Colorectal SSI Reduction and Collaboration with the Center for Transforming Healthcare
|
|
- Pauline Mason
- 5 years ago
- Views:
Transcription
1 Colorectal SSI Reduction and Collaboration with the Center for Transforming Healthcare Lessons I Learned Robert R. Cima, MD 2012 ACS NSQIP National Conference July 22-24, MFMER slide-1
2 Mayo Clinic, Rochester Tertiary care, academic medical center 1,200 licensed beds St Marys Hospital (SMH) Rochester Methodist (RMH) Colorectal surgery is performed at both hospitals SMH only absolute emergency CRS cases (~100 operations/year) RMH elective and urgent CRS cases (2,500-3,000 operations/year) 2011 MFMER slide-2
3 RMH Colorectal Surgery Practice Full spectrum of CRS Benign anorectal to recurrent rectal cancers >50% of all colectomies performed using a minimally invasive approach Eight board certified colorectal surgeons General surgery residents 4 colorectal surgery fellows Dedicated CRS operating rooms and allied health staff Two dedicated CRS post-operative nursing floors 2011 MFMER slide-3
4 We were as Expected in CRS SSI MFMER slide-4 05/ / / / / / / / / / / / / / / / / / / / / / / /2010 Proportion 05/ /2010 Month/Year UCL LCL=0.000
5 Why work with the CTH? Could We Improve? What Could We Learn? A chance to discuss SSI with other institutions Speaking a common language: NSQIP Share our data and experiences What were their SSI risk factors? What did people think were contributors to SSIs? What had people already tried in their institution? How to implement change in the OR? 2011 MFMER slide-5
6 Starting Point Stable NSQIP Overall Baseline SSI Rate MFMER slide-6 05/ / / / / / / / / / /2008 Proportion 03/ / / / / / / / / / / / / / /2010 Month/Year UCL LCL=0.000
7 Critical to Quality Tree: SSI for Colorectal Surgery Chlorhexidine AM admission Pre-operative Processes Intra-operative Processes Patient Cleansing Antibiotic administration Hibiclens shower night before and day of surgery Ensure understanding by reading pamphlet Preventing SSI Ensure SCIP compliance 1. Right antibiotics 2. Administer 60 min prior to incision 3. Discontinued with in 24 hours Ensure re-dose of cefazolin with in 3-4 hours after incision Chloraprep applied use appropriate amount to ensure complete coverage of incisional area Reduce SSI by 50% (10 5%) Closing time of fascia closure Use Closing tray for closure of fascia and skin Glove change by staff before closure of fascia Practice good hand hygiene Patient shower with Hibiclens following dressing removal Postoperative Processes Patient and Hand hygiene Hand Cleansing agent readily available Signage encouraging hand hygiene Purell hand wipes made available to patients Ensure dressing removal with in 48 hours Posthospitalization Processes Dismiss patient with 4 oz. bottle of Hibiclens Patient education on wound care and recognizing infection symptoms Follow-up phone call from nurses 2011 MFMER slide-7
8 Project Year 2011 Go live with all process changes by January 1, 2011* (some IT changes released 4Q10) Maintain standard NSQIP sampling method Monthly audits of compliance with process steps Education and reinforcement of staff and residents Monthly reviews of SSI events 2011 MFMER slide-8
9 Percentage Chart of Total Observed SSI by Phase Proportion UCL= _ P= LCL=0 Jan-09 May-09 Sep-09 Jan-10 May-10 Sep-10 InfoMonth Jan-11 May-11 Sep-11 Tests performed with unequal sample sizes 2011 MFMER slide-9
10 What I Learned from the Collaboration SSIs are a local, institution specific process Patient mix is different Disease mix is different Risk factors for SSI are different While we all do the same things, we all do them in very different ways Facilities strongly influence process Personnel Processes Traditions Known or unrecognized 2011 MFMER slide-10
11 What I Learned from the Collaboration Policies and processes are not the same You need to observe frequently Do not make assumptions that you know what is going on in the OR or the floor Don t look for a Magic bullet Too many variables in such a complex process so multiple smaller interventions across all aspect of care might be more effective Process variation is the Achilles heal or QI 2011 MFMER slide-11
12 What I Learned from the Collaboration You need reliable, actionable, and timely data NSQIP Process variation is the Achilles heal of QI It takes a team to accomplish change and achieve results 2011 MFMER slide-12
