black november 15, 2012 advancing nsqip data in bc ... · 1115 – 1145 storyboard review and...

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November 15, 2012 Advancing NSQIP Data in BCImproving Teamwork & Communication

November 16, 2012 Spotlighting Surgical Improvement in BCSheraton Vancouver Airport, Richmond, BC 7551 Westminster Highway

SECOND ANNUAL SQAN MEETING

AGENDA

BC PATIENT SAFETY & QUALITY COUNCILWorking Together. Accelerating Improvement.

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Spotlighting Surgical Improvement in BC BC PATIENT SAFETY & QUALITY COUNCILWorking Together. Accelerating Improvement.

Find presentations at Qexchange.ca #cuttingedgeBC

0900 – 0930Minoru Foyer

Registration & Coffee

0930 – 1030Minoru ABC

Improving the Surgical Care Equation in BC - Winning Teams Means Better Care

Craig Bosenberg, MD Anesthesia Lead, Surgical Quality Action Network


Transition and Coffee Break

1045 – 1145 Bugs & NSQIPElizabeth Bryce, MD Regional Medical Director for Infection Control Vancouver Coastal Health

• What is an acceptable specimen?• What is a gram stain and how will it help you?• Contaminants vs. pathogens, what is the

difference?• Urine cultures: the whole story

1145 – 1230 Two Insights from a SurgeonPeter Doris, MD Surgical Lead, Surgical Quality Action Network

• The importance of albumin • Postop complications diagnosed after discharge: getting the family physician involved

November 15


1045 – 1115 Sharing PDSA WisdomTable discussions, facilitated by Craig Bosenberg and Rebecca Brooke, BC Patient Safety & Quality Council

• What is your aim statement?• What PDSA cycles have you tried?• What is your most valuable lesson to share with others?

1115 – 1145 Storyboard Review and Networking

1145 – 1230 World Café Facilitated by the BCPSQC teamIn-depth discussions on the gems and barriers identified from the team storyboards.

Breakout A Minoru ABC

Breakout B Minoru D

Advancing NSQIP Data in BC Improving Teamwork & Communication

1230 – 1315 Westminster

Lunch

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1315 – 1415 NSQIP QI Primer: Interpreting Run and Control Charts Andrew Wray Director, Learning and Strategic Initiatives BC Patient Safety & Quality Council

1415 – 1500 Interpretation of NSQIP VariablesBC Working Group

• Chapter 4: post-op occurrences, case studies and more

• Question and answer period, an interactive time

1515 – 1600 Interpretation of NSQIP Variablescontinued

Breakout AMinoru ABC

Breakout B Minoru D

Advancing NSQIP Data in BC Improving Teamwork & Communication

November 15

1500 – 1515 Minoru Foyer

Coffee Break

1315 – 1415 Why Does Culture Improvement Matter: The Patient PerspectivePresenters from Patient Voices Network

We will learn from patient stories and discuss how we can involve them in this work.

1415 – 1500 Team Planning TimeTeams will use this time to integrate what they have learned throughout the morning and plan their next steps. Planning worksheets and tools will be provided.

1515 – 1545 Creating a Learning System in SurgeryFacilitated by Rebecca Brooke, BCPSQC

How do we turn our work settings into learning systems? We will start with a quick review of the concepts, followed by a group brainstorm and discussion about how to turn surgical units into learning systems.

1545 – 1600 Future Directions

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Registration and Light Breakfast


Making ConnectionsDoug Cochrane, MD Chair and Provincial Patient Safety & Quality Officer BC Patient Safety & Quality Council


The Future of SurgeryDr. Marty Makary John Hopkins School of Medicine Author of Unaccountable: What Hospitals Won’t Tell You and How Transparency Can Revolutionize Health Care

Transition

November 16

HIGHLIGHTS• Share advances in surgical improvement from BC hospitals

• Make connections between existing improvement programs

• Shape a vision for surgery in BC over the next year


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Use hashtag #askmarty to participate in the Twitter conversation

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0940 – 1040Breakout A Cedarbridge Room

Teamwork and Communication

Breakout B Westminster 1

LEAN & Care Pathways

Breakout C Westminster 2 & 3

NSQIP: Using the Data!

Intraoperative Skill Assessment: How Do You Do It?Dermot Kelly Vancouver Coastal Health

Swing Room: How to Improve Efficiency and Bring Wait Lists DownThomas Goetz, MD Providence Health

Drilling Down NSQIP Data to Stop UTIsKelli Jennison-Gustafson Vancouver Island Health Authority

Fostering a Culture of Safety at Providence Health CareMeghan MacLeod, Adrienne Melck, MD Providence Health Care

LEAN in Three Perioperative Sites Shelley Hatcher Northern Health

Sharing the Semi Annual Report: Dissemination of Information at Penticton Regional HospitalJennifer Lindsay Interior Health

Using Huddles to Improve Communication in Surgical Day CareNancy Reichheld, Cheryl Larcombe Vancouver Island Health Authority

Enhanced Recovery After Colorectal SurgeryRon Collins, MD Interior Health

NSQIP Supports Pneumonia Prevention at Vancouver General HospitalIrene Siu Vancouver Coastal Health

A Care Pathway for Colorectal SurgeryDeborah Bachand Vancouver Island Health Authority

Using NSQIP Data to Reduce Postsurgical Respiratory Infections in Burnaby HospitalKamaljit Sahota, Susann Camus, Darlene Jager, Ashley Camp Fraser Health

Transition & Coffee Break Minoru Foyer

November 16

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1100 – 1200

Breakout A Cedarbridge Room

Making NSQIP Work!

