An Interactive Panel Session for the Novice ACS NSQIP SCR Sunday, July 23, 2017 12:30 p.m. 2:00 p.m.
Disclosure: None The author(s) and presenter(s) have no relevant financial relationships with commercial interests or conflicts of interest to disclose
Onboarding Your Program for Success - Susan Sullivan, RHIA, CPHQ
Onboarding Your Program for Success - Susan Sullivan, RHIA, CPHQ Dissemination of Data: Getting the Word Out - Jill Gouvion, BSRC, RRT-NPS
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
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
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
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
The University of Chicago Medicine and Comer Children s Hospital
Start at the beginning: Identify Leadership Support & Program Goals Where do you and your Surgeon Champion fit? Contract Management and Security Assessments
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
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?
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
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
Clinical Support: Training Material -- use it! Operations Manual -- your daily resource Print manual Save to desk top Clinical Support Specialists: Adult: clinicalsupport@acsnsqip.org Pediatric: clinicalsupport@pediatric.acsnsqip.org 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 #100027- PN?
Adult ACS NSQIP Resource Portal:
Program Resources: SCR Contact List
Adult ACS NSQIP Resource Portal: QI Tools
QI Tools: Conference Presentations
QI Tools: 2016 Conference Presentations
Pediatric ACS NSQIP Resource Portal:
Program Resources/SCR Contact List:
Resource Portal: QI Tools
QI Tools: Conference Presentations
QI Tools: 2016 Conference Presentations
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
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
Contact Information: Susan Sullivan, RHIA, CPHQ University of Chicago Medicine & Comer Children s Hospital susan.sullivan@uchospitals.edu