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.

Pilot Report Published

Standards for quality surgical care for older adults have been finalized by the Coalition for Quality in Geriatrics Surgery. These feasibility survey results are published in the May issue of Journal of the American Geriatrics Society.

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Preliminary Hospital Standards

Hospital-level surgical care standards for older adults has been released and published on the Annals of Surgery website in advance of print publication from the Coalition of Quality in Geriatric Surgery with support from the John A. Hartford Foundation.

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CQGS Blueprint

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.  

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Preoperative 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

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

New Geriatric Surgery Guideline

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.