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The VIHA ExperienceThe VIHA Experience
Collaborative EffectsCollaborative Effects
• Application of Quality Improvement Tools– Measurement !
• Teamwork– Multidisciplinary