Development of a Simplified Surgical Wound Classification Education SystemLaura Holmes, Alix Kite, Susann Camus Fraser Health

Creation of a Custom NSQIP OR Log in OR ManagerCheryl Sibbelee, Kerry Cardwell Interior Health

The Spread of NSQIP at Eleven SitesDonna Rolph Fraser Health

Breakout B Westminster 1

Surgery Hodge Podge

Determining the Optimal Surgical Site Infection Surveillance Period Liz Bryce, MD, Leslie Forrester Vancouver Coastal Health

Perioperative Thermoregulation in Spine SurgerySimon Whyte, MD BC Children’s Hospital

Evaluating Fasting Guidelines for Pediatric Surgical Patients Jordan Cheng, Simon Whyte, MD, Trish Page BC Children’s Hospital

Breakout C Westminster 2 & 3

Checklist: How Should We Measure Province Wide?

Craig Bosenberg, MD, Marlies van Dijk BC Patient Safety & Quality Council

A group conversation on the complexity of performing the checklist and how we can best measure this activity.

Creating a Care Pathway for Gyne SurgeryKimberly McKinley Interior Health

November 16

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Spotlighting Surgical Improvement in BC

AGENDA

BC PATIENT SAFETY & QUALITY COUNCILWorking Together. Accelerating Improvement.


1200 – 1300 Minrou ABCD

Lunch & Storyboards

Please have a representative at your storyboard.

1215 – 1245 Cedarbridge Room

Optional Session

Local Risk Adjustment Model in BC: Timing and Usefulness?

Jonathan Berkowitz, Peter Doris, MD, Kimberly McKinley BC Patient Safety & Quality Council

November 16

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1300 – 1415


A Cohesive Approach to Surgery: Improving Perioperative Phase in BC

Improving Perioperative Quality, Efficiency and Access in BC: A Discussion by Nursing, Surgery, Anesthesia, HA Administration and Ministry OfficialsPurpose for this session:

• A brief overview of context on our current state and initiatives underway

• To present concrete examples of elements that have worked in other jurisdictions

• Hear what you need and want to help you do the work

Facilitators from surgery, nursing, anesthesia, BCMA, Health Authorities, Ministry of Health led by co-chairs of the Provincial Surgical Advisory Council (PSAC) Dr. Andy Hamilton and Margi Bhalla to discuss the next steps.

Breakout B Westminster

What’s Up With All the UTIs?

Improving Care Using Front Teams: Reducing UTI at Langley Memorial HospitalSherman Bastarache, Amanda Bordt, Michael Arget, Lila Gottenbos Fraser Health

Applying NSQIP Data and Best Practices to Reduce Post-Surgical UTIs at Surrey Memorial Hospital Dareena Malli, Pawan Sindhar, Susann Camus, Alana Cohen Fraser Health

Getting the Lemons Back from your Lemonade – BC Children’s Hospital and UTI OccurrencesJulie Bedford, Tamara Chan BC Children’s Hospital

Applying NSQIP Data and Best Practices to Reduce Post-Surgical CAUTI’s at Peace Arch Hospital Paula Gabriel, Deb Sperandeo, Dana Hayward, Nicole Moen Fraser Health

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November 16

Transition & Coffee Break Minoru D

1430 – 1530


Improving Care in the OR: Where Evidence Stops and Belief Takes OverLizzie Edmondson Senior Project Manager Safe Surgery 2015 Dr. Atul Gawande’s Research Team Harvard School of Public Health

What really gets people to change? How do we improve culture, and how does that fit with the checklist? Lessons and examples from a state-wide initiative in South Carolina will be discussed.

Breakout B Westminster

Benefit Analysis Using NSQIP Data: How Does This Translate in “Days Saved”?Doug Cochrane, MD BC Patient Safety and Quality Council

Les Vertesi, MD Health Services Purchasing Organization

Jason Goto Analysis Works

Cheryl Bishop Providence Health Care

Come and hear how the benefit analysis for NSQIP sites are calculated and how this can impact days saved.

A local NSQIP site will share their results and how this can be communicated to local leadership.

Transition back to main room

1540 – 1600 Minoru ABC

What Does it Mean to Have a Cohesive Approach to Surgery in BC?Doug Cochrane, MD Chair and Provincial Patient Safety & Quality Officer BC Patient Safety & Quality Council

black november 15, 2012 advancing nsqip data in bc ... · 1115 – 1145 storyboard review and...

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