These programs are designed to ensure the public trust in quality and safety in surgery. The quality verification programs consists of creating disease based standards, building the infrastructure to deliver these services in a hospital, creating databases to measure performance against these standards for quality improvement, and external peer-reviewed verification of these programs to create a public trust that performance of what is assessed exists. There are currently 15 programs that include cancer, breast disease, colorectal cancer, trauma, bariatrics, childrens surgery, preoperative assessment and strengthening, perioperative continuity of care, practices to improve outcomes of geriatric patients, thoracic surgery, vascular surgery, high-risk GI surgery, emergency surgery, rural surgery, and the overall quality verification program (RED Book). Each of these programs follows the standard model of creating standards based on evidence for expert consensus, building out the infrastructure, and data measurement systems which are assessed through a verification proces.
More recently the THRIVE program has been added to these quality programs. THRIVE attempts to drive value by calculating the quality of care using process measures, outcome measures and patient reported outcomes, divided by cost determined by the methodology of time derived activity based costing (TDABC). This program will be useful in assuring patients and surgeons that the costs of actual care are real and benchmarked and transparency with expected clinical outcomes will be publically available.