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About Us

Complications Related to Surgery

What are we tracking and why?

To further enhance the surgical care for our patients, we track all complications that result from surgery. These complications can range from infections to heart attacks. The risk of a complication occurring is affected by the type of operation being performed and the patient’s health condition before surgery.

How are we doing?

Time Period Performance Rating
1/1/16 thru 121/31/6 Exemplary
7/1/15 thru 6/30/16 Exemplary
1/1/15 thru 12/31/15 As Expected


How do you read the results?

Annual performance ratings are calculated twice a year by the National Surgical Quality Improvement Program (NSQIP), comparing our performance to more than 600 civilian and military hospitals across the country.

Performance ratings do not predict your particular risk for a complication related to surgery. They do, however, demonstrate how a hospital is performing as a whole. Each hospital is assigned one of three possible performance ratings:

  • “Exemplary” means the hospital had rates among the best 10% of hospitals.

  • “As Expected” means the hospital had rates similar to most other hospitals.

  • “Needs Improvement” means the hospital had complication rates higher than most other hospitals.

Ratings are risk adjusted, meaning they take into account any differences among hospitals in the difficulty of surgeries and how sick their patients were at the time of surgery.


What are we doing to improve?

We always look for ways to improve surgical outcomes for our patients. This includes constant review of our performance, implementing best practices like early recovery pathways, and undertaking quality improvement projects. We have a Surgical Quality Program that sustains multiple results-oriented committees with subject matter experts dedicated to improving our performance and ensuring that we are providing the best care possible for our patients.

What can you do?

  • Ask your surgical team about complication risks that may be unique to you.

  • Talk to your surgical team about what you can do to reduce your risk for surgical complications.

  • Make sure you understand and follow any pre-surgery instructions given by your surgical team.

  • After surgery, actively participate in your recovery plan. Follow the care instructions provided by your healthcare team and provide feedback whenever necessary.

  • Attend all follow up appointments, even when you feel everything is going well. It is important for your healthcare team to evaluate your progress and have an opportunity to notice any concerns as soon as possible.

Don't forget to keep your family's information up-to-date in DEERS.