Mitra Maharaj Otolaryngology, Head and Neck Surgery mitra.maharaj@fraserhealth

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Mitra Maharaj Mitra Maharaj Otolaryngology, Head and Neck Otolaryngology, Head and Neck Surgery Surgery [email protected] [email protected] a a Chief of Surgery Chief of Surgery NSQIP Surgeon Champion NSQIP Surgeon Champion Langley Memorial Hospital Langley Memorial Hospital

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Mitra Maharaj Otolaryngology, Head and Neck Surgery [email protected]. Chief of Surgery NSQIP Surgeon Champion Langley Memorial Hospital. Background. Surgeon at LMH since 2004 NSQIP Surgeon Champion since 2010 LMH data collection began 2011 Second SAR March 2013 - PowerPoint PPT Presentation

Transcript of Mitra Maharaj Otolaryngology, Head and Neck Surgery mitra.maharaj@fraserhealth

Page 1: Mitra Maharaj Otolaryngology, Head and Neck Surgery mitra.maharaj@fraserhealth

Mitra MaharajMitra MaharajOtolaryngology, Head and Neck Otolaryngology, Head and Neck SurgerySurgery

[email protected]@fraserhealth.caChief of SurgeryChief of SurgeryNSQIP Surgeon ChampionNSQIP Surgeon ChampionLangley Memorial HospitalLangley Memorial Hospital

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BackgroundBackground

Surgeon at LMH since 2004Surgeon at LMH since 2004NSQIP Surgeon Champion since 2010NSQIP Surgeon Champion since 2010 LMH data collection began 2011LMH data collection began 2011Second SAR March 2013Second SAR March 2013Based on 1Based on 1stst SAR and subsequent non-risk SAR and subsequent non-risk

adjusted data, multidisciplinary front-line adjusted data, multidisciplinary front-line team achieved a 28% reduction in all UTIs team achieved a 28% reduction in all UTIs over 3 month implementationover 3 month implementation

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Role of a Surgeon Role of a Surgeon ChampionChampion

Get educated about NSQIPGet educated about NSQIP ACS NSQIP National ConferenceACS NSQIP National Conference

Advertise and cheerlead = educate your peersAdvertise and cheerlead = educate your peers Surgeons, Anesthesiologists, Nurses, Family Surgeons, Anesthesiologists, Nurses, Family

Physicians … anyone who will listenPhysicians … anyone who will listenWork with the SCRs to understand the dataWork with the SCRs to understand the dataPresent the dataPresent the dataGive your peers the tools they need to act on Give your peers the tools they need to act on

the datathe data

Page 4: Mitra Maharaj Otolaryngology, Head and Neck Surgery mitra.maharaj@fraserhealth

Engaging ColleaguesEngaging Colleagues

BelieveBelieve If you don’t believe in NSQIP and what it can If you don’t believe in NSQIP and what it can

accomplish, no one else willaccomplish, no one else willMake it realMake it real

UTI vignetteUTI vignetteMake it achievableMake it achievable

Realistic goalsRealistic goals

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Engaging ColleaguesEngaging Colleagues Give them ownershipGive them ownership

““We have lots of ideas (aka best practices). We We have lots of ideas (aka best practices). We need you to tell us which ideas are the right ones.”need you to tell us which ideas are the right ones.”

Grass roots, not top downGrass roots, not top down We know what is needed at our siteWe know what is needed at our site

Use the in-house credible expertiseUse the in-house credible expertise UTI best practices per your local respected UrologistUTI best practices per your local respected Urologist

Use outside experts to galvanize discussion on Use outside experts to galvanize discussion on major changesmajor changes

Personal “report cards”Personal “report cards”

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Multidisciplinary TeamMultidisciplinary Team Stop the “Us vs. Them” mentality before it startsStop the “Us vs. Them” mentality before it starts

Everyone who touches the patient has a role to playEveryone who touches the patient has a role to play Credibility when all the players are at the tableCredibility when all the players are at the table

Capacity to actually bring about sustainable changeCapacity to actually bring about sustainable change Amazing insights when you ask everyone in a non-Amazing insights when you ask everyone in a non-

threatening environmentthreatening environment Share the successes as a team winShare the successes as a team win

Builds cohesion in the department and builds Builds cohesion in the department and builds enthusiasm for the next projectenthusiasm for the next project

Page 7: Mitra Maharaj Otolaryngology, Head and Neck Surgery mitra.maharaj@fraserhealth