Complex Adult Surgery

Three decades of research have consistently demonstrated that patients that have their high-risk surgery at a facility and by a surgeon that have more experience with the procedure have better outcomes, including lower mortality rates, lower complication rates, and a shorter length of stay than for patients who have their surgery done at a facility or by a surgeon with less experience.

Based on the research by Dartmouth-Hitchcock Medical Center, Michigan Medicine, and Johns Hopkins Medicine, as well as guidance from Leapfrog’s national expert panel, Leapfrog has identified eleven high-risk procedures for which there is a strong volume-outcome relationship.

The procedures with their corresponding minimum hospital volumes and minimum surgeon volumes for privileging are shown in the table below.