– PERFORMANCE MEASURES –
Surgical Care Improvement Project (SCIP)

Initiated in 2003 by the Centers for Medicare & Medicaid Services (CMS) and the Centers for Disease Control and Prevention (CDC), the SCIP partnership is coordinated through a Steering Committee of 10 national organizations (CDC, CMS, ACS, AHRQ, AHA, ASA, AORN, VA, IHI and JCAHO). Nearly 30 additional organizations contributed expertise to technical expert panels that developed the initial SCIP measurement set of 5 outcome measures and 16 process measures.

SCIP was introduced to hospital executives at the AHA Health Forum in July 2005, and hospital recruitment is carried forward and expanded by CMS Quality Improvement Organizations (QIOs).

The SCIP website provides information on the historical and methodologic transitions from the SIP program to the SCIP program.

The list of 2006 measures are available [PDF] and are reproduced in the table below. The original Surgical Infection Prevention (SIP) measures are maintained in the SCIP Infection measures.

SCIP Process and Outcome Measures
– effective October 14, 2005 [PDF] –

Name / Abbreviation		Description of Measure
SCIP INFECTION MEASURES
1.	SCIP INF1	Prophylactic antibiotic received within one hour prior to surgical incision
2.	SCIP INF2	Prophylactic antibiotic selection for surgical patients
3.	SCIP INF3	Prophylactic antibiotics discontinued within 24 hours after surgery end time (48 hours for cardiac patients)
4.	SCIP INF4	Cardiac surgery patients with controlled 6 a.m. postoperative serum glucose
5.	SCIP INF5	Postoperative wound infection diagnosed during index hospitalization (OUTCOME)
6.	SCIP INF6	Surgery patients with appropriate hair removal
7.	SCIP INF7	Colorectal surgery patients with immediate postoperative normothermia
SCIP CARDIAC MEASURES
8.	SCIP CARD1	Non-cardiac vascular surgery patients with evidence of coronary artery disease who received beta-blockers during the perioperative period
9.	SCIP CARD2	Surgery patients on a beta-blocker prior to arrival that received a beta-blocker during the perioperative period
10.	SCIP CARD3	Intra- or postoperative acute myocardial infarction (AMI) diagnosed during index hospitalization and within 30 days of surgery (OUTCOME)
SCIP VENOUS THROMBOEMBOLISM (VTE) MEASURES
11.	SCIP VTE1	Surgery patients with recommended venous thromboembolism prophylaxis ordered
12.	SCIP VTE2	Surgery patients who received appropriate venous thromboembolism prophylaxis within 24 hours prior to surgery to 24 hours after surgery
13.	SCIP VTE3	Intra- or postoperative pulmonary embolism (PE) diagnosed during index hospitalization and within 30 days of surgery (OUTCOME)
14.	SCIP VTE4	Intra- or postoperative deep vein thrombosis (DVT) diagnosed during index hospitalization and within 30 days of surgery (OUTCOME)
SCIP RESPIRATORY MEASURES
15.	SCIP RESP1	Number of days ventilated surgery patients had documentation of the Head of the Bed (HOB) being elevated from recovery end date (day zero) through postoperative day seven
16.	SCIP RESP2	Patients diagnosed with postoperative ventilator-associated pneumonia (VAP) during index hospitalization (OUTCOME)
17.	SCIP RESP3	Number of days ventilated surgery patients had documentation of stress ulcer disease (SUD) prophylaxis from recovery end date (day zero) through postoperative day seven.
18.	SCIP RESP4	Surgery patients whose medical record contained an order for a ventilator weaning program (protocol or clinical pathway)
SCIP GLOBAL MEASURES
19.	SCIP GLOBAL1	Mortality within 30 days of surgery
20.	SCIP GLOBAL2	Readmission within 30 days of surgery
SCIP VASCULAR SURGERY MEASURES
21.	SCIP VASC1	Proportion of permanent hospital ESRD vascular access procedures that are autogenous AV fistulas