Background: Despite a large body of evidence describing care processes known to reduce the incidence of surgical site infections, many are underutilized in practice.
Methods: Fifty-six hospitals volunteered to redesign their systems as part of the National Surgical Infection Prevention Collaborative, a 1-year demonstration project sponsored by the Centers for Medicare & Medicaid Services. Each facility selected quality improvement objectives for a select group of surgical procedures and reported monthly clinical process measure data.