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North Carolina Surgical Care Improvement Project (NC SCIP) Collaborative Overview

Note:
The registration deadline for Year 3 of the NCSCIP Collaborative is October 30, 2009. If your hospital intends to continue into Year 3, but hasn't officially signed up by submitting the signed Data Use Agreement (DUA), please contact Dean Higgins at 919-677-4212 or at dhiggins@ncha.org Please refer to the attached Overview document for more information about Year 3 of the collaborative.

Effective November 1, 2009, this site will no longer be used for the NSCIP Collaborative. If your organization is continuing into Year 3, your access to the new collaborative website will be set up as part of the registration process, and training sessions will be offered twice in November

Please hold off on entering your September data until you are set-up to use the new data submission website. If you have already received an account for the new website, please go to NC Quality Center and login with the information that was sent to you from the NC Quality Center.

Purpose:
To assist North Carolina hospitals in reliably implementing the components of the Surgical Care Improvement Project (SCIP)..

Partnerships:
Partnerships are used to support all the aspects of the collaborative. Partners contribute resources and/or expertise unique to their organization. Year two of the collaborative is led by the NC Center for Hospital Quality and Patient Safety (Quality Center) in partnership with the Carolinas Center for Medical Excellence (CCME), NC Area Health Education Centers (AHEC), Southern Atlantic Healthcare Alliance (SAHA) and the Quality Insights of North Carolina.

Project Plan:
Using a modified collaborative model, the strategy is to provide surgical care improvement expertise at the state level and at an affordable cost. Collaborative components include:
  • Comprehensive tool kit to assist the hospital project team with managing the project.
  • In-person learning sessions to educate and collaborate with others.
  • Use of Performance Improvement Model – rapid cycles of change with identified pilot units/areas to develop a process that is individualized to a hospital’s current systems and processes.
  • Project time lines to move the performance improvement process.
  • Data collection to demonstrate improvements.
  • Aggregate data to understand overall participant progress.
  • Secure website to collect data and serve as a resource for all documents and tools.
  • Periodic, individual telephone consults to assist the hospital teams in overcoming process barriers.
  • Teleconferences to continue learning and drive process momentum. Opportunity to share with larger audiences.
  • Physician endorsement to support quality improvement efforts.

Additional components for year two:
  • Use of additional performance improvement methods to improve performance reliability and efficiency.
    • Lean- to address optimal performance and elimination of waste in processes
    • Six Sigma- to identify and remove causes of defects and errors in processes
  • Optional measurement of safety culture using a web-based administration of the AHRQ Hospital Survey on Patient Safety Culture.
  • Education and training on tools to improve culture such as Just Culture and TeamSteppsTM.
  • Incorporation of the WHO, Safe Surgery Saves Lives checklist to reduce surgical errors and improve patient safety.

Year One Summary:
During the first year of the collaborative which kicked off in August 2007, hospitals participated and networked through two regional, in-person learning sessions, regular coaching/consultant calls, ongoing list serv discussions, and three teleconferences to share best practices led by the sponsoring organizations and national experts. A resource rich website and data tool has enabled hospitals to accelerate their improvement. Collectively, NC SCIP Collaborative hospitals have experienced a 10% increase in the SIP Optimal Care Score (OC) and an 8% increase in the VTE OC as part of their monthly process improvement efforts.

Year Two Plan:
Planning and recruitment for year two of the collaborative is complete. The year one celebration was scheduled for September 30th, 2008 at the Friday Center in Chapel Hill. This event marked the continuation for current participants and served as the kickoff for new hospitals.

In addition to the support and services delivered during the first year of the collaborative, year two includes a greater emphasis on teamwork and communication, just culture, and the implementation of lean healthcare methodology.

If you would like more information about the SCIP collaborative, please contact Chrystal Adams at cadams2@ncqio.sdps.org or call 919-677-4212


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