pomVLAD is part of the larger Perioperative Quality Improvement Programme (PQIP). The pomVLAD pilot study launched in May 2018 and used an online dashboard to report risk-adjusted complication data to 10 PQIP hospitals across the UK in near real-time.

Following the successful pilot, an updated dashboard was rolled out to all PQIP sites in March 2023. The project uses variable life-adjusted (VLAD) charts to demonstrate observed against expected postoperative morbidity for individual sites. The VLAD chart is combined with feedback on performance against 10 enhanced recovery recommendations. The updated dashboard also incorporated a new risk-adjustment model developed using data from over 11,000 patients undergoing colorectal surgery.

pomVLAD development was supported by the Health Foundation as part of their round 6 Innovating for Improvement funding stream.