American College Of Surgeons - Inspiring Quality: Highest Standards, Better Outcomes

NewsScope: March 15, 2019

State Legislatures Consider Bleeding Control Legislation 

The state legislatures are in full swing, and the American College of Surgeons (ACS) state chapters have begun working with elected officials to introduce legislation mandating the installation of bleeding control kits in public buildings. So far, at least eight states—California, Illinois, Indiana, Missouri, North Carolina, New York, Tennessee, and Texas—have introduced bills that would place bleeding control kits in public schools or other government facilities. In addition, Arkansas, Missouri, Massachusetts, and North Carolina have introduced bills that would require public schools to administer Stop the Bleed© training for students and staff, setting the stage for future legislation to provide funding for kits. Surgeons in these states are encouraged to participate in chapter grassroots activities to advance these bills.

For more information, contact the ACS State Affairs team at

2018 MIPS Data Submission Windows Closing Soon 

The data submission period for the Centers for Medicare & Medicaid Services (CMS) 2018 Quality Payment Program (QPP) performance data opened January 2, 2019, and will soon close. The data submission window for Merit-based Incentive Payment System (MIPS) data reported through the CMS Web Interface will close March 22, 2019, at 8:00 pm Eastern time. If you plan to report your MIPS performance data directly to CMS, the data submission window will close April 2, 2019, at 8:00 pm Eastern time. Surgeons who work with third-party vendors to report MIPS data should confirm vendor deadlines for MIPS data submission. 

More information about 2018 data submission can be found on the QPP website and American College of Surgeons (ACS) 2018 QPP Resource Center. All other questions can be directed to the ACS Quality Affairs team by e-mail at or by phone at 202-672-1517. 

ISQIC Research Suggests Hospital Safety Culture May Influence Surgical Outcomes

A positive hospital safety culture is associated with lower postoperative morbidity and death rates, according to researchers from the Illinois Surgical Quality Improvement Collaborative (ISQIC) Coordinating Center. Their research findings, published on the website of the Journal of the American College of Surgeons ahead of print, suggest that improving a hospital’s safety culture can strengthen surgical quality improvement efforts.

“This study adds to the growing body of evidence that institutional culture can impact patient care,” said lead study author David D. Odell, MD, MMSc, FACS. “While the importance of culture in settings like the operating room has been demonstrated previously, we believe the overall hospital culture can have an important influence on patient outcomes as well.”

The research team examined hospital safety culture by sending a modified Safety Attitudes Questionnaire to 49 hospitals that participate in ISQIC. The investigators found that positive hospital safety culture was associated with reduced rates of serious morbidity across a range of surgical procedures. The study is the first to examine the influence of safety culture across multiple surgical outcomes in a diverse patient population and is line with previous studies that have yielded similar findings in specific surgical disciplines, according to the study authors.

“Safety culture does not appear to be simply a function of the hospital structure, but rather is related to the relationships built within the institution across roles, and involves both administrators and providers,” the authors said. “Efforts to improve hospital safety culture may represent a previously unrecognized approach [that] can be leveraged to strengthen surgical quality improvement programs.”

ISQIC is a partnership of Illinois hospitals, the Illinois and Metropolitan Chicago Chapters of the American College of Surgeons (ACS), and the ACS National Surgical Quality Improvement Program.