An important aspect of CERTAIN activities in spine care involves a performance surveillance, benchmarking, and quality improvement platform for spine surgical procedures. Leaders from the CERTAIN Spine Care Forum developed a registry through the Surgical Care and Outcomes Assessment Program (Spine SCOAP), a program of the Foundation for Healthcare Quality. Spine SCOAP is based on the premise that providing clinicians and systems with meaningful information about procedure performance motivates practice change.
Piloted in 2011 at 9 Washington State hospitals, Spine SCOAP is currently in full operation at 19 hospitals collecting data on 75% of eligible spine procedures in the State. Spine SCOAP offers several unique features to the community that make it a key component of the Spine Care Forum’s work, including the incorporation of long-term clinical outcomes and patient-reported outcomes information many years after an initial procedure. It also serves as a roving spotlight on variability, easily shifting to focus on new areas of clinical practice or focus on different domains of variability as needed (e.g., safety, quality, appropriateness).