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

Hartford CompendiumStrategies to Enhance Survival in Active Shooter and Intentional Mass Casualty Events: A Compendium

The compendium was developed in response to a Presidential Policy Directive aimed at strengthening the security and resilience of the U.S. at a time when active shooter and mass casualty incidents are occurring all too frequently. The compendium contains Hartford Consensus reports that have been published previously in the Bulletin and the Journal of the American College of Surgeons. These reports represent the deliberations of the Joint Committee to Create a National Policy to Enhance Survivability from Intentional Mass Casualty and Active Shooter Events.

The committee hopes the compendium will assist in achieving the Presidential Policy Directive and that the lifesaving techniques described in the articles will help to ensure that when bystanders see something where lives are at stake, they can do something to improve survivability.

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Surgeons and Medical LiabilitySurgeons and Medical Liability: A Guide to Understanding Medical Liability Reform

Medical liability in the U.S. is criticized as being costly, inefficient, and inconsistent. This broken system is failing both doctors and patients alike. For more than 40 years, numerous reform efforts have failed to pass legislation that contains costs, stabilizes liability insurance premiums, and meaningfully promotes patient safety. As a result, a number of alternative reform propositions, very different from traditional tort reform, are currently being considered for health system implementation in state and federal legislation. The ACS has developed this primer to inform ACS Fellows about the history of medical liability as well as alternative, innovative reform approaches to the status quo of tort law in the U.S.

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Surgeons as Advocates coverSurgeons as Advocates: A SurgeonsVoice Handbook for Advocacy

For hundreds of years, citizens of the U.S. have exercised their right to petition their government, serving as advocates for many issues, causes, and ideals. In an ever-changing health care system, it is vital for surgeons to be engaged in policymaking, rulemaking, and lawmaking. The ACS Division of Advocacy and Health Policy staff has developed this primer to help you become a successful surgeon advocate with helpful tips for building relationships, tracking legislation, communicating more effectively, getting your ACS Chapter involved, and more.

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Bundled Payments coverSurgeons and Bundled Payment Models: A Primer for Understanding Alternative Physician Payment Approaches

The ACS General Surgery Coding and Reimbursement Committee (GSCRC) developed this primer to inform you, our ACS Fellows, about the concept of bundled payment and the effect bundled payment policies could have on surgical practices. In this primer, we introduce the concept of a surgical bundled payment, describe existing bundled payment programs, discuss the GSCRC Surgical Bundled Care Project, and present concepts to consider in deciding whether to participate in a bundled payment model. Knowledge of these programs and their implications will be critical to the successful implementation of bundled payment as an alternative payment model for surgical procedures.

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Employed Surgeon coverSurgeons as Institutional Employees: A Strategic Look at the Dimensions of Surgeons as Employees of Hospitals

In the 1990s, with the move toward managed care and health maintenance organizations, hospitals began to purchase physician practices, especially primary care practices, in large numbers. However, these ventures, in general, were not successful.  Recently, there has been a renewed movement toward employment of physicians by hospitals, especially specialty physicians. We developed this primer to provide you with valuable information that we hope you will find useful when considering institutional or hospital-based employment.

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Our Changing Health Care System coverOur Changing Health Care System Since the Inception of the Affordable Care Act

At the ACS, we feel it is our responsibility to ensure that surgeons fully understand the breadth of the legislative and regulatory health care landscape very seriously. Our Changing Health Care System Since the Inception of the Affordable Care Act represents a compendium of articles from the ACS Bulletin along with two surgical practice primers, which provide a retrospective and, to some extent, a prospective look at the changing health care landscape.

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