MAY 2015 | VOLUME 100 NUMBER 5 | AMERICAN COLLEGE OF SURGEONS Bulletin Going green in the OR Contents FEATURES COVER STORY: Strategies for sustainability: Going green in the OR 10 Tony Peregrin PreOp program: Can we achieve a “trickle-up” effect? 18 Rachael A. Venn, Stefanie P. Lazow, and Gregory F. Dakin, MD, FACS Surgeons develop visionary plan to bring corneal transplants to developing countries 22 Stephen G. Waller, MD; Maria S. Altieri, MD; and Rahul M. Jindal, MD, PhD, MBA, FACS American College of Surgeons Foundation Annual Report 2014 29 | 1 A PUBLICATION OF THE AMERICAN COLLEGE OF SURGEONS PROFESSIONAL ASSOCIATION (ACSPA) Influencing THE ACS Health Policy in Washington ADVOCATE and the States Each month, rely on the ACS advocacy e-newsletter: To keep you informed To learn the College’s position on pertinent issues To see how your involvement can make a difference. Downloadable from most digital communications devices Visit www.facs.org/publications/newsletters/acs-advocate Advocacy Summit • AMA House of Delegates/Surgical Caucus • Cancer • Chapter Advocacy • Training • Coding • Electronic Health Records • e-Prescribing • Grassroots Efforts • Health Information Technology • Legislative Action Center • Legislative Advocacy • Liability • Lobby Day Grant Program • Medicaid • Medicare • Medicare Physician Payment • Pediatric Issues • Physician Quality Reporting • Political Action Committee (SurgeonsPAC) • Quality and Patient Safety • Relative Value Update Committee (RUC) • Socioeconomics • Surgery State Legislative Action Center (SSLAC) • Surgical Quality Alliance • Trauma and EMS • Workforce ACS Advocate Half Page for Bulletin_2_6_15.indd 1 2/6/2015 11:47:38 AM MAY 2015 BULLETIN American College of Surgeons Contents continued STATEMENTS From the Archives: ACS Archives Disciplinary actions taken 67 houses practice records of Franklin Report on ACSPA/ACS activities, Statement in support of H. Martin 59 February 2015 68 motorcycle helmet laws 51 Adam J. Carey, MA, and Fabrizio Michelassi, MD, FACS Statement on physician tiering Dolores Barber and narrow network programs 52 Correction 73 A look at The Joint Commission: 75 cancer care facilities receive Monitoring OR fires to improve COLUMNS ACS CoC Outstanding Achievement patient safety 61 Award 74 Looking forward 7 NTDB data points: What’s cookin’? ACS in the news 75 David B. Hoyt, MD, FACS Who’s lookin’? 62 ACS Surgical History Group From residency to retirement: Richard J. Fantus, MD, FACS, and accepting poster abstracts One surgeon’s principles 54 Edmundo A. Rivera, MD until May 29 78 Henry Buchwald, MD, PhD, FACS, FRCSEng(Hon) NEWS SCHOLARSHIPS ACS Clinical Research Program: ACS NSQIP hospitals significantly 2014 IGS reports on experience Limited resection as a cure for early improve outcomes over time 64 from the perspective of a lung cancer: Time to challenge the MHSSPACS Leadership Group woman surgeon 80 2 | gold standard? 