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The PUF is provided at no additional cost to employees (surgeons, Surgical Clinical Reviewers, researchers, etc.) of ACS NSQIP-participating hospitals. The 2019 From the ACS NSQIP main page (facs.org/quality-programs/acs-nsqip) the definition in Chapter 4 of the “ACS NSQIP Operations Manual” - the ACS NSQIP is the leading nationally validated, risk-adjusted, outcomes-based program to measure and improve the quality of surgical care in the private field will now contain a search term that will locate the complete definition in Chapter 4 of the “ACS NSQIP Operations Manual” - the authoritative variableAccess to Chapter 4 of the “ACS NSQIP Operations Manual”: Chapter 4 (for both Essential and Procedure Targeted data) contains proprietary ACS NSQIP