This retrospective review evaluates the Ontario Surgical Quality Improvement Network's patient outcomes and financial returns. Criteria from the Organisation for Economic Co-operation and Development Network are used to examine the program, and risk-adjusted data from the American College of Surgeons National Surgical Quality Improvement Program on four indicators spanning 2016 to 2023 were used to calculate outcomes. With reductions in post-operative complications, readmissions and length of hospital stay, the Ontario healthcare system is saving an estimated $3,000,000 per year, representing a return on investment of 38%. Similar quality improvement networks could be adopted in other jurisdictions to elevate surgical care standards.

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