30 June 2015
The College supports the release
of appropriate public reports that are valid, reliable and that
establish trust so that providers and their patients can be
confident that reports accurately reflect health care.
The College does not support the release of reports on
individual surgeon performance but does support the release of
reports on institutional performance.
The College does not support the concept of league tables but
does accept that outliers be reliably identified and managed.
The following are recommended basic tenets for public
methodology for collection of data should be publicly available and
include a detailed description of any data that are used to
estimate performance, the use of statistical risk adjustment
techniques, the selection of performance measures and how surgical
performance was categorized. It must be possible to audit the
should be independently deemed reliable and valid.
must be transparent about the observation period including the
differentiation between long-term follow-up and short-term
should be a statute of limitations within a public report. Outdated
reports must be removed from circulation.
should use proper risk adjustment, as determined by the appropriate
specialty society, to ensure ongoing accuracy for patients who are
at higher risk of complications and poor outcomes.
societies should have the opportunity to provide input regarding
institutional or team measures chosen for public
should be a standardized reporting format.
should be the opportunity for institutional or team review and
feedback before reports are released.
tests to determine usefulness and effectiveness of reports should
should be evaluated to ensure that the report fulfills its stated
purpose and to identify any unintended consequences.
reporting should not be used to establish the standard of care or
the duty of care of a healthcare provider.