Back to Top Skip to main content Skip to sub-navigation

Top military hospitals to set bar for surgical care in MHS

Surgical care within the Military Health System helps build and maintain a ready medical force. Results from the adult ACS National Surgical Quality Improvement Program assist the MHS in creating policy and verifying surgical skills throughout the enterprise's military hospitals. (U.S. Navy photo by Mass Communication Specialist 1st Class Mike DiMestico/Released) Surgical care within the Military Health System helps build and maintain a ready medical force. Results from the adult ACS National Surgical Quality Improvement Program assist the MHS in creating policy and verifying surgical skills throughout the enterprise's military hospitals. (U.S. Navy photo by Mass Communication Specialist 1st Class Mike DiMestico/Released)

Recommended Content:

MHS Transformation

Readiness in the Military Health System calls for advanced knowledge and skills. Results released Nov. 6, 2019 by the American College of Surgeons recognized 88 U.S. hospitals for "meritorious" surgical patient outcomes. Seven of those 88 hospitals were military, up from four military hospitals the previous year.

Over 700 hospitals were part of the ACS National Surgical Quality Improvement Program, or NSQIP, for 2018. All 46 military hospitals in the continental U.S. that engage in inpatient surgery were a part of that number.

“We always have to keep improving when it comes to patient safety and quality,” said Guy Kiyokawa, deputy director of the Defense Health Agency, when asked why the agency takes part in NSQIP.

NSQIP is a program that measures and improves the quality of surgical care in hospitals while reducing complications and costs.

Hospitals that took part had their surgical programs studied by the ACS. The program also guides surgeons to apply the “best scientific evidence” to surgery. NSQIP measures actual surgical results 30 days after a procedure.

Results were mostly positive for the MHS, but some hospitals did better than others. The April 2019 NSQIP Collaborative Report showed that most military hospitals in the program performed between the 70th and 30th percentiles in the nation, with lower numbers being better scores. This places most MHS hospitals in “neutral, well-performing” territory.

“We have a lot of great performers, but we have those that we can improve upon,” Kiyokawa said. “Even though generally we're doing well, one of the other focuses that we're looking at is how do we reduce the variation.”

This year, 88 hospitals reached meritorious distinction based on strong scores. Risk-adjusted data from the July 2019 ACS NSQIP Semiannual Report was used to show which hospitals had the best outcomes. Hospitals in the survey were recognized for “high-risk” cases, as well as “all cases.”

One of the hospitals honored for both high-risk cases and all cases was the Walter Reed National Military Medical Center in Bethesda, Maryland. WRNMMC has been taking part in NSQIP since 2014. Results from the survey help set policy and care improvements at the hospital.

“It’s a reflection of a lot of pieces that go into providing care,” said Air Force Col. Peter Learn, deputy director of Surgery for Quality at WRNMMC. “We have well-trained personnel who are committed to delivering the best care we can to our service members and their families. It’s always nice to have that external validation.”

WRNMMC uses NSQIP to measure overall surgical care. It’s also used as one of many tools to gauge the effects of policy and practice changes. One NSQIP result that Learn looks at is the surgical site infection rate, which is steadily going down. WRNMMC passed an internal push in 2017 with guidance from the Institute for Healthcare Improvement to prevent surgical site infection. The NSQIP results confirm a decrease in this number.

“To me, this shows our improvements that have come through efforts to improve care,” Learn said. “That’s always reassuring – to see that all the effort is paying off.”

The MHS is looking at these high-performing hospitals to make improvements for those doing less well on the survey.

“We have a lot of great organizations out there,” Kiyokawa said. “The next step is discovering how to mine some of those best practices and use them across the enterprise.”

Military hospitals recognized on the “all cases” meritorious list include:

Military hospitals recognized on the “high-risk” meritorious list include:

  • Brooke Army Medical Center
  • Dwight David Eisenhower Army Medical Center
  • 81st Medical Group (Keesler)
  • Naval Medical Center San Diego
  • Walter Reed National Military Medical Center

You also may be interested in...

DHA, HA leaders discuss MHS Transformation at AHA panel

Article
5/6/2021
Military personnel talking at a podium

Army Lt. Gen. (Dr.) Ronald Place and Dr. Terry Adirim discussed MHS Transformation, MHS GENESIS, and highlighted the DHA’s response to COVID-19 in a virtual roundtable hosted April 12 by the American Hospital Association.

Recommended Content:

MHS GENESIS | MHS Transformation | Genesis of MHS GENESIS | Coronavirus

Wave CARSON+ deploys new EHR to 25 more MTF commands

Article
4/30/2021
Military health personnel wearing face mask looking at  a computer

MHS GENESIS, the DOD’s new electronic health record launched at Wave CARSON + over the weekend.

