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