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Quality Improvement

Ontario Surgical Quality Improvement Network

Ontario Surgical Quality Improvement Network logo

Initiated by surgical leaders and driven by members, the Ontario Surgical Quality Improvement Network is a Community of Practice that brings together surgical teams from all specialties and hospital types from across the province to form a community dedicated to quality improvement in surgery for better patient outcomes. Using high-quality clinical data collected through the American College of Surgeons National Surgical Quality Improvement Program (ACS NSQIP), members of the Surgical Network identify opportunities to improve the quality of surgical care for their patients.

Connecting via educational webinars, meetings and the annual Ontario Surgical Quality Conference, members of the Surgical Network hope to accelerate improvements by sharing and learning how to use their ACS NSQIP data to drive quality improvement through this Community of Practice.

For information on joining the Community of Practice, please email

Community of Practice Login


Read the latest news from the Ontario Surgical Quality Improvement Network


Participating Hospitals (as of April 1, 2017)



Children’s Hospital of Eastern Ontario



Collingwood General and Marine Hospital


North Simcoe Muskoka

Grand River Hospital, Kitchener Waterloo Campus


Waterloo Wellington

Grey Bruce Health Services

Owen Sound

South West

Guelph General Hospital


Waterloo Wellington

Halton Healthcare, Oakville Trafalgar Memorial Hospital


Mississauga Halton

Hamilton Health Sciences, Hamilton General Hospital


Hamilton Niagara Haldimand Brant

Hamilton Health Sciences, Juravinski Hospital


Hamilton Niagara Haldimand Brant

The Hospital for Sick Children (Sick Kids)


Toronto Central

Health Sciences North, Ramsey Lake Health Centre


North East

Markham Stouffville Hospital Corporation, Markham Stouffville Hospital



McMaster Children’s Hospital (Hamilton Health Sciences)


Hamilton Niagara Haldimand Brant

London Health Sciences Centre, University Hospital


South West

Niagara Health System, St. Catharine’s Site

St. Catharine’s

Hamilton Niagara Haldimand Brant

North Bay Regional Health Centre

North Bay

North East

North York General Hospital

North York


Orillia Soldiers’ Memorial Hospital


North Simcoe Muskoka

The Ottawa Hospital



Peterborough Regional Health Centre


Central East

Queensway Carleton Hospital



Renfrew Victoria Hospital



Sioux Lookout Meno Ya Win Health Care

Sioux Lookout

North West

The Scarborough Hospital


Central East

Sunnybrook Health Sciences Centre


Toronto Central

St. Michael’s Hospital


Toronto Central

Thunder Bay Regional Health Sciences Centre

Thunder Bay

North West

University Health Network, Princess Margaret Hospital


Toronto Central

University Health Network, Toronto General Hospital


Toronto Central

University Health Network, Toronto Western Hospital


Toronto Central

William Osler Health Centre, Brampton Civic Hospital


Central West

William Osler Health Centre, Etobicoke General Hospital


Central West

The American College of Surgeons National Surgical Quality Improvement Program® (ACS NSQIP®) is a leading validated, risk-adjusted, outcomes-based program to measure and drive improvements in surgical care. For each year of participation in ACS NSQIP, a hospital has, on average, the opportunity to:

  • prevent 250–500 complications
  • save 12–36 lives
  • reduce health care costs by millions of dollars

Ontario hospitals that participate in ACS NSQIP through the Ontario Surgical Quality Improvement Network are part of the Ontario collaborative of ACS NSQIP called “NSQIP-ON.” Participating surgical teams have access to high-quality clinical data that can be accurately compared against data at the local, provincial, national and international levels. This allows providers to benchmark top performers, and can be used to identify areas for improvement and track progress.

ACS NSQIP data are:

  • Not administrative: data are taken from the patient’s medical chart, with identifying factors removed
  • Risk-adjusted:ACS NSQIP lets you compare apples to apples. For example, caring for a chronically ill 75-year-old is very different from treating a healthy 21-year-old, and quality measures should take these differences into account
  • Case mix–adjusted: ACS NSQIP accounts for the complexity of operations performed, allowing for more accurate benchmarking
  • Based on 30-day patient outcomes:Studies show half or more of all complications occur after the patient leaves the hospital, often leading to costly readmissions. ACS NSQIP tracks patients for 30 days after their operation, providing a more complete picture of their care

Improvement in surgical care has benefits for:

  • Patients, who experience fewer complications and better outcomes, shorter hospital stays and improved satisfaction

  • Surgeons and surgical teams, who receive robust reports that provide performance information to guide surgical care and identify areas for improvement

  • Hospitals, which sustain reduced disparities of care and improved patient outcomes and realize lower costs of care, through avoidance of complications

To learn more about ACS NSQIP visit

To learn more about the Ontario collaborative of ACS NSQIP (NSQIP-ON), please email

As one of the first steps in their quality improvement journeys, Ontario Surgical Quality Improvement Network members review their ACS NSQIP data to identify areas for improvement and strategize a plan to address those issues. Surgical Quality Improvement Plans (SQIPs) are a tool used to help teams leverage their data to create actionable ideas and goals.

Surgical Quality Improvement Plans were adapted from the provincially mandated Quality Improvement Plans (QIPs), and serve as blueprints for how a surgical team will strive to improve quality at their hospital. A SQIP is a programmatic QIP designed to help Ontario Surgical Quality Improvement Network members:

  • identify areas for improvement (using their ACS NSQIP data)

  • implement evidence-based quality improvement initiatives and change ideas

  • track data, process measures and outcomes to determine the effects of their quality improvement activities and change ideas

Submit your SQIP using the SQIP Navigator online tool.

Ontario Surgical Quality Improvement Network logo


Find out more about best practices in surgical care and resources available to inform your work in surgical quality improvement.

Learn more

Community of Practice

Access the Ontario Surgical Quality Improvement Network community. Learn, share and innovate with others committed to improving the quality of surgical care in Ontario.

If you have questions, please contact

Members of NSQIP-ON can login here.



This report captures highlights from Health Quality Ontario’s evaluation of the first 18 months of the program and the work accomplished by members of the Ontario Surgical Network during this time.

Read the Report
Clinician administers anesthesia to surgical patient

Ontario Surgical Quality Conference

An annual professional forum providing the opportunity to connect and learn with colleagues who share a commitment to surgical quality. Discover how collaborative teamwork, data and quality improvement can drive change.

Learn more
A woman at the conference

Report on Surgical Quality in Ontario

Quality Surgery: How an international quality improvement program is helping various hospitals in Ontario make surgeries safer.

Read the report
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Let’s make our health system healthier

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Patients, families and the public are central to improving health quality.

Claude Lurette and Kowsiya Vijayartnam, Health Quality Ontario Patient, Family and Caregiver Advisors Council Co-Chairs

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