Recommended Content:

MHS GENESIS | MHS Transformation

DHA stands up new market in Tidewater region of Virginia

Article
4/29/2021
Military health personnel wearing masks holding up a flag

Tidewater Market is on the leading edge of the Military Health System’s historic change, following its certification by the Defense Health Agency on April 19, 2021.

Recommended Content:

MHS Transformation

Tidewater set to become fifth Military Health System market

Article
4/19/2021
Military health personnel reading a medical machine

The Tidewater Military Health System market in southeast Virginia is scheduled to officially stand up April 19.

Recommended Content:

COVID-19 Toolkit | Coronavirus | MHS Transformation

Tele-critical care will play increased COVID-19 response role in 2021

Article
4/15/2021
Infographic that says "202 tele-critical care successes will help 2021 COVID19 response"

Virtual health and particularly tele-critical care for critically ill patients assumed frontline roles in sustaining care while keeping beneficiaries and health care teams safe.

Recommended Content:

COVID-19 Toolkit | Coronavirus | MHS Transformation

DHA preparing to complete treatment facility transition by Fall 2021

Article
3/31/2021
Military medical personnel giving a vaccine shot to a soldier

The Military Health System’s military medical treatment facilities transition in “deep throes” of completion by Sept. 30, Defense Health Agency’s Dr. Brian Lein tells AMSUS.

Recommended Content:

MHS Transformation

Migration of MTF websites to TRICARE.mil complete

Article
2/12/2021
Three military personnel, wearing masks, sitting at a desk and typing on laptops

The goal is providing facility personnel and MTF recipients with a comprehensive source of information in an easily accessible, centralized location.

Recommended Content:

MHS Transformation

MHS Transformation results continue during COVID-19

Article
1/21/2021
Military personnel in a supply room, reaching for the top shelf

The MTF transition has enabled the DHA and the Services to increase standardization, eliminate duplicative contracts, and realize cost efficiencies by beginning the management of an enterprise-wide program.

Recommended Content:

Coronavirus | MHS Transformation

MTF facilities, markets set to resume transition heading into 2021

Article
1/6/2021
A military nurse, wearing a mask, prepares a needle for a vaccination

Butler says transition on track.

Recommended Content:

MHS Transformation | Coronavirus

Deputy defense secretary stresses team approach in battling COVID

Article
12/10/2020
Soldier wearing mask, standing at computer monitors in an office building

The Military Health System has played an important role implementing the National Defense Strategy, Norquist said.

Recommended Content:

MHS Transformation | Coronavirus | COVID-19 Vaccine Efforts | Health Readiness | COVID-19 Vaccine Toolkit

MHS leaders discuss future of military medicine during AMSUS panel

Article
12/9/2020
Military personnel, wearing masks, standing in a line in front of flags

For Dingle, readiness is the key issue during the transition.

Recommended Content:

Coronavirus | Convalescent Plasma Collection Program | MHS Transformation

Pandemic underscores MHS’ need for reform, McCaffery tells AMSUS

Article
12/8/2020
Army soldier gets nose swab

Before the COVID-19 pandemic, the MHS had embarked on reforms and initiatives to improve its medical support to the armed services.

Recommended Content:

MHS Transformation | Coronavirus | COVID-19 Vaccine Efforts | Vaccine Trials | Getting the COVID-19 Vaccine | COVID-19 Vaccine Toolkit

DHA Director outlines how MHS standardization bolsters reform

Article
10/15/2020
Two soldiers in masks, talking

How COVID-19 repositioned the best laid plans of the DoD.

Recommended Content:

Coronavirus | Joint Health Information Exchange | MHS GENESIS | MHS Transformation | MHS GENESIS

Defense Health Agency celebrates seven years of service

Article
10/1/2020
Lt. Gen. Ronald Place holding a wreath at Arlington National Cemetery

Seven ways DHA has improved military readiness over the years.

Recommended Content:

Defense Health Agency | Coronavirus | MHS Transformation | Technology | Global Health Engagement | TRICARE Health Program | Total Force Fitness

DHA Launches New Air Force Military Hospital and Clinic Websites

Article
9/1/2020
Two hands holding a tablet, which displays a new TRICARE MTF website, against a background of a wooden table.

The website enhancement is part of the transition of administrative oversight of MTFs to the DHA under the 2017 NDAA.

Recommended Content:

MHS Transformation
<< < 1 2 3 4 5  ... > >> 
Showing results 1 - 15 Page 1 of 11

DHA Address: 7700 Arlington Boulevard | Suite 5101 | Falls Church, VA | 22042-5101

Some documents are presented in Portable Document Format (PDF). A PDF reader is required for viewing. Download a PDF Reader or learn more about PDFs.