ASCRS Ch71 - Quality

Chapter 71 of the ASCRS Textbook of Colon and Rectal Surgery, 4th edition (Wick EC, Etzioni DA), book pages 1161-1169 (PDF pages 1144-1152, offset +17). Part of the "Part VI: Miscellaneous" grouping, immediately following ASCRS Ch70 - Welcome to Litigation — the fourth consecutive non-clinical/practice-focused chapter in this sequential ingest, though this one ties more directly into existing clinical content (NAPRC, NSQIP) than the three preceding it.

Structure

• Introduction: What Is Quality? — the National Academy of Medicine's definition and the six Crossing the Quality Chasm domains.
• Measuring Quality — the Donabedian structure/process/outcomes framework, with dedicated subsections on Outcomes, Process (the SCIP case study), and Structure.
• Quality Measurement: Making the Right Choices — process vs. outcome measures, registry vs. administrative data (incl. ACS-NSQIP), evaluative vs. transactional data, composite vs. single outcomes (the CLABSI/PSI-90 worked examples), unadjusted vs. risk-adjusted outcomes.
• Final Words on Quality Measurement.
• Quality Improvement — Organizational Culture and Quality and Safety, Alternative Payment Models (the BCPI bundled-payment case study), National Accreditation Program for Rectal Cancer (NAPRC), National Surgical Quality Improvement Program (NSQIP, in more historical/structural depth than the earlier registry-vs-administrative-data mention).
• Conclusion.
• References (35 citations).

Wiki disposition

Written to a new standalone concept page, Surgical Quality Measurement & Improvement. Unlike the three preceding non-clinical chapters (Ch68-70), this one extends existing clinical content rather than standing entirely apart: Total Mesorectal Excision (TME) & Sphincter-Sparing Resection already briefly mentioned NAPRC's MRI-staging and tumor-board requirements (now extended with the full 22-standard accreditation structure), and General Postoperative Complications and several other pages already cite ACS-NSQIP data extensively as a source (now cross-linked to this page's coverage of NSQIP's own history/structure as a registry).

Offset verification

Chapter opens on book page 1161 (PDF page 1144), copyright line confirms "© Springer Nature Switzerland AG 2022 1161" — offset +17, unchanged from Ch. 70 (Ch. 70 ended on an even book page, 1160, so no jump was expected or found). Chapter ends on book page 1169 (odd page); the offset jumps +1 to +18 at the Ch. 71/Ch. 72 boundary via the standard mechanism (chapter ends on an odd page, forcing a dropped blank verso) — Ch. 72 ("Practice Management," Rea JD, Cohen JL) confirmed starting at book page 1171 (PDF page 1153), copyright line confirms "© Springer Nature Switzerland AG 2022 1171" (1171 - 1153 = 18).