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Clinical Quality Excellence

Clinical Quality Excellence measures the volume of minimally invasive hysterectomies in a calendar year (January – December) by Hoag’s Center of Excellence in Robotic Surgery (COERS) surgeons.

There are several healthcare articles that highlight the relationship between volume and quality in hospital settings – specifically higher volumes leading to improved quality2. As with most tasks, the more often you do it, the better you become. The same is true for minimally invasive surgery. Our COERS surgeons perform surgery regularly and are expertly trained to perform simple and complex minimally invasive gynecologic surgeries.

Hoag is the highest volume provider of gynecologic robotic-assisted surgery in California3 and has the first multi-disciplinary program of its kind in Southern California. Our COERS team consists of board-certified specialists all working together to provide streamlined access to the finest gynecological care in Orange County. The team includes:

  • Gynecologists who treat benign (non-cancerous) conditions
  • Gynecologic oncologists who treat malignant (cancerous) conditions
  • Urogynecologists who treat conditions related to pelvic floor disorders (pelvic organ prolapse and urinary/fecal incontinence)

The high volume of procedures performed by this COERS team validates their extensive training and ability to perform the safest, highest quality surgeries. The graph below illustrates the total volume of minimally invasive hysterectomies at Hoag over a five year period. Volumes increased from 2011 to 2012 and leveled off from 2012 to 2013 as overall demand for surgery declined nationwide4 and increased in 2014 with a slight drop in 2015.

*Volume data tracked by Performance Improvement using Midas Software


2 Bach PB, Annals of Internal Medicine, 2009; vol. 150, no. 10: pages 729 - 30

3 Intuitive Surgical, Inc - da Vinci Surgical System

4 Midas software, data tracked by Hoag Performance Improvement Department