WHAT'S NEW?
Committing to better: New campaign to reduce infections improves care for surgical patients
The Ontario Surgical Quality Improvement Network’s (ON-SQIN) Committed to Better: Reducing Infections after Surgery campaign is a new campaign jointly developed by ON-SQIN members, with support from Health Quality Ontario.
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The Ontario Surgical Quality Improvement Network (ON-SQIN) is a Community of Practice that brings together surgical teams from all hospitals and specialties from across the province.
ON-SQIN, a community dedicated to better surgical care for patients, was created by surgical leaders and continues to be driven by its members.
Using high-quality clinical data collected through the American College of Surgeons National Surgical Quality Improvement Program (ACS NSQIP), members identify opportunities to improve the quality of surgical care.
Connecting via educational webinars, meetings and the annual Ontario Surgical Quality Conference, ON-SQIN members share ideas and practices, and work together to use their ACS NSQIP data to improve care.
Interest in ON-SQIN is growing
As of June 1, 2018, nearly 77% of Ontario’s adult surgeries took place in an ON-SQIN member hospital.
For information on joining the Community of Practice, please email NSQIP@hqontario.ca.
Dr. Timothy Jackson is Health Quality Ontario’s Provincial Surgical Lead.
Tools and Resources
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Participating Hospitals (as of June 1, 2018)
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Location
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LHIN
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Cambridge Memorial Hospital
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Cambridge
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Waterloo Wellington
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Children’s Hospital of Eastern Ontario
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Ottawa
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Champlain
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Collingwood General and Marine Hospital
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Collingwood
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North Simcoe Muskoka
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Grand River Hospital, Kitchener Waterloo Campus
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Kitchener
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Waterloo Wellington
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Grey Bruce Health Services
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Owen Sound
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South West
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Guelph General Hospital
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Guelph
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Waterloo Wellington
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Halton Healthcare, Oakville Trafalgar Memorial Hospital
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Oakville
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Mississauga Halton
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Hamilton Health Sciences, Hamilton General Hospital
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Hamilton
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Hamilton Niagara Haldimand Brant
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Hamilton Health Sciences, Juravinski Hospital
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Hamilton
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Hamilton Niagara Haldimand Brant
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Health Sciences North, Ramsey Lake Health Centre
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Sudbury
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North East
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L’Hôpital Montfort
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Ottawa
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Champlain
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Humber River Hospital
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Toronto
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Central
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Kingston Health Sciences Centre, Kingston General Hospital
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Kingston
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South East
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Lakeridge Health, Oshawa Hospital
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Oshawa
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Central East
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London Health Sciences Centre, Children’s Hospital
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London
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South West
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London Health Sciences Centre, University Hospital
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London
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South West
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London Health Sciences Centre, Victoria Hospital
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London
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South West
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Mackenzie Health
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Richmond Hill
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Central
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Markham Stouffville Hospital Corporation, Markham Stouffville Hospital
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Markham
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Central
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McMaster Children’s Hospital (Hamilton Health Sciences)
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Hamilton
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Hamilton Niagara Haldimand Brant
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Michael Garron Hospital
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East York
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Toronto Central
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Niagara Health System, St. Catharine’s Site
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St. Catharine’s
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Hamilton Niagara Haldimand Brant
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North Bay Regional Health Centre
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North Bay
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North East
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North York General Hospital
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North York
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Central
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Orillia Soldiers’ Memorial Hospital
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Orillia
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North Simcoe Muskoka
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Pembroke Regional Hospital
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Pembroke
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Champlain
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Peterborough Regional Health Centre
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Peterborough
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Central East
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Queensway Carleton Hospital
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Ottawa