13 The Team Project Leader: Robert Cima, MD Black Belt: Gene Dankbar, Systems and Procedures Kimberly Aronhalt, RN, Infection Control and Prevention Diane Foss, RN, Kim Gaines, RN, Nursing, Pamela Grubbs, RN, Pamela Maxson, RN, PhD, Jennifer Wolforth, RN, Nursing Sharon Nehring, RN, Roxanne Hyke, RN, Diane Tyndale, RN, NSQIP Jenna Lovely, PharmD, Pharmacy Services Sarah Pool, RN, Surgical Services, Lynn Quast, RN, Surgical Services Jim Rogers, Systems and Procedures Rajesh Pendlimari, MBBS, Research Fellow, CRS Karen Piotrowicz, RN, Mid-level Provider, CRS 2011 MFMER slide-13
14 Questions & Discussion 2011 MFMER slide-14
A System-Based Approach to Colorectal Surgery SSI Reduction: Interventions Across the Episode of Care
A System-Based Approach to Colorectal Surgery SSI Reduction: Interventions Across the Episode of Care Robert R. Cima, MD, MA Minnesota SSI Reduction Effort December 2013 2011 MFMER slide-1 Attestation
More informationWhat s next? Joint Commission Center for Transforming Healthcare Colorectal Surgical Site Infections (SSIs) Copyright, The Joint Commission
What s next? Joint Commission for Transforming Healthcare Colorectal Surgical Site Infections (SSIs) 1 Public Launch SSI Storyboard 2 COLORECTAL SURGICAL SITE INFECTIONS: CHARACTERISTICS OF THE PROJECT
More informationEffect of Colon Bundle Implementation in a Community Hospital. Michael Barringer, MD, FACS CHS Cleveland
Effect of Colon Bundle Implementation in a Community Hospital Michael Barringer, MD, FACS CHS Cleveland Doug Hobson, MD, Surgeon Champion Mike Barringer, MD, Surgeon Champion No Disclosures Except for
More informationThe Joint Commission and Cleveland Clinic Reducing Colorectal Surgical Site Infections
The Joint Commission and Cleveland Clinic Reducing Colorectal Surgical Site Infections Cleveland Clinic Experience for NSQIP Conference Guido Bergomi 26 July, 2014 Mission Dr. Frank E. Bunts Dr. George
More informationQuality Improvement Initiative (QII): 2018 Options
Quality Improvement Implementation, Option A: Increase Surgeon Engagement Outcome Measure: SSI Summary: Surgeon Engagement is essential for the success of quality improvement programs within hospitals.
More informationReduction of Surgical Site Infections in the Cesarean Section Patient through Incision Care
Problem: 1. Surgical site infections continued to remain higher than the NHSN (National Healthcare Safety Network) mean, despite implementation and compliance in all SCIP measures, up to and including
More informationScrubbing down on Surgical Site Infections: Decreasing the incidence of surgical site infections in children
Scrubbing down on Surgical Site Infections: Decreasing the incidence of surgical site infections in children Tiffany Trenda, DO PGY2, Jessie Allen, DO PGY2, Elizabeth Mack, MD MS, Chris Hydorn, MD, Lori
More informationCanadian Surgical Site Infection Prevention Audit Month
Canadian Surgical Site Infection Prevention Audit Month February 2016 CONTENTS KEY FACTS...3 SSI PREVENTION AUDIT RESULTS...3 BACKGROUND...4 METHODOLOGY...4 Data Scores... 5 How to Interpret the Indicator
More informationReducing Surgical Site Infections in Colon Surgery Patients
Reducing Surgical Site Infections in Colon Surgery Patients Mercy Health St. Elizabeth Boardman Hospital A Catholic healthcare ministry serving Ohio and Kentucky Mercy Health St. Elizabeth Boardman Hospital
More informationClinical Standardization
Clinical Standardization Joe Sharma, MD, FACS, FACE Associate Professor of Surgery Director, of Endocrine Surgery Chief Quality Officer Emory University School of Medicine Disclosures Engineer US Navy
More informationWhich Elements in a Wound Infection Prevention Process are Important? Aaron Chen, BS, Sebastian Perez, MSPH, John Sweeney, MD, Joe Sharma, MD
Which Elements in a Wound Infection Prevention Process are Important? Aaron Chen, BS, Sebastian Perez, MSPH, John Sweeney, MD, Joe Sharma, MD Disclosure Slide No COI and no disclosures. SSI Surgical Site
More informationOscar Guillamondegui, MD, MPH, FACS Associate Professor of Surgery Tennessee Surgical Quality Collaborative
Oscar Guillamondegui, MD, MPH, FACS Associate Professor of Surgery Tennessee Surgical Quality Collaborative NSQIP 2014 A Collaborative that has Reduced Surgical Site Infections Tennessee Surgical Quality
More informationCHAIN Surgical Site Infection Prevention Webinar December 11, 2013
CHAIN Surgical Site Infection Prevention Webinar December 11, 2013 Presented by Robert R. Cima, MD, Mayo Clinic, Rochester MN Time: 54.11 minutes This transcript is intended to provide webinar content
