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Building NSQIP Across FHBuilding NSQIP Across FHDonna Rolph Nov 2012Donna Rolph Nov 2012
Background on FHBackground on FHFH 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 NSQIPBackground on FH in NSQIP
Three sites were early members:
Surrey Memorial Hospital
Royal Columbian Hospital
Burnaby Hospital
Three sites were early members:
Surrey Memorial Hospital
Royal Columbian Hospital
Burnaby Hospital
June 2011…..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
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
FH NSQIP Focus in 2011-2012
FH NSQIP Focus in 2011-2012
Establishing organizational structures
Staffing & CompensationSurgical Clinical ReviewersSurgeon ChampionsNSQIP Office ClerksNSQIP Quality Improvement ConsultantsSetting up offices at each site
Establishing organizational structures
Staffing & CompensationSurgical Clinical ReviewersSurgeon ChampionsNSQIP Office ClerksNSQIP Quality Improvement ConsultantsSetting up offices at each site
FHA NSQIP ORGANIZATIONAL CHART
FHA NSQIP ORGANIZATIONAL CHART
Team Building Team Building
3-day workshop to formulate mission, vision, values
Strengthening Individual competencies
Establishment of teams
3-day workshop to formulate mission, vision, values
Strengthening Individual competencies
Establishment of teams
FH NSQIP Focus in 2012-2013
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
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
FH NSQIP Focus in 2012-2013
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
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
Where are we at?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
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
Where are we at?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)
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)
Sept 27 Workshop for region 140 attended
Sept 27 Workshop for region 140 attended
Where are we at?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
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
FH NSQIP: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
Mission: Connecting Healthcare providers
with quality data to improve outcomes for surgical patients
Vision: FH NSQIP leading the way in
providing optimum patient outcomes