy which includes processes aimed at monitoring surgical necessity and preventing overuse of surgical procedures. The questions are designed to identify the steps hospitals have taken to establish and ensure adherence to their own surgical appropriateness criteria.

This section of the survey asks hospitals about their progress in developing surgical appropriateness criteria based on published guidelines and input from local surgeons, supporting and monitoring adherence to those criteria, as well as communicating with surgeons, hospital leaders, and board members about adherence to the criteria.

This subsection on surgical appropriateness will be publicly reported, but not scored against a standard in 2018.

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