More informationAdvanced SPC for Healthcare. Introductions
Advanced SPC for Healthcare December 5, 20 Brent James, MD, Intermountain Healthcare James Benneyan, PhD, Northeastern University Victoria Jordan, PhD, UT MD Anderson Cancer Center Introductions Who are
More informationQuality Improvement in Surgical Settings: Perioperative Standardization
1 Quality Improvement in Surgical Settings: Perioperative Standardization Khalid Yousuf, M.D. Orthopedic Surgery & Joint Replacement Little Company of Mary Medical Group April 12, 2017 Objectives Describe
More informationAMERICAN COLLEGE OF SURGEONS Inspiring Quality: Highest Standards, Better Outcomes
AMERICAN COLLEGE OF SURGEONS Inspiring Quality: Highest Standards, Better Outcomes SSI Measure Harmonization ACS NSQIP and CDC NHSN Bruce Lee Hall, MD, PhD, MBA, FACS 2012 ACS NSQIP National Conference
More informationSPC Case Studies Answers
SPC Case Studies Answers Ref: JC Benneyan, RC Lloyd, PE Plsek, Statistical process control as a tool for research and healthcare improvement, Qual. Saf. Health Care 2003; 12:458 464 doi:10.1136/qhc.12.6.458
More informationCAUTI reduction at Mayo Clinic
CAUTI reduction at Mayo Clinic Priya Sampathkumar, MD, FIDSA, FSHEA Associate Professor of Medicine, Division of Infectious Diseases, Mayo Clinic, Rochester Jean (Wentink) Barth, MPH, RN, CIC Director,
More informationInfluence of Patient Flow on Quality Care
Influence of Patient Flow on Quality Care Patients Waiting on Trolleys for an Inpatient Bed Patients who are Medically Fit to be discharged and cared for at Home with Support or in a Nursing Home or District
More informationAHRQ Safety Program for Improving Surgical Care and Recovery. ACS Quality and Safety Conference New York City July 21, 2017
AHRQ Safety Program for Improving Surgical Care and Recovery ACS Quality and Safety Conference New York City July 21, 2017 1 Project goals To measurably improve patient outcomes in five surgical areas
More informationQuality Management and Accreditation
Quality Management and Accreditation Lina Mekawi, RPh, MS Epidemiology, CPHQ, Senior Quality Analyst, Quality, Accreditation and Risk Management Department, AUBMC November 2017 Disclosure Slide I, Lina
More informationCombined SSI Bundles and ERAS in Colorectal Surgeries
Combined SSI Bundles and ERAS in Colorectal Surgeries Joy Lanfranchi BSN, RN, CNOR, CMLSO Richard Bollin Jr. M.D. Kevin Kinzinger M.D. MBA, FACS, FASCRS Joanne Bonnot MSN, RN, BBA, NE-BC Claudia Skinner
More informationEHR Enablement for Data Capture
EHR Enablement for Data Capture Baylor Scott & White (15 min) Bonnie Hodges, RN University of Chicago Medicine(15 min) Susan M. Sullivan, RHIA, CPHQ Kaiser Permanente (15 min) Molly P. Clopp, RN Tammy
More informationOrganization: MedStar Franklin Square Medical Center Solution Title: Reduction of Peripheral Vascular Bypass Infections in the Vascular Operating
Organization: MedStar Franklin Square Medical Center Solution Title: Reduction of Peripheral Vascular Bypass Infections in the Vascular Operating Room Project Description: The purpose of this project is
More informationReliability of Evaluating Hospital Quality by Surgical Site Infection Type. ACS NSQIP Conference July 22, 2012
Reliability of Evaluating Hospital Quality by Surgical Site Infection Type ACS NSQIP Conference July, 01 Surgical Site Infection Common cause of patient morbidity 5%-6% for colorectal procedures Significant
More information8/11/2009. Staging Assessment Nutrition Pain Support Surfaces Cleansing. Debridement Dressings Infection Biophysical Agents Surgery Palliative Care
8//9 Joyce Black, PhD, DNP, RN, CPSN, CWCN, FAPWCA Past President, NPUAP AHCPR guidelines 99, 99 Various Wound Groups WOCN, WHS, Medical Directors Focus was narrow, not adding to evidence EPUAP on nutrition
More informationSurgical Site Infection (SSI) Road Map
Surgical Site Infection (SSI) Road Map MHA s road maps provide hospitals and health systems with evidence-based recommendations and standards for the development of topic-specific prevention and quality
More informationActionable Patient Safety Solution (APSS) #2C: SURGICAL SITE INFECTIONS (SSI)
Actionable Patient Safety Solution (APSS) #2C: SURGICAL SITE INFECTIONS (SSI) Executive Summary Checklist In order to establish a program to reduce surgical site infections (SSIs) the following implementation
More informationInfection Prevention & Control Orientation for Housestaff Welcome to Shands at UF!