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Champlain
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Quinte Health Care
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Belleville
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South East
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Renfrew Victoria Hospital
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Renfrew
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Champlain
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Sinai Health System, Mount Sinai Hospital
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Toronto
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Toronto Central
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Sioux Lookout Meno Ya Win Health Care
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Sioux Lookout
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North West
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Southlake Regional Health Centre
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Newmarket
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Central
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Sunnybrook Health Sciences Centre
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Toronto
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Toronto Central
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St. Joseph’s Healthcare Hamilton
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Hamilton
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Hamilton Niagara Haldimand Brant
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St. Joseph’s Health Centre Toronto
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Toronto
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Toronto Central
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St. Michael’s Hospital
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Toronto
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Toronto Central
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The Hospital for Sick Children (Sick Kids)
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Toronto
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Toronto Central
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The Ottawa Hospital
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Ottawa
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Champlain
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The Scarborough Hospital
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Scarborough
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Central East
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Thunder Bay Regional Health Sciences Centre
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Thunder Bay
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North West
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University Health Network, Princess Margaret Hospital
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Toronto
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Toronto Central
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University Health Network, Toronto General Hospital
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Toronto
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Toronto Central
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University Health Network, Toronto Western Hospital
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Toronto
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Toronto Central
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William Osler Health Centre, Brampton Civic Hospital
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Brampton
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Central West
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William Osler Health Centre, Etobicoke General Hospital
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Etobicoke
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Central West
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The American College of Surgeons National Surgical Quality Improvement Program® (ACS NSQIP®) is a leading validated, risk-adjusted, outcomes-based program to measure and drive improvements in surgical care. For each year of participation in ACS NSQIP, a hospital has, on average, the opportunity to:
- prevent 250–500 complications
- save 12–36 lives
- reduce health care costs by millions of dollars
Ontario hospitals that participate in ACS NSQIP through the Ontario Surgical Quality Improvement Network are part of the Ontario collaborative of ACS NSQIP called “NSQIP-ON.” Participating surgical teams have access to high-quality clinical data that can be accurately compared against data at the local, provincial, national and international levels. This allows providers to benchmark top performers, and can be used to identify areas for improvement and track progress.
ACS NSQIP data are:
- Not administrative: data are taken from the patient’s medical chart, with identifying factors removed
- Risk-adjusted:ACS NSQIP lets you compare apples to apples. For example, caring for a chronically ill 75-year-old is very different from treating a healthy 21-year-old, and quality measures should take these differences into account
- Case mix–adjusted: ACS NSQIP accounts for the complexity of operations performed, allowing for more accurate benchmarking
- Based on 30-day patient outcomes:Studies show half or more of all complications occur after the patient leaves the hospital, often leading to costly readmissions. ACS NSQIP tracks patients for 30 days after their operation, providing a more complete picture of their care
Improvement in surgical care has benefits for:
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Patients, who experience fewer complications and better outcomes, shorter hospital stays and improved satisfaction
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Surgeons and surgical teams, who receive robust reports that provide performance information to guide surgical care and identify areas for improvement
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Hospitals, which sustain reduced disparities of care and improved patient outcomes and realize lower costs of care, through avoidance of complications
To learn more about ACS NSQIP visit https://www.facs.org/quality-programs/acs-nsqip
To learn more about the Ontario collaborative of ACS NSQIP (NSQIP-ON), please email NSQIP@hqontario.ca.
As one of the first steps in their quality improvement journeys, Ontario Surgical Quality Improvement Network members review their ACS NSQIP data to identify areas for improvement and strategize a plan to address those issues. Surgical Quality Improvement Plans (SQIPs) are a tool used to help teams leverage their data to create actionable ideas and goals.
Surgical Quality Improvement Plans were adapted from the provincially mandated Quality Improvement Plans (QIPs), and serve as blueprints for how a surgical team will strive to improve quality at their hospital. A SQIP is a programmatic QIP designed to help Ontario Surgical Quality Improvement Network members:
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identify areas for improvement (using their ACS NSQIP data)
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implement evidence-based quality improvement initiatives and change ideas
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track data, process measures and outcomes to determine the effects of their quality improvement activities and change ideas
Submit your SQIP using the SQIP Navigator online tool.
SUBMIT HERE
Find out more about best practices in surgical care and resources available to inform your work in surgical quality improvement.
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