Mitra Maharaj Otolaryngology Head and Neck Surgery mitra

Mitra Maharaj Otolaryngology, Head and Neck Surgery mitra. maharaj@fraserhealth. ca 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 Based on 1 st SAR and subsequent non-risk adjusted data, multidisciplinary front-line team achieved a 28% reduction in all UTIs over 3 month implementation

Role of a Surgeon Champion Get educated about NSQIP ACS NSQIP National Conference Advertise and cheerlead = educate your peers Surgeons, Anesthesiologists, Nurses, Family Physicians … anyone who will listen Work with the SCRs to understand the data Present the data Give your peers the tools they need to act on the data

Engaging Colleagues Believe If you don’t believe in NSQIP and what it can accomplish, no one else will Make it real UTI vignette Make it achievable Realistic goals

Engaging Colleagues Give them ownership “We have lots of ideas (aka best practices). We need you to tell us which ideas are the right ones. ” Grass roots, not top down We know what is needed at our site Use the in-house credible expertise UTI best practices per your local respected Urologist Use outside experts to galvanize discussion on major changes Personal “report cards”

Multidisciplinary Team Stop the “Us vs. Them” mentality before it starts Everyone who touches the patient has a role to play Credibility when all the players are at the table Capacity to actually bring about sustainable change Amazing insights when you ask everyone in a nonthreatening environment Share the successes as a team win Builds cohesion in the department and builds enthusiasm for the next project