Infection Prevention & Control Orientation for Housestaff 2011 Welcome to Shands at UF! Hot Topics: Prevention Initiatives National Patient Safety Goal 07: Prevent Healthcare Associated Infections Prevent
More informationPennsylvania Hospital Engagement Network Achieving More Together
Pennsylvania Hospital Engagement Network Achieving More Together The analyses upon which this publication is based were in part funded and performed under contract number HHSM-500-2012-00022C, entitled
More informationPost-operative "Fast-Track" pathways for lung resection. Dennis A. Wigle Division of Thoracic Surgery Mayo Clinic
Post-operative "Fast-Track" pathways for lung resection Dennis A. Wigle Division of Thoracic Surgery Mayo Clinic Post-operative "Fast-Track" pathways for lung resection Dennis A. Wigle Division of Thoracic
More informationOrganizational Culture Change Results in Improvement in Outcomes, Value and Experience. Elizabeth C. Wick, M.D.
Organizational Culture Change Results in Improvement in Outcomes, Value and Experience Elizabeth C. Wick, M.D. Objectives To describe the burden and complexity of surgical site infections To outline the
More informationObjectives 2/23/2011. Crossing Paths Intersection of Risk Adjustment and Coding
Crossing Paths Intersection of Risk Adjustment and Coding 1 Objectives Define an outcome Define risk adjustment Describe risk adjustment measurement Discuss interactive scenarios 2 What is an Outcome?
More informationStrategy/Driver Prevention Strategies Action Strategies
I. Hospital executive leadership commitment to prevention of surgical site infections 1. Establish Surgical Site Infection prevention as a strategic priority 2. Develop and implement business/strategic
More informationSunnybrook Health Sciences Centre Quality Improvement Plans (QIP): Progress Report for 2016/17 QIP. Target as stated on QIP 2016/
Sunnybrook Health Sciences Centre Quality Improvement Plans (QIP): Progress Report for 2016/17 QIP ID Measure/Indicator from 2016/17 1 % of patients who have delirium recorded in their health record (
More informationPeer Sharing: Strategies for Reducing Surgical Site Infections Related to Colon Procedures June 21, 2018
Peer Sharing: Strategies for Reducing Surgical Site Infections Related to Colon Procedures June 21, 2018 Agenda Welcome & FHA Mission to Care HIIN Overview, Trends and Progress: Surgical Site Infections
More informationSurgical Care Improvement Project
Safer Surgeries: Surgical Care Improvement Project Leslie N. Ray Ph.D., RN Oregon Patient Safety Commission Ruth Medak, MD Acumentra Health What is SCIP? National effort to decrease preventable surgical
More informationAldijana Avdić, BSN, RN, PBMS, CPHQ Assistant Director, Patient Safety and Privacy 1
Aldijana Avdić, BSN, RN, PBMS, CPHQ Assistant Director, Patient Safety and Privacy 1 Program Definition The timely application of evidence-based medical and surgical concepts designed to maintain hemoglobin
More informationWorth a Thousand Words: Telling a Story with Data
A5/B5 Worth a Thousand Words: Telling a Story with Data Ari Robicsek, MD Chief Medical Analytics Officer Providence St. Joseph Health Session Objectives Consider the challenges of representing patient
More information2014 Partnership in Prevention Award. November 21, :00-1:00PM EST. Introduction
2014 Partnership in Prevention Award November 21, 2014 12:00-1:00PM EST Introduction Don Wright, MD, MPH Deputy Assistant Secretary for Health (Disease Prevention and Health Promotion) U.S. Department
More informationGoing home with a redivac drain after surgery
Going home with a redivac drain after surgery This leaflet explains about going home with a redivac drain following your surgery. If you have any further questions, please speak to the nurse or doctor
More informationInfluence of Patient Flow on Quality Care
Influence of Patient Flow on Quality Care Patients Waiting on Trolleys for an Inpatient Bed Patients who are Medically Fit to be discharged and cared for at Home with Support or in a Nursing Home or District
More informationProgram Assessment Summary Report Form
Program Assessment Summary Report Form Program being assessed. NURSING Previous Action Plan. Summary of results of previous Action Plan. 34T Semester and year of program assessment. Spring and Fall 2015
More informationACS NSQIP Tools for Success. National Conference July 21, 2012
ACS NSQIP Tools for Success National Conference July 21, 2012 Current and Coming Tools Participant Use Data File (PUF) ROI Calculator Best Practices Guidelines Best Practices Case Studies Quality Improvement
More informationSCOPE OF PRACTICE PGY 1-6
