May 19, 2026

ACS releases ‘first-ever’ risk-adjusted report for emergency general surgery benchmarking

By: Joe Paone
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The American College of Surgeons (ACS) has announced that the new clinical outcomes report from its National Surgical Quality Improvement Program (NSQIP) now provides hospitals risk-adjusted, benchmarked data for emergency general surgery for the first time, in the interest of advancing “data-driven quality improvement in one of the most complex and time-sensitive areas of patient care.”

“By providing clinically relevant data, the report allows hospitals to more accurately evaluate their performance in emergency general surgery, both internally and against peer institutions, while accounting for differences in patient risk profiles and case complexity,” explained Mike Wandling, MD, MS, FACS, chair of the ACS Emergency General Surgery Data Committee and chief of trauma at The University of Texas - Houston. “Such data will enable hospitals to benchmark performance, optimize care pathways, and foster a multidisciplinary approach to quality improvement.”

ACS states that the April 2026 report includes data on more than 32,000 emergency general surgery cases from July 1, 2024, to June 30, 2025, at 86 participating hospitals. New risk-adjusted models have been introduced for “select outcome measures across high-volume emergency general surgery diagnoses, for both operative and non-operative cases.” ACS states that the inclusion of non-operative cases in the risk-adjusted reports “provides a more complete and accurate representation of the emergency general surgery patient population, enabling hospitals to better identify care gaps, evaluate outcomes beyond the operating room, and target quality improvement efforts where they are often most needed.”

The new risk-adjusted methods in the report “account for patients’ illness severity and complexity, as well as hospital volumes, to provide more reliable comparisons of hospital quality and performance,” states ACS.

The report is available to hospitals participating in the NSQIP Emergency General Surgery (EGS) module. Participation in the module is available at no additional cost to current NSQIP participants or as a standalone registry for hospitals participating in ACS’s EGS Verification Program, a joint initiative between ACS and the American Association for the Surgery of Trauma. Participating sites can view their institution-specific reports directly through the NSQIP resource portal.

If your facility would like to participate, email egs@facs.org. For more information about the EGS Verification Program, click here.

 

 

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