SSR Practice Improvement Initiative 2024 – Quality Case Data Review and Reflection

The American College of Surgeons Surgeon Specific Registry Practice Improvement Initiative (SSR PII) - Quality Case Data Review and Reflection (QCDRR) assists all surgeons with their continuous case data collection and data review, including outcomes data, by identifying trends, gaps, and performance improvement opportunities. To get started, “Enroll” and “Register now” for the PII BASICS educational webinar. You will learn how to best collect, review, and compare your individual case data to aggregated data real-time (Benchmarking Report) with the purpose of enhancing the quality of surgical care. Interactive sessions (Peer Engagement Online meetings) allow you to deepen your learning in a small peer surgeon group setting. As these sessions will become available throughout the year they will be announced via email and on this website. Additionally, the SSR PII offers you an opportunity to obtain Continuing Medical Education (CME) credit at the conclusion of the 11-month cycle in December 2024 (from January 31, 2024 through December 31, 2024). This activity (SSR PII) was developed by surgeons for surgeons. 

Target Audience

The SSR Practice Improvement Initiative 2024 – Quality Case Data Review and Reflection (Part 1) course is intended for surgeons enrolled in the American College of Surgeons SSR.

Course Objectives

Upon completion of the course, you should be able to:

  • Collect clinically relevant data in the SSR including outcomes
  • Access the SSR reports and evaluate your SSR quality data
  • Describe your data findings and registry data experience
  • Use the SSR as a Practice Improvement Tool
  • Analyze data identifying trends, gaps, improvement opportunities
  • Share your results with a surgeon peer group

Required Hardware/Software

Compatible Browsers 

  • Windows: Microsoft Edge (latest version), Google Chrome (latest version), Firefox (latest version) 
  • Mac: Safari (latest version), Google Chrome (latest version), Firefox (latest version) 

Required Browser Settings 

  • Javascript: JavaScript must be enabled for published courses to work. 
  • Font Downloads: Font downloads must be enabled to see the correct fonts and characters

Additional Software 

  • Adobe Acrobat Reader 
  • Microsoft Office® Excel and Word 


Course summary
Course opens: 
Course expires: 

Disclosure Information 

In compliance with the ACCME Accreditation Criteria, the American College of Surgeons must ensure that anyone in a position to control the content of the educational activity has disclosed all relevant financial relationships with any commercial interest. All reported conflicts are managed by a designated official to ensure a bias-free presentation. 

Ineligible Company

Defined by the ACCME as any entity producing, marketing, re-selling, or distributing health care goods or services used on or consumed by patients. Providers of clinical services directly to patients are NOT included in this definition.

Financial Relationships 

Relationships in which the individual benefits by receiving a salary, royalty, intellectual property rights, consulting fee, honoraria, ownership interest (e.g., stocks, stock options or other ownership interest, excluding diversified mutual funds), or other financial benefit. Financial benefits are usually associated with roles such as employment, management position, independent contractor (including contracted research), consulting, speaking and teaching, membership on advisory committees or review panels, board membership, and other activities from which remuneration is received, or expected. ACCME considers relationships of the person involved in the CME activity to include financial relationships of a spouse or partner.

Conflict of Interest 

Circumstances create a conflict of interest when an individual has an opportunity to affect CME content about products or services of a commercial interest with which he/she has a financial relationship.

The ACCME also requires that ACS manage any reported conflict and eliminate the potential for bias during the educational activity. Any conflicts noted below have been managed to our satisfaction. The disclosure information is intended to identify any commercial relationships and allow learners to form their own judgments. However, if you perceive a bias during the educational activity, please report it on the evaluation.

Planning Committee and Disclosures  

The SSR PII Planning Committee is comprised of SSR Surgeons and ACS Staff.


Ross F. Goldberg, MD, FACS — Johnson & Johnson, Consultant Fee, Consultant (in 2022)  

Jackson Memorial Hospital, Miami, FL  


Jerry M. Hardacre, MD, FACS — Nothing to disclose Ascension All Saints Hospital, Racine, WI  


Winnie W. Henderson, MD, PhD, FACS — Nothing to disclose  

Oregon Surgical Wellness LLC, Springfield, OR  


Jan C. Kletter, MD, FACS — Nothing to disclose WVUMedicine, Ranson, WV  


Lydell C. Lettsome, MD, FACS — Clinical Diversity Solutions, Equity (Private), Owner  

Bayhealth Hospital, Dover, DE  


Raj A. Mittal, MD, FACS — Nothing to disclose Torrance Memorial Medical Center, Torrance, CA  


Deepak G. Nair, MD, FACS, MS, MHA, RVT — Nothing to disclose Sarasota Vascular Specialists, Sarasota, FL  


Neil Patel, MD, FACS – Nothing to disclose  

CHI Health Creighton University Medical Center Bergan Mercy, Omaha, NE  


Ana Paula C. Refinetti, MD, FACS — Nothing to disclose  

The University of Texas MD Anderson Cancer Center, Houston, TX  


John Stowers, DO, FACOS, FACS — Nothing to disclose   

Department of Veterans Affairs Medical Center, Portland Division, Portland, OR  


Ulrike Langenscheidt, MS — Nothing to disclose American College of Surgeons  

Tyler Shippen, BA — Nothing to disclose American College of Surgeons  


Erica McNamara, MPH, CPHQ — Nothing to disclose   

American College of Surgeons  


Karen Pollitt, CPHQ — Nothing to disclose   

American College of Surgeons  


Sarah Valek, RN, MSN, MBA — Nothing to disclose   

American College of Surgeons  


Charlotte Provagna, MHSA — Nothing to disclose   

American College of Surgeons  


Emma Molloy — Nothing to disclose   

American College of Surgeons 

Continuing Medical Education Credit Information


The American College of Surgeons is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

AMA PRA Category 1 Credits™

The American College of Surgeons designates this Other activity (semi-annual report review and reflection) for a maximum of 28.50 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Of the AMA PRA Category 1 Credits™ listed above, a maximum of 10.00 credits meet the requirements for Self-Assessment.

American College of Surgeons and ACGME Logos


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