PGY1 Complete history and physical on each patient admitted as assigned by the attending surgeon. Participate in daily ward rounds. Assist operating surgeons and senior residents in the operating room
More informationMonitoring surgical wounds
Golden Jubilee National Hospital NHS National Waiting Times Centre Monitoring surgical wounds Patient information guide This leaflet explains surgical wound infection and the national programme for monitoring
More informationDirect Referral Clinic Why, How and Who?
Direct Referral Clinic Why, How and Who? Macaila C. Eick, RN CNP American Association for Thoracic Surgery Allied Health Personnel Symposium May 4, 2013 No Disclosures Objectives Describe the function
More informationTranslating recommendations into practice for surgical site infection prevention. Claire Kilpatrick IPC Global Unit SDS, HIS, WHO HQ
Translating recommendations into practice for surgical site infection prevention Claire Kilpatrick IPC Global Unit SDS, HIS, WHO HQ XXVIII e Congrès National de la Société Française d Hygiène Hospitalière
More informationOver the past decade, the number of quality measurement programs has grown
Performance improvement Surgeon sees standardization and data as keys to higher value healthcare Over the past decade, the number of quality measurement programs has grown exponentially as hospitals respond
More informationKarl Bilimoria MD MS Director, ISQIC. Faculty Scholar, American College of Surgeons
Karl Bilimoria MD MS Director, ISQIC Faculty Scholar, American College of Surgeons Director, Surgical Outcomes and Quality Improvement Center Vice Chair for Quality, Department of Surgery Feinberg School
More informationThe How to Guide for Reducing Surgical Complications
The How to Guide for Reducing Surgical Complications Post operative wound (surgical site) infections Maintaining perioperative normothermia Main contacts for Reducing Surgical Complications Campaign Director:
More informationACS NSQIP Tools for Success. Pre-Conference Session July 25, 2015
ACS NSQIP Tools for Success Pre-Conference Session July 25, 2015 No disclosures Disclosure Slide Collect the Data Continuous Quality Improvement Implement QI ACS NSQIP Analyze the Data Utilize Tools Current
More informationColorectal Pathway: A Template for the Georgia Surgical Quality Collaborative
Colorectal Pathway: A Template for the Georgia Surgical Quality Collaborative Disclosure Bryant Wilson, MD Relevant Financial Relationships: I have no actual or potential conflict of interest in relation
More informationReducing the risk of healthcare associated infection
i Reducing the risk of healthcare associated infection Healthcare associated infection Introduction The Royal Marsden takes the safety of our patients very seriously. That means doing everything we can
More informationReducing the risk of healthcare associated infection
i Reducing the risk of healthcare associated infection Healthcare associated infection Introduction The Royal Marsden takes the safety of our patients very seriously. That means doing everything we can
More informationRadical Prostatectomy Care Guide: A checklist of what to expect
Radical Prostatectomy Care Guide: A checklist of what to expect Form: D-5473 How to prepare for your operation as an outpatient 1. Pre- Admission Visit Where to find us: Toronto General Hospital (TGH),
More informationMedicare Value-Based Purchasing for Hospitals: A New Era in Payment
Medicare Value-Based Purchasing for Hospitals: A New Era in Payment Daniel J. Hettich March, 2012 I. Introduction: Evolution of Medicare as a Purchaser Cost reimbursement rewards furnishing more services
More informationSCIP. Surgical Care Improvement Project. Making Surgeries Safer. By: Roshini Mathew, RN
SCIP Surgical Care Improvement Project Making Surgeries Safer By: Roshini Mathew, RN Importance Hospitals could prevent 13,000 patient deaths and 271,000 surgical complications each year 4 measures are
More informationSurgical Site Infection Prevention: Guidelines, Recommendations and Best Practice
Surgical Site Infection Prevention: Guidelines, Recommendations and Best Practice Linda Goss BS, MSN, APN-BC, CIC, COHN-S Director, Infection Prevention and Control and Vascular Access Specialist Team
More informationPressure Ulcers ecourse
Pressure Ulcers ecourse Module 5.8: Pressure Ulcer Surgery Handout College of Licensed Practical Nurses of Alberta (Canada) CLPNA.com and StudywithCLPNA.com CLPNA Pressure Ulcers ecourse Module 5.8: Pressure
More informationQuality Improvement Plans (QIP): Progress Report for 2013/14 QIP
Excellent Care for All Quality Improvement Plans (QIP): Report for 201/14 QIP The following template has been provided to assist with completion of reporting on the progress of your organization s QIP.
