Vascular medicine and its intervention is an excellent arena for performance benchmarking, because patients with vascular disease are often physiologically frail and medically complex. Half of patients with vascular disease have diabetes mellitus, and over three-quarters have coronary disease. This patient population demands high performing systems that to date have had very little in the way of performance monitoring and significant variation in how procedures are done, why they are done, and who does them.
Vascular Interventional SCOAP (VI-SCOAP) is a performance surveillance, benchmarking, and quality improvement platform for vascular surgical procedures. A program of the Foundation for Healthcare Quality, VI-SCOAP is based on the premise that providing clinicians and systems with meaningful information about procedure performance motivates practice change. VI-SCOAP brings together vascular surgeons, interventional radiologists, and cardiologists to collaborate on data collection, reporting, and quality improvement for 3 common vascular procedures – Abdominal Aortic Aneurism, Carotid Endarterectomy, and Infrainguinal Revascularization. Developed in 2010, VI-SCOAP is currently deployed at 11 hospitals collecting in-hospital and post-discharge data on 70% of eligible vascular procedures in the State.