57 holds inaugural meeting in Maria Eliza M. Raymundo, MD, Nasser Altorki, MD, FACS; Chicago, IL 65 DMCC, FPUA, FPCS Leslie J. Kohman, MD, FACS; Dr. Michelassi honored with Linda J. Veit, MPH; Y. Nancy National Physician of the Year MEETINGS CALENDAR You, MD, MHSc, FACS; and Award 66 Judy C. Boughey, MD, FACS Calendar of events 84 Connect with the College. Twitter.com/AmCollSurgeons Facebook.com/AmCollSurgeons YouTube.com/AmCollegeofSurgeons Twitter.com/ACSTrauma Facebook.com/ACSTrauma Facebook.com/RASACS Social Media Questions? For more information or if you have comments about the American College of Surgeons’ social media sites, send an e-mail to [email protected]. V100 No 5 BULLETIN American College of Surgeons The American College of Surgeons is dedicated CLINICAL CONGRESS to improving the care of the surgical patient and to safeguarding standards of care in an 2015 optimal and ethical practice environment. OCTOBER 4–8 EDITOR-IN-CHIEF Letters to the Editor McCORMICK PLACE | CHICAGO, IL Diane Schneidman should be sent with the writer’s DIRECTOR, DIVISION OF name, address, INTEGRATED COMMUNICATIONS e-mail address, and Lynn Kahn daytime telephone SENIOR EDITOR number via e-mail to Tony Peregrin dschneidman@facs. org, or via mail to EDITORIAL & PRODUCTION ASSISTANT Diane S. Schneidman, Matthew Fox Editor-in-Chief, Bulletin, American CONTRIBUTING EDITOR College of Surgeons, Jeannie Glickson 633 N. Saint Clair St., SENIOR GRAPHIC DESIGNER/ Chicago, IL 60611. PRODUCTION MANAGER Letters may be edited Tina Woelke for length or clarity. Permission to publish EDITORIAL ADVISORS letters is assumed Charles D. Mabry, MD, FACS unless the author Leigh A. Neumayer, MD, FACS indicates otherwise. Marshall Z. Schwartz, MD, FACS Mark C. Weissler, MD, FACS FRONT COVER DESIGN Tina Woelke Bulletin of the American College of Surgeons (ISSN 0002-8045) is published monthly by the American College of Surgeons, 633 N. Saint Clair St., Chicago, IL 60611. It is distributed without charge to Fellows, Associate Fellows, Resident and Medical Student Members, Affiliate Members, and to medical libraries and allied health personnel. Periodicals postage paid at Chicago, IL, and additional mailing offices. POSTMASTER: Send address changes to Bulletin of the American College of Surgeons, 3251 Riverport Lane, Maryland Heights, MO 63043. Canadian Publications Mail Agreement No. 40035010. Canada returns to: Station A, PO Box 54, Windsor, ON N9A 6J5. The American College of Surgeons’ headquarters is located at 633 N. Saint Clair St., Chicago, IL 60611-3211; tel. 312-202-5000; toll-free: 800- 621-4111; e-mail: [email protected]; website: www.facs.org. Washington, Achieving Your Personal Best: DC, Office is located at 20 F Street N.W. Suite 1000, Washington, DC. 20001-6701; tel. 202-337-2701; website: www.tmiva.net/20fstreetcc/home. Improvement Based on Evidence Unless specifically stated otherwise, the opinions expressed and statements made in this publication reflect the authors’ personal observations and do not imply endorsement by nor official policy of the American College of Surgeons. ©2015 by the American College of Surgeons, all rights reserved. Contents may not be reproduced, stored in a retrieval system, or transmitted in any form by any means without prior written permission of the publisher. Library of Congress number 45-49454. Printed in the USA. Publications Agreement No. 1564382. Officers and Staff of the American College