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@NHLC2019 #NHLC2019
Physician Driven Innovations in Business Intelligence
Presenter: Dr Guy Moreau, Chief of Staff, Orthopaedic Surgeon, Montfort
DISCLOSURE
• I have no actual or potential conflict of interest in relation to this work/presentation.
OBJECTIVES
Overview of Montfort’s early
Choosing Wisely experience“SAP” Model & Going Forward
Sharing what we have learned
through our different initiatives.
• Affiliated with the University of Ottawa – 1992
• Opening of the New Montfort – June 2010
• Accreditation with honourary standing – Sept. 2014 & May 2018
• Services in French and English
• Only French-language academic hospital of Ontario
• 289 acute care beds
WHAT WE DID
30% ReductionBiochemistry Laboratory Tests
Reduction in the Emergency
Department
30-40% Reduction Electrolytes throughout the
hospital
Grassrootsbehavioural changePhysician Inspired Tools for Utilization
Management
30-40% : ELECTROLYTES* (ALL DEPARTMENTS)
*Physicians are still ordering individual components such as K and Na, simply not electrolytes (Na, K, Cl, and CO2 ) automatically
THE CHIEF OF STAFF’ STORY AND HIS DEPARTMENT(ORTHOPEDIC SURGERY)
2015-2017
THE CHIEF OF STAFF’ STORY AND HIS DEPARTMENT(ORTHOPEDIC SURGERY)
2017-2018
Outliers…not because you can that you should
% Visits with Repeated Tests
Repeated Laboratory Testing
# Repetitions
# Visits with repeated Tests / Department Top Tests
% Visits with Repeated Tests
CHEST X-RAY (PRE-OP)
CHOOSING WISELY-MONTFORT
“…It seems you’re well positioned to make improvements in a variety of areas, with
proper clinician leadership and change strategies.”Hayley Thompson, Choosing Wisely Canada
Clinician-Led
Patient-Focused
Multi-Professional
Evidence-Based
Openness
Executive-Supported
From: Diving into Overuse in Hospitals
A Starter Kit for Reducing Unnecessary
Tests and Treatments
Version 1 | January 2019
MONTFORT CAMPAIGNS
Urinary
catherers
Sara Leblond
Josée Shymanski
Dr Nicolas Chagnon
Antimicrobial
stewardship
Christine Landry
Marie-France Gauthier
Dr Sarah Mansour
Emergency
Department
Dr Rohit Gandhi
Blood
Transfusion
Dr Linda Lacroix
Liane Cousineau
Telemetry
Dr Nassoh Hafez
Dr Nicole Leblanc
Margarita Pimentel
« LOSE THE TUBE»
% Visits with Catheters
URINE CULTURE IN THE EMERGENCY DEPARTMENT
URINARY TRACT INFECTIONS
Transfusion Profile
« TELEMETRY WISELY »
POWER BI OPTIONS
PATIENT FLOW
BED OCCUPANCY RATE
COST
FINANCIAL OUTCOMES
• Always keep Quality of Care at the forefront
• Clinical Leadership and Change Strategies
• Doing it for the right reasons
• Work in progress
• Personalize your needs
• Data-focused (real-time, agile, easy to use)
SUMMARY/LESSONS LEARNED
TAKE HOME MESSAGE
• Find a way to create your own recipe, with the
ingredients put at your disposition by Choosing
Wisely Canada, other hospitals, and most
importantly, your own internal ressources.
