ACS NSQIP Tools for Success. Pre-Conference Session 4 July 21, 2017
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1 ACS NSQIP Tools for Success Pre-Conference Session 4 July 21, 2017
2 No disclosures Disclosures
3 Continuous Quality Improvement Data Collection Implement High Quality Surgical Care Data Analysis QI Planning
4 Current Tools NSQIP Website: Participant Use Data File (PUF) Risk Calculator Informational Materials Geriatric Guidelines Resource Portal: Conference Presentations Best Practices Guidelines Best Practices Case Studies Quality Improvement Primers Online Forums On-demand Reports Toolkits
5 NSQIP Website
6 Participant Use Data File (PUF) HIPAA compliant research file of ACS NSQIP cases Hundreds of peer-reviewed publications utilizing PUF data Produced annually each fall for previous year s data Available to employees at NSQIP participating institutions Available in a delimited text, SAS, or SPSS file PUF Data Use Agreement required for access
7 Geriatric Guidelines Optimal Perioperative Management of the Geriatric Patient Visit the Coalition for Quality in Geriatric Surgery booth for information on upcoming standards, verification and QI program
8 Geriatric Guidelines
9 Informational Materials Program options and pricing Key studies Testimonial videos Short case studies News and events
10 Surgical Risk Calculator Online tool designed to be used in conjunction with a surgeon s evaluation to help predict the risk of certain adverse events following surgery Estimates the individual patient s risk of postoperative complications based on information about the patient Developed using ACS NSQIP data from over 1.4 million cases Covers nearly all CPT Codes Surgeon Adjustment Score allows surgeons to adjust estimated risks based on clinical assessment
11 Surgical Risk Calculator Assists physicians in the preoperative evaluation of patients by: Helping to identify what type of procedure is best for patient Heightening awareness for risks of specific complications Illuminating any need for additional preoperative workup Helping to clarify if the patient is even a candidate for surgery Presents opportunity to: Improve informed consent Provide visual aid and explanation to make patient aware of expectations of surgery Help patients decide whether or not to have surgery
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16 Annual Conference
17 Conference as a QI Tool Attend Sessions Networking Opportunities Reception SCR Meet & Greet Poster Sessions ACS Registries / Quintiles Table Verification, Standards, QI Program Tables Statistics Table Clinical / Education Table Conference Materials
18 Conference Presentations Allows access to presentations presented at previous ACS NSQIP National Conferences Conference presentations can be utilized by existing sites to learn more about topics of interest Previous conference topics include improving outcomes, surgical advances, SCR tools, lessons from new and existing sites, disseminating results to hospital staff, etc.
19 Resource Portal
20 Best Practice Guidelines Provide evidence-based recommendations regarding the prevention, diagnosis, or treatment of post-operative complications Developed by expert panel for QI purposes at participating sites Available Guidelines Prevention of Postoperative Pulmonary Complications Prevention of Catheter-Associated Urinary Tract Infections Prevention and Treatment of Venous Thromboembolism Prevention and Assessment of Intravascular Catheter-Related Bloodstream Infections Prevention of Surgical Site Infections Prevention of Ventilator-Associated Pneumonia Optimal Preoperative Assessment of the Geriatric Surgical Patient (in conjunction w/ AGS)
21 Best Practices Case Studies Showcase how participating hospitals have used ACS NSQIP data to improve their performance and outcomes Allow ACS NSQIP participating sites to learn from the experiences of other hospitals and develop similar quality improvement initiatives within their own facilities
22 Best Practices Case Studies Hospital information Problem addressed Planning and development process Description of the quality improvement activity Resources used and skills needed Results Tips for others
23 Quality Improvement Primers Developed to create a framework that can be used to prioritize and direct efforts to improve perioperative outcomes Designed to serve as complete yet concise resources for health care providers and quality improvement professionals Assembled through reviews of the current literature and consultation with experts in the field Available Quality Improvement Primers: Leading and Managing Organizational Change Statistical Process Control Charts
24 Online Forums Participant-only benefit of the ACS NSQIP that allows users to share information, learn from one another, and network Should be a friendly and informative place for program participants Users must comply with terms of use Separate discussion boards for SCRs and Surgeon Champions Not monitored by ACS
25 On-demand Reports Provides risk-adjusted and smoothed rates using accurate and robust methodology Reports out rates rather than odds ratios Provides results for most ACS NSQIP models Ability to report on user-defined models Includes all completed NSQIP cases Case data are updated every night Filter by model, time frame, interval, and custom filters Track trending over time Learn more: Statistical Support Table
26 Resource Portal Dashboards
27 Toolkits Administrator Toolkit Surgeon Champion Toolkit SCR Toolkit Designed to help sites implement and utilize NSQIP Online modules cover introduction of the program at the hospital, collecting data and organizing work, and disseminating results and utilizing data for QI Consisted of checklists, video testimonials, sample documents, tutorials, etc.
28 SURGEON CHAMPION TOOLKIT Module l - Implementing ACS NSOIP 1 Module 2 - Teamwork and Comm unications Module 3 - Surgeon Support Module 4 - Eng.aging Surgeons Module 5 - Engagin g Adm inistr ators Module 6 - Using Online Reports Module 7 - Usmg the SAR Module 8 - ROI Case Study Module 9 - Deliver ing Bad News Module 10 - Best Practice Guidelines Module 11 - Coll abora t ives Module 12 - C<1se Study: UTI Mo'du le 13 - Case Study: Pulm onary Complicati ons 1 Modu, le 14 - SSI Case St udy
29 Excel and Report Tutorials
30 Thank you
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