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

The Coalition for Quality in Geriatric Surgery Project

What is the Coalition for Quality in Geriatric Surgery?

The Coalition for Quality in Geriatric Surgery, a project supported by the American College of Surgeons and the John A. Hartford Foundation, aims to systematically improve the surgical care of older adults by establishing a verifiable quality improvement program with standards based on best evidence focused on what matters most to the individual patient.

Why Now?

We believe there is a critical need for safe, high-quality, patient-centered surgical care for older adults.  Aging surgical patients have unique physiological needs, social needs and unique goals of care.  We formed the Coalition to help hospitals meet these rising needs by setting and verifying interdisciplinary standards and developing outcome measures that matter to older patients, families and caregivers. 

How Will We Improve Surgery for Older Adults?

In collaboration with our 50+ stakeholder organizations, we will set the standards, develop measures that matter, educate providers and patients, and create awareness about the surgical needs of older adults at all hospitals through the program.  The geriatric surgery program, set to launch in 2019, will use the four principles of continuous quality improvement: set standards, define the right infrastructure, collect rigorous data, and verify.  The program will not only improve perioperative care, but also the full cycle of care for older adults.

CQGS Blueprint

Geriatric Patient

Improving quality in geriatric surgery: A blueprint from the American College of Surgeons featured in the December 2016 issue of the Bulletin, details how the CQGS is developing a new model of surgical care for older adults.  

  Read the article

Preoperative Guidelines

Preoperative Geriatric Guidelines

The ACS NSQIP®/AGS Best Practice Guidelines: Optimal Preoperative Assessment of the Geriatric Surgical Patient focus on the optimal preoperative assessment of the geriatric surgical patient.


Perioperative Guideline

Perioperative Geriatric Guidelines

Optimal Perioperative Care of the Geriatric Patient, joint best practice recommendations from ACS NSQIP and American Geriatrics Society, address the unique level of perioperative care required for older adults facing surgery.

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CQGS on Doctor Radio

SiriusXM Doctor Radio Interview on Geriatric Surgery Guideline

Host Michael Perskin talks with Clifford Y. Ko and Ronnie Rosenthal about the growing number of older adults in the U.S. leading to an increase in operations for geriatric patients. The show features a discussion about the Coalition for Quality in Geriatric Surgery Project and the national perioperative guideline for geriatric surgical patients.

Dr. Berian on Loss of Independence

SiriusXM Doctor Interview

Host Dr. Michael Perskin talks with Julia Berian, MD, about loss of independence after surgery for older patients. Dr. Berian is the ACS Clinical Scholar in Residence and the ACS/John A. Hartford Foundation James C. Thompson Geriatric Surgery Clinical Scholar. This is an edited version of the interview that originally aired on SiriusXM Doctor Radio on July 25, 2016.