Voluntary Review of Quality of Care (VRQC)
For more than 30 years, the Voluntary Review of Quality of Care (VRQC) program has assisted facilities across the country with meaningful analysis and recommendations.
VRQC offers confidential, unbiased, customized site visits led by a team of ACOG Fellows who provide a comprehensive assessment of your facility’s obstetrics and gynecology department. Whether your hospital is large or small, urban or rural, academic or community-based, we can assess the quality of care that is provided and propose recommendations for improvement.
Benefits of the service include:
- Identifying issues underlying adverse events
- Improving teamwork and trust
- Enhancing patient-centered care and outcomes
- Bettering your position for value-based payments
- Reducing the risk of malpractice claims
Frequently addressed issues include:
- Poor management of induction of labor
- Poor physician practice patterns
- Poor interpretation of fetal heart tracing
- Poor management decisions for cesarean birth
- Hysterectomy performed despite incomplete workup
- Inappropriate medication use (eg, oxytocin)
- Lack of adherence to guidelines
Systems, Leadership, and Communication
- Lack of department leadership or structure
- Inadequate nurse staffing
- Increase or decrease in size or services provided
- Lack of effective quality assessment process
- Lack of effective peer review
- Policies and procedures are not current
- Poor documentation of clinical reasoning
Access and print out our VRQC brochure containing additional details.
A site visit lasts four days. All efforts are made to schedule a site visit within 60 days of submission of your data. Practicing obstetrician–gynecologists and nurses (additional reviewers may include CNMs, anesthesiologists, or family physicians) with over 10 years of quality review expertise assess the facility through a tour, staff interviews, and review of medical records. Reviewers conduct the evaluation using evidence-based ACOG guidelines and provide a final report with findings, actionable recommendations, and ACOG resources. Below is an example site visit schedule:
- Day One
- Review team arrives
- 4 p.m. Hospital tour
- 5 p.m. Entrance conference
- 6 p.m. EMR orientation
- Day Two
- 8 a.m. Confirmation of charts for review
- 8 a.m.–5 p.m. Interviews (20 minutes each)
- Day Three
- 8 a.m. Login to EMR/review navigation
- 8:30 a.m.–6 p.m. Chart reviews
- 6 p.m. Final team meeting
- Day Four
- 9 a.m. Team debrief
- 10 a.m. Exit conference
- Review team departs
The total fee for a VRQC site visit is $65,000. Review of rural or small hospitals is available at a reduced fee.
- A deposit of $15,000 toward the total fee is payable at the time of application.
- Payment includes travel, lodging, meals, and remuneration for the team, and program administrative costs.
- Additional reviewers may be added to the team for an additional cost of $5,000 per reviewer.
- Fees may be subject to change.
What You Need to Do
Following a request for a site visit, the hospital will be asked to:
- Submit demographic and clinical data for the department and for each health care professional(obstetrician–gynecologists and CNMs)
- Sign a business agreement
- Pay a deposit of $15,000
To request a site visit, contact us at (800) 266-8043 or firstname.lastname@example.org.
Frequently Asked Questions
View these most commonly asked questions for clarification and more information.Go
Small or Rural Hospital Review
For small or rural hospitals (500 or fewer births per year or critical access hospital), the VRQC program offers the standard site visit at a reduced fee as part of ACOG’s commitment supporting access to quality health care.Go