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Building NSQIP Across FH

Building NSQIP Across FH. Donna Rolph Nov 2012. Background on FH. FH has 12 hospitals extending from Burnaby to White Rock to Boston Bar We serve >1.5 million residents We have >26,000 employees. Background on FH in NSQIP. Three sites were early members: Surrey Memorial Hospital

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Building NSQIP Across FH

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  1. Building NSQIP Across FH Donna Rolph Nov 2012

  2. Background on FH FH has 12 hospitals extending from Burnaby to White Rock to Boston Bar We serve >1.5 million residents We have >26,000 employees

  3. Background on FH in NSQIP Three sites were early members: Surrey Memorial Hospital Royal Columbian Hospital Burnaby Hospital

  4. 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

  5. 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

  6. FHA NSQIP ORGANIZATIONAL CHART

  7. Team Building 3-day workshop to formulate mission, vision, values Strengthening Individual competencies Establishment of teams

  8. 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

  9. 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

  10. 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

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

  12. Sept 27 Workshop for region 140 attended

  13. 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

  14. 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

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