Our Approach

The Problem

SSI cycle

Surgical site infection (SSI) is a major healthcare burden. The consequences are both morbid and costly, with pain, advanced wound care treatments, lengthened hospital stay, and increased risk of re-admission, re-operation, and even death. On a per-case basis, SSI costs an average of $20,842 to treat, and increases hospital stay by 9.7 days.8 Annually, over 900,000 additional days of hospital care are expended treating SSI, limiting providers’ capacity to admit and treat new patients and generate revenue. These forces create a strong incentive for providers and payers to reduce infection rates. These incentives are further intensified by the structural changes in healthcare associated with the Affordable Care Act (ACA), mandating public reporting of infection rates and implementing reimbursement penalties for providers with high infection rates.

While 2-5% of patients undergoing inpatient surgery will develop SSI, Prescient Surgical is initially focused on high-risk abdominal GI surgeries such as colorectal surgery, where 18-26% of patients will develop SSI.

Sources

1Scott, R. Douglas. The Direct Medical Costs of Healthcare-Associated Infections in U.S. Hospitals and the Benefits of Prevention. March 2009. http://www.cdc.gov/ncidod/dhqp/pdf/Scott_CostPaper.pdf.

2Wick EC, Hirose K, Shore AD, Clark JM, Gearhart SL, Efron J, Makary MA. Surgical site infections and cost in obese patients undergoing colorectal surgery. Arch Surg. 2011 Sep;146(9):1068-72.

3Mahmoud NN, Turpin RS, Yang G, Saunders WB. Impact of surgical site infections on length of stay and costs in selected colorectal procedures. Surg Infect (Larchmt). 2009 Dec;10(6):539-44.

4Anderson DJ, et al. Strategies to Prevent Surgical Site Infections in Acute Care Hospitals. Infect Control Hosp Epidemiol 2008;29:S51-S61 for individual references.

5Wick EC, Shore AD, Hirose K, Ibrahim AM, Gearhart SL, Efron J, Weiner JP, Makary MA. Readmission rates and cost following colorectal surgery. Dis Colon Rectum. 2011 Dec;54(12):1475-9.

6Smith RL, Bohl JK, McElearney ST, et al. Wound infection after elective colorectal resection. Ann Surg 2004;239:599–605.

7Kirkland KB, Brigss JP, Trivette SL, Wilkinson WE, Sexton DJ. The Impact of Surgical-Site Infections in the 1990s: Attributable Mortality, Excess Length of Hospitalization, and Extra Costs. Infect Control Hosp Epidemiol 1999; 20:725-730.

8de Lissovy G., Fraeman, SM, Hutchins V., Murphy D., Song D., Vaughm BB. Surgical site infection: Incidence and impact on hospital utilization and treatment costs. Am J Infect Control. 2009 Jun;37(5):387-97.