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NCD Pacing Event: A Comprehensive Redesign to Improve Surgical Safety: Impacting Multiple Outcomes

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Thursday, July 18, 2019, 10:00 a.m. to 11:00 a.m. PT.

With increasing attention toward patient-centered care, a key opportunity involves improving the care of surgical patients from the first interaction through the operative and post-operative care phases. Ensuring a focus on the patient, identifying risk factors early, and reducing variation can positively impact patient outcomes and the overall cost of care. This session will include the experiences of a Florida hospital as they redesigned their surgical care processes to maximize multiple outcomes, and their work to spread their successes across surgical and medical service areas.

Summary from 7/18 Special Pacing Event: “A Comprehensive Redesign to Improve Surgical Safety: Impacting Multiple Outcomes”

With increasing attention toward patient-centered care, a key opportunity involves improving the care of surgical patients from the first interaction through the operative and post-operative care phases. Ensuring a focus on the patient, identifying risk factors early, and reducing variation can positively impact patient outcomes and the overall cost of care. The surgical process involves multiple factors which impact outcomes, including the use of standardized protocols, optimizing mobility, reducing opioid use, and facilitating home-based recovery.

This session included the experiences of a Florida hospital as they redesigned their surgical care processes to maximize outcomes. This redesign included changes to their protocols and environment; enhancements to patient care and assessments; and strategies for monitoring data to inform continued progress and opportunities for improvement; as well as the impact on their bottom line. The results were far reaching and include decreased infection rates, decreased opioid use, lower readmissions and high levels of patient and clinician satisfaction.

The guest presenters for this event were:

Hari Parvataneni, MD and Chancellor Gray, MD, surgeons from the University of Florida (UF) Health System, who have redesigned orthopedic surgeries at UF Shands Hospital (Vizient HIIN) to improve multiple care outcomes, maintain patient satisfaction, and reduce costs. They shared their work and results, as well as the many aspects that can be applied to any surgical or medical service area.

Lee Thompson, MS, from the HIIN Patient and Family Engagement Contractor (PFEC) team, who discussed the role of PFE in improving surgical outcomes, as well as the impact that addressing PFE Metrics 1 and 2 can have on these outcomes.

The session was moderated by Kendall Hall, MD (NCD).

To learn more about the surgical redesign work at UF Health and their impressive outcomes, please see their publication available at: https://www.sciencedirect.com/science/article/pii/S2352344118300074

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