Building NSQIP Across FH

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Building NSQIP Across FH

• Donna Rolph Nov 2012

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Background on FH
FH has 12 hospitals extending from Burnaby to
White Rock to Boston Bar We serve gt1.5 million
residents We have gt26,000 employees
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Background on FH in NSQIP

• Three sites were early members
• Surrey Memorial Hospital
• Royal Columbian Hospital
• Burnaby Hospital

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June 2011..

• Very dedicated SC taking NSQIP to whomever would
  listen
• Very dedicated and qualified staff
• Staff working looooong hours to get data in
  before lock-out
• Silos
• Spread of NSQIP very slow

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FH NSQIP Focus in 2011-2012

• Establishing organizational structures
• Staffing Compensation
• Surgical Clinical Reviewers
• Surgeon Champions
• NSQIP Office Clerks
• NSQIP Quality Improvement Consultants
• Setting up offices at each site

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FHA NSQIP ORGANIZATIONAL CHART
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Team Building

• 3-day workshop to formulate mission, vision,
  values
• Strengthening Individual competencies
• Establishment of teams

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FH NSQIP Focus in 2012-2013

• Using data to set goals at each site
• Analyzing the data
• Getting the word out about NSQIP internally
• Sending Surgical Clinical Reviewers and frontline
  staff to the Quality Academy
• Sustainability of goals

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FH NSQIP Focus in 2012-2013

• Action teams up and running at all sites
• Bulletin boards on every surgical unit with data
  and updates of team work
• Reducing postsurgical complications
• Getting the word out beyond FH
• Demonstrating a return on investment

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Where are we at?

• NSQIP at 10 of 11 sites
• New sites spreading what NSQIP is ERH/RM/JP
  ERH/CGH have had open houses
• Teams at BH, LMH, ARH, SMH, PAH, DH
• CUSP at RCH with John Hopkins
• Five of our teams are presenting here
  (BH-pneumonia px PAH- Wound classification
  LMH-UTI SMH-UTI PAH-CAUTI

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Where are we at?

• Research at 2 sites. LOI accepted proposals being
  written
• Articles for publication2 planned for Dec/12
• NSQIP invited to provincial PACU workshop
  (Ronelle and Kim) represented us
• Standardizing of processes, report template,
  clerk orientation manual (draft)

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Sept 27 Workshop for region 140 attended
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Where are we at?

• We have working teams Orientation/Education
  Technology, Research/Publishing,
  Communications/Marketing, Business Management,
  NSQIP Resource Team
• Agenda item at QI Rounds Surgical Operations
  (Directors and Managers) QI Improvement (Dr
  Committee) Executive Report monthly Infection
  control monthly meeting

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FH NSQIP

• Mission
• Connecting Healthcare providers with quality data
  to improve outcomes for surgical patients
• Vision
• FH NSQIP leading the way in providing optimum
  patient outcomes