Abstract
As variations in surgical quality are increasingly observed, payers are escalating efforts to reduce them.1-3 The Centers for Medicare and Medicaid Services (CMS), the largest public payer, now mandates public reporting of 2 sets of the Surgical Care Improvement Project (SCIP) measures covering infection and venous thromboembolism. Hospitals are required to submit data quarterly, which are posted on the Hospital Compare Web site (http://www.hospitalcompare.hhs.gov/), to receive annual Medicare payment updates.4 This reporting is believed to aid patients and payers in choosing high-quality hospitals and to stimulate quality improvement among reporting hospitals.5-7

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