The Surgical Care and Outcomes Assessment Program (SCOAP) is a collaborative of health-care professionals using performance data, interventions, and checklists to improve quality and reduce health-care costs. A 2007 LSDF grant to the University of Washington, led by David Flum in collaboration with the Foundation for Health Care Quality, significantly expanded SCOAP’s reach and impact. SCOAP is currently used by 57 hospitals (85% of Washington's surgical care). Calculated savings through 2008 from reduced complications and more efficient care exceed $50 million. The actual figure is likely higher, although difficult to derive. LSDF made a supplemental grant award in 2010 to expand and refine the analysis of health-care cost savings.
The supplemental award will allow:
- Addition of data for 2009 and 2010, when many more hospitals were participating, using three surgical procedures as examples.
- A comparison of costs before and after hospital participation in SCOAP, to isolate the cost savings due to SCOAP. A representative sample of 10-15 hospitals will be used.
- Collection and analysis of “payer” and pharmacy data. Payers include all commercial health-care insurers in Washington and Washington state’s Medicare. Creating these data linkages will permit analysis of actual payments for procedures, rather than using an extrapolation of unnecessary costs presumed not to have been incurred because of SCOAP participation.
The key objective is highly accurate data demonstrating the resource use and cost savings due to SCOAP. Among other uses, these data will support further expansion of SCOAP and promote participation by hospitals and payers.