of Surgeons Gerald M. Fried, MD, AMERICAN COLLEGE OF FACS, FRCSC Advisory Council SURGEONS FOUNDATION Officers Montreal, QC Martin H. Wojcik Executive Director Andrew L. Warshaw, MD, FACS James W. Gigantelli, MD, FACS to the Board Boston, MA Omaha, NE of Regents ALLIANCE/AMERICAN PRESIDENT COLLEGE OF SURGEONS Carlos A. Pellegrini, MD, FACS B. J. Hancock, MD, FACS, FRCSC (Past-Presidents) CLINICAL RESEARCH Seattle, WA Winnipeg, MB PROGRAM IMMEDIATE PAST-PRESIDENT Enrique Hernandez, MD, FACS Kathryn D. Anderson, MD, FACS Kelly Hunt, MD, FACS Chair Jay L. Grosfeld, MD, FACS Philadelphia, PA Eastvale, CA Indianapolis, IN Lenworth M. Jacobs, Jr., MD, FACS W. Gerald Austen, MD, FACS CONVENTION AND MEETINGS FIRST VICE-PRESIDENT Hartford, CT Boston, MA Felix Niespodziewanski Kenneth L. Mattox, MD, FACS L. Scott Levin, MD, FACS L. D. Britt, MD, MPH, Director Houston, TX Philadelphia, PA FACS, FCCM DIVISION OF EDUCATION SECOND VICE-PRESIDENT Norfolk, VA *Mark A. Malangoni, MD, FACS Ajit K. Sachdeva, MD, Edward E. Cornwell III, Philadelphia, PA John L. Cameron, MD, FACS FACS, FRCSC MD, FACS, FCCM Baltimore, MD Director *Raymond F. Morgan, MD, FACS Washington, DC EXECUTIVE SERVICES SECRETARY Charlottesville, VA Edward M. Copeland III, MD, FACS Gainesville, FL Jane J. Lee-Kwon, MPS William G. Cioffi, Jr., MD, FACS Leigh A. Neumayer, MD, FACS Director, Executive Services Providence, RI Tucson, AZ A. Brent Eastman, MD, FACS Rancho Santa Fe, CA Maxine Rogers TREASURER Marshall Z. Schwartz, MD, FACS Director, Leadership Operations David B. Hoyt, MD, FACS Philadelphia, PA Gerald B. Healy, MD, FACS Wellesley, MA FINANCE AND FACILITIES Chicago, IL Howard M. Snyder III, MD, FACS EXECUTIVE DIRECTOR Gay L. Vincent, CPA Philadelphia, PA R. Scott Jones, MD, FACS Director Charlottesville, VA Gay L. Vincent, CPA Beth H. Sutton, MD, FACS 4 | Chicago, IL HUMAN RESOURCES Wichita Falls, TX Edward R. Laws, MD, FACS AND OPERATIONS CHIEF FINANCIAL OFFICER Boston, MA *Andrew L. Warshaw, MD, FACS Michelle McGovern Boston, MA LaSalle D. Leffall, Jr., MD, FACS Director Washington, DC Officers-Elect Steven D. Wexner, MD, FACS INFORMATION TECHNOLOGY Weston, FL LaMar S. McGinnis, Jr., MD, FACS Howard Tanzman Atlanta, GA (take office October 2015) *Michael J. Zinner, MD, FACS Director Boston, MA David G. Murray, MD, FACS DIVISION OF INTEGRATED J. David Richardson, MD, FACS Syracuse, NY COMMUNICATIONS Louisville, KY Lynn Kahn PRESIDENT-ELECT *Executive Committee Patricia J. Numann, MD, FACS Syracuse, NY Director Ronald V. Maier, MD, FACS Carlos A. Pellegrini, MD, FACS JOURNAL OF THE AMERICAN Seattle, WA COLLEGE OF SURGEONS FIRST VICE-PRESIDENT-ELECT Board of Seattle, WA Timothy J. Eberlein, MD, FACS Walter J. Pories, MD, FACS Governors/ Richard R. Sabo, MD, FACS Editor-in-Chief Greenville, NC Bozeman, MT SECOND VICE- Executive DIVISION OF MEMBER SERVICES PRESIDENT-ELECT Seymour I. Schwartz, MD, FACS Patricia L. Turner, MD, FACS Committee Rochester, NY Director Fabrizio Michelassi, MD, FACS Frank C. Spencer, MD, FACS M. Margaret Knudson, MD, FACS Board of Regents New York, NY New York, NY Medical Director, Military Health CHAIR Systems Strategic Partnership *Mark C. Weissler, MD, FACS