More informationPROCESS FOR HANDLING ELASTOMERIC PAIN RELIEF BALLS (ON-Q PAINBUSTER AND OTHERS)
PROCESS FOR HANDLING ELASTOMERIC PAIN RELIEF BALLS (ON-Q PAINBUSTER AND OTHERS) REQUIRES SAFETY IMPROVEMENTS From the July 16, 2009 issue Problem: In our May 21, 2009, newsletter we noted an association
More informationUsing Evidence to Improve Outcomes for the Surgical Patient: Post-Operative Interventions
Using Evidence to Improve Outcomes for the Surgical Patient: Post-Operative Interventions January 16, 2014 1 A partnership of the Healthcare Association of New York State and the Greater New York Hospital
More informationWillamette Valley Medical Center Carla Galbraith RN, BSN, CIC Manager Patient Safety/Infection Control November 1, 2013
Willamette Valley Medical Center Carla Galbraith RN, BSN, CIC Manager Patient Safety/Infection Control November 1, 2013 About Us Willamette Valley Medical Center McMinnville, Oregon Acute Care Facility
More informationObjectives. Integrating Performance Improvement with Publicly Reported Quality Metrics, Value-Based Purchasing Incentives and ISO 9001/9004
Integrating Performance Improvement with Publicly Reported Quality Metrics, Value-Based Purchasing Incentives and ISO 9001/9004 Session: C658 2013 ANCC National Magnet Conference Thursday, October 3, 2013
More informationMorton s neuroma. If you have any further questions, please speak to a doctor or nurse caring for you.
Morton s neuroma This leaflet aims to answer your questions about having surgery for Morton s neuroma. It explains the benefits, risks and alternatives, as well as what you can expect when you come to
More informationOptimizing Care for Complex Patients with COPD
Optimizing Care for Complex Patients with COPD Janice Gasaway, RN, MN, Director Quality & Safety Elvin Perkins, MBA, Chronic Disease Project Manager 1 Cone Health System: Who We Are Regional Health System
More informationProvincial Surveillance
Provincial Surveillance Provincial Surveillance 2011/12 Launched first provincial surveillance protocols Establishment of provincial data entry & start of formal surveillance reports Partnership with AB
More informationPREPARING FOR SURGERY
PREPARING FOR SURGERY SURGICAL SERVICES DEPARTMENT 970-641-7240 WWW.GUNNISONVALLEYHEALTH.ORG/SURGERY HOSPITAL SENIOR CARE CENTER HOME MEDICAL SERVICES ASSISTED LIVING FAMILY MEDICINE CLINIC MOUNTAIN CLINIC
More informationTiming of Pre-operative Antibiotics in Cardiac Surgery Patient
Report on a QI Project Eligible for Part IV MOC Instructions Timing of Pre-operative Antibiotics in Cardiac Surgery Patient Determine eligibility. Before starting to complete this report, go to the UMHS
More informationNational Priorities for Improvement:
National Priorities for Improvement: Standardization of Performance Measures, Data Collection, and Analysis Dale W. Bratzler, DO, MPH Principal Clinical Coordinator Oklahoma Foundation Contracting for
More informationSurgical counts are an established routine. An OR nurse performs them dozens
Patient safety Human factors, education help sharpen the OR count process Surgical counts are an established routine. An OR nurse performs them dozens of times a month. But when you dissect the process
More informationGeneral Surgery Patient Call Coverage Demand in a Community Hospital with a Limited Number of General Surgeons
American College of Medical Practice Executives General Surgery Patient Call Coverage Demand in a Community Hospital with a Limited Number of General Surgeons Case Study Manuscript (This case study manuscript
More informationAlthough surgical site infections (SSIs) occur infrequently. Implementation of a Pediatric Orthopaedic Bundle to Reduce Surgical Site Infections
