An Interactive Panel Session for the Novice ACS NSQIP SCR. Sunday, July 23, :30 p.m. 2:00 p.m.
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1 An Interactive Panel Session for the Novice ACS NSQIP SCR Sunday, July 23, :30 p.m. 2:00 p.m.
2 Disclosure: None The author(s) and presenter(s) have no relevant financial relationships with commercial interests or conflicts of interest to disclose
3 Onboarding Your Program for Success - Susan Sullivan, RHIA, CPHQ
4 Onboarding Your Program for Success - Susan Sullivan, RHIA, CPHQ Dissemination of Data: Getting the Word Out - Jill Gouvion, BSRC, RRT-NPS
5 Onboarding Your Program for Success - Susan Sullivan, RHIA, CPHQ Dissemination of Data: Getting the Word Out - Jill Gouvion, BSRC, RRT-NPS Reliable Data Collection with Effective Workflow - Marilyn W. Hirsch, RN, MS
6 Onboarding Your Program for Success - Susan Sullivan, RHIA, CPHQ Reliable Data Collection with Effective Workflow - Marilyn W. Hirsch, RN, MS Dissemination of Data: Getting the Word Out - Jill Gouvion, BSRC, RRT-NPS I ve Got Data - Now What? - Martha J. Antal, RN, BSN
7 Onboarding Your Program for Success - Susan Sullivan, RHIA, CPHQ Reliable Data Collection with Effective Workflow - Marilyn W. Hirsch, RN, MS Dissemination of Data: Getting the Word Out - Jill Gouvion, BSRC, RRT-NPS I ve Got Data - Now What? - Martha J. Antal, RN, BSN Interactive Panel Discussion - All Additional Panelist: Vivek N. Prachand, MD, FACS Surgeon Champion, Adult NSQIP, The University of Chicago Medicine Chief Quality Officer, Department of Surgery Executive Medical Director for Procedural Quality and Patient Safety University of Chicago Medicine and Biological Sciences
8 Onboarding Your Adult and Pediatric NSQIP Programs for Success Susan Sullivan, RHIA, CPHQ The University of Chicago Medicine Comer Children s Hospital July 23, 2017
9 The University of Chicago Medicine and Comer Children s Hospital
10 Start at the beginning: Identify Leadership Support & Program Goals Where do you and your Surgeon Champion fit? Contract Management and Security Assessments
11 Identify NSQIP Resources and Program Needs: Physical Resources: NSQIP Staffing: Individual Team On-site From home Contract Back-up Volunteers Training & Ramp Up: Schedule training Abstraction begins during training Stay Organized: Use Outlook-meetings, due dates, contacts Organizational/planning tools: Timelines Project management
12 Identify Short Term Goals: Select Cases: How will you identify cases? Abstract Cases: Use ramp-up period to learn program Identify documentation deficits Work with surgeon champion to overcome Follow-up Cases: Don t wait to plan your follow up process Mail or phone calls? Approval of letters, phone script? Postage-paid return envelopes?
13 Institutional Resources - Who Can Help? Program Set-up: Legal Department review and approve contracts, data use agreements Patient Safety/Risk Management review letters, phone scripts Information Technology data security assessments, automation, EHR expertise Health Information Department data sources, record correction, NSQIP audits Medical Staff Office -- medical staff lists and updates Mail Room mailing letters, postage-paid envelopes Patient Experience refer patient issues
14 Institutional Resources - Who Can Help? Identify Valuable Sources: Surgical sections clinical variables and outcomes documentation Perioperative services operative logs, pre-op checklists, safety checklists/debriefs Anesthesia pre-op history, meds prior to admission, intra-op transfusions Surgical nursing leadership medication records, flowsheets, clinical documentation Blood Bank & Labs transfusion documentation, lab values Infection Control learn how they identify and track infections
15 Clinical Support: Training Material -- use it! Operations Manual -- your daily resource Print manual Save to desk top Clinical Support Specialists: Adult: Pediatric: Surgeon Champion -- Clinical expertise Meet often take notes Your connection to surgeons, committees Sample SC- SCR Meeting Notes Date Topics To Do Followup Date 7/10/17 Set-up meeting time Contact Sheri-admin 7/17/17 Case abstraction issues NSQIP Case # PN?
16 Adult ACS NSQIP Resource Portal:
17 Program Resources: SCR Contact List
18 Adult ACS NSQIP Resource Portal: QI Tools
19 QI Tools: Conference Presentations
20 QI Tools: 2016 Conference Presentations
21 Pediatric ACS NSQIP Resource Portal:
22 Program Resources/SCR Contact List:
23 Resource Portal: QI Tools
24 QI Tools: Conference Presentations
25 QI Tools: 2016 Conference Presentations
26 Successful Onboarding: Identify your unique program goals - Build new goals as you go along Identify resources and use them Know your program-you are the expert Build strong relationships
27 Thank You! Adult NSQIP Surgeon Champion: Vivek N. Prachand, MD, FACS Surgical Clinical Reviewers: Lorice Pullins, RN (Onsite Lead) Susan Gonzales, RN, CPHQ & Catrina Higgins, MBA Quality Performance Assessment: Carmen Barc, RN, MSN & Toya M. Sledd, MPH, MBA Pediatric Surgeon Champion: Nikunj K. Chokshi, MD Surgical Clinical Reviewers: Susan Sullivan, RHIA, CPHQ (Onsite Lead) Kimberly Gandee, RN & Holly Rochford, RN, BSN
28 Contact Information: Susan Sullivan, RHIA, CPHQ University of Chicago Medicine & Comer Children s Hospital susan.sullivan@uchospitals.edu
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