JOINT BASE SAN ANTONIO-FORT SAM HOUSTON, Texas –
Brooke Army Medical Center was recognized by the American College of Surgeons National Surgical Quality Improvement Program for achieving meritorious outcomes for surgical patient care in 2021, ranking the hospital among the top 10 percent of participating hospitals for surgical care.
Out of the 607 ACS NSQIP-eligible hospitals, BAMC was one of 40 hospitals recognized on both the “All Cases" and “High Risk" lists and is one of three military treatment facilities that received the Meritorious Hospital recognition.
“This is BAMC's fourth year in a row for this recognition, demonstrating once again that BAMC is among the top tier of surgical hospitals in the United States,” said U.S. Army Brig. Gen. Deydre Teyhen, BAMC commanding general. “BAMC is committed to providing our patients the best quality surgical care and these results exemplify that commitment.”
As a participant in ACS NSQIP, BAMC is required to track the outcomes of inpatient and outpatient surgical procedures and collect data that directs patient safety and the quality of surgical care improvements.
Each composite score was determined through a different weighted formula combining eight outcomes. The outcome performances related to patient management were in the following clinical areas: mortality, unplanned intubation, prolonged ventilator use, renal failure, cardiac incidents including cardiac arrest and myocardial infarction; respiratory illness such as pneumonia; surgical site infections-superficial and deep incisional and organ-space; or urinary tract infection.
As a Level I Trauma Center, “BAMC provides more complex care to the nation than any other military treatment facility and the recognition of excellence for ‘High-Risk’ category is a testament to the unique expertise and skill of our entire staff,” said U.S. Army Col. Wylan Peterson, deputy commander for surgical services.
Although only performance in calendar year 2021 was evaluated for the 2022 meritorious lists, a hospital must have submitted at least one case in each of the calendar years of 2019, 2020, and 2021 to be eligible for consideration on either list. Of the 685 NSQIP hospitals participating in 2021, 607 met the three-year criteria to be eligible for meritorious consideration.
ACS NSQIP is the only nationally validated quality improvement program that measures and enhances the care of surgical patients. This program measures the actual surgical results 30 days postoperatively as well as risk adjusts patient characteristics to compensate for differences among patient populations and acuity levels.
The goal of ACS NSQIP is to reduce surgical morbidity, which is infection or illness related to a surgical procedure, and surgical mortality, which is death related to a surgical procedure, and to provide a firm foundation for surgeons to apply what is known as the “best scientific evidence” to the practice of surgery.
“We are very proud of this extraordinary accomplishment,” Teyhen said. “It is a demonstration of the ongoing commitment our entire staff has to provide safe, quality care for our patients.”
Peterson agreed. “It takes a combined effort of everyone from the front desk staff, housekeeping, nutrition, technicians, nursing, rehabilitation specialists and our outstanding physicians and surgeons to achieve meritorious outcomes in our patient care. I am grateful that their efforts are highlighted by this award,” he said.