Implementation of a Pediatric Orthopaedic Bundle to Reduce Surgical Site Infections 1.5 Contact Hours Jan Schriefer James Sanders Julie Michels Kori Wolcott Connor Ruddy Jenna Hanson Surgical site infections
More informationPrevention of Orthopaedic Surgical Site Infections in the Perioperative Setting. Disclosures. Objectives
Prevention of Orthopaedic Surgical Site Infections in the Perioperative Setting Mary Atkinson Smith, DNP, FNP-BC, ONP-C, RNFA, CNOR & W. Todd Smith, MD, FAAOS Disclosures We hereby certify that, to the
More informationValue-based incentive payment percentage 3
Report Run Date: 07/12/2013 Hospital Value-Based Purchasing Value-Based Percentage Payment Summary Report Page 1 of 5 Percentage Summary Report Data as of 1 : 07/08/2013 Total Score Facility State National
More informationOur SAR Looks Great, Now What? ACS NSQIP Pediatric
Our SAR Looks Great, Now What? ACS NSQIP Pediatric Jacqueline Saito, MD, MSCI, FACS St. Louis Children s Hospital Surgeon Champion ACS Children s Surgery Data Committee Vice Chair Disclosures I have no
More informationNOTE: New Hampshire rules, to
NOTE: New Hampshire rules, 309.01 to 309.08 Email Request: Selected Items in Table of Contents: (8) Time Of Request: Sunday, August 07, 2011 18:11:07 EST Send To: MEGADEAL, ACADEMIC UNIVERSE UNIVERSITY
More informationGuidelines for Supervising Residents Updated July 2017
NORTHWESTERN UNIVERSITY FEINBERG SCHOOL OF MEDICINE DEPARTMENT OF SURGERY POLICIES & PROCEDURES Guidelines for Supervising Residents Updated July 2017 PURPOSE To clearly define the level of patient care
More informationPREVENTION OF POSTOPERATIVE PULMONARY COMPLICATIONS: Reducing Postoperative Mechanical Ventilation
PREVENTION OF POSTOPERATIVE PULMONARY COMPLICATIONS: Reducing Postoperative Mechanical Ventilation Rowena Chona O. Sano, MSN, RN, CNL, CPHQ Memorial Hermann Greater Heights Hospital Houston, TX Nothing
More information2018 BSI QIA. Kick off Part 1. Annabelle Perez Quality Improvement Director
2018 BSI QIA Kick off Part 1 Annabelle Perez Quality Improvement Director Outline 2018 BSI QIA Overview What does it really mean to follow the CDC Core Interventions Next Steps 2018 BSI QIA Overview BSI
More informationWelcome to 17A and 17B at Princess Margaret Cancer Centre
Welcome to 17A and 17B at Princess Margaret Cancer Centre For patients, families and visitors Read this pamphlet to learn more about: unit policies on 17A and 17B health care professions who are part of
More informationMeeting Minutes For Surgical Site Infection Prevention Collaborative
Meeting Minutes For Surgical Site Infection Prevention Collaborative Meeting Date: Time: Tuesday, January 6 th 2009 3:00 P.M. to 4:00 P.M. Leaders: Attendance: Stephanie Randa and Dr. Addison May Vicki
More informationDecreasing the Unplanned Readmission Rate of Patients receiving Outpatient Antibiotic Therapy(OPAT)
Decreasing the Unplanned Readmission Rate of Patients receiving Outpatient Antibiotic Therapy(OPAT) Dr. Jose Cadena Dr. Amruta Parekh University of Texas Health Science Center at San Antonio San Antonio,
More informationSkin and Nasal Decolonization for Adult
01.30.02 Skin and Nasal Decolonization for Adult Purpose A. Patient Population Included: B. Process for Obtaining and Processing Specimen C. Procedure for Notification of MRSA/MSSA Positive Samples To
More informationTitle: Quality/Safety Education Physician Champion Phone:
TeamSTEPPS 101: Know The Plan, Share The Plan Implementing A Customized Surgical Safety Checklist Team Communication Tool In Ambulatory And Inpatient Operating Rooms Organization Name: Christiana Care
More informationDeveloped in response to: Best Practice Health and Social Act 2008 CQC Fundamental Standards: 12
