‘We need to look at the root causes of this disconnect and invest our health and wellness care dollars with techniques that will enable us to live longer while savoring better health and greater efficiency,’ he added. All that said, there’s one caveat: Because most of the info in the record is based on 2013 data, the results do not take into account the implementation of several of the main provisions of the Affordable Treatment Act, known as Obamacare also. By some measures, america did fare relatively well. For example, the nation’s cancer death count was near the bottom level of a list which includes Australia, Canada, Denmark, France, Germany, Japan, the Netherlands, New Zealand, Norway, Sweden, Switzerland and the United Kingdom.Peters, MD, FACS, Professor of Surgery, Chair, Department of Medical procedures, University of Rochester Medical Center Quality improvement is not self-sustaining and therefore hospitals need continuous opinions to be able to move the needle. I've managed the implementation of ACS NSQIP in two hospitals and also have seen significantly better improvement trends for a healthcare facility that generates and receives more responses. It is important for hospitals to remain proactive in order to get outcomes. Alfons Pomp, MD, FACS, FRCSC, Leon C.