ASEPTIC TECHNIQUE AND ASEPTIC NON- TOUCH TECHNIQUE Clinical Guideline Register No: 08038 Status : Public Developed in response to: Best Practice Health and Social Act 2008 CQC Fundamental Standards: 12
More informationModel VBP FY2014 Worksheet Instructions and Reference Guide
Model VBP FY2014 Worksheet Instructions and Reference Guide This material was prepared by Qualis Health, the Medicare Quality Improvement Organization for Idaho and Washington, under a contract with the
More informationJOB DESCRIPTION: SURGICAL TECHNOLOGIST
1507.00. JOB DESCRIPTION: SURGICAL TECHNOLOGIST 1507.01. The Standards & Guidelines for the Accreditation of Educational Programs in Surgical Technology have been approved by the Association of Surgical
More informationLANCASTER GENERAL HEALTH
Lori Abel RN, M.Ed. NO DISCLOSURES Penn Medicine Lancaster General Health LANCASTER GENERAL HEALTH Integrated Health System serving Lancaster Pennsylvania with a regional population ~1 million 631 licensed
More informationDivision of Pediatric Surgery, Department of Surgery, University Of Wisconsin School of Medicine and Public Health
Surgeon-Directed Surgical Wound Classification During a Structured Operative Debrief Improves Accuracy of Wound Classification for Common Pediatric Surgery Procedures University Of Wisconsin Hospital And
More informationLowe Plastic Surgery (LPS) Dr Lowe s: Breast Reconstruction Instruction Summary Pre-operative: Hospital Stay: Day of Discharge: , (405)
Lowe Plastic Surgery (LPS) Dr Lowe s: Breast Reconstruction Instruction Summary Pre-operative: 1) Patient should not eat anything after midnight, and hold medicines if instructed 2) Avoid aspirin, blood
More informationPatient Safety: 10 Years Later Why is Improvement So Hard? Patient Safety: Strong Beginnings
Patient Safety: 10 Years Later Why is Improvement So Hard? G. Ross Baker, Ph.D. Institute of Health Policy, Management & Evaluation University of Toronto 3 November 2014 Patient Safety: Strong Beginnings
More informationUNC2 Practice Test. Select the correct response and jot down your rationale for choosing the answer.
UNC2 Practice Test Select the correct response and jot down your rationale for choosing the answer. 1. An MSN needs to assign a staff member to assist a medical director in the development of a quality
More informationReport American College of Surgeons Dr. Abdol and Mrs. Joan Islami Scholar 2017
Report American College of Surgeons Dr. Abdol and Mrs. Joan Islami Scholar 2017 I was very fortunate of having been selected as a Dr. Abdol and Mrs. Joan Islami Scholar of the American College of Surgeons
More informationUnderstanding Readmissions after Cancer Surgery in Vulnerable Hospitals
Understanding Readmissions after Cancer Surgery in Vulnerable Hospitals Waddah B. Al-Refaie, MD, FACS John S. Dillon and Chief of Surgical Oncology MedStar Georgetown University Hospital Lombardi Comprehensive
More informationData Abstraction from EHR for Performance Improvement
Data Abstraction from EHR for Performance Improvement University of Wisconsin Hospital and Clinics Madison, WI Kristine Leahy-Gross, RN, BSN Nursing Data Analyst Linda Stevens, MS, RN-BC, CPHQ Clinical
More informationTotal Knee Replacement
Total Knee Replacement Pre-operative Joint Class Updated: November 2017 Where to Begin Thank you for attending the UNC REX Joint Replacement Class today This presentation is designed to prepare you for
More informationHOSPITAL EPIDEMIOLOGY AND INFECTION CONTROL: SURGICAL SITE INFECTION REPORTING TO CALIFORNIA DEPARTMENT OF PUBLIC HEALTH
Office of Origin: Department of Hospital Epidemiology and Infection Control (HEIC) I. PURPOSE To comply with reporting cases of surgical site infection as required by Sections 1255.8 and 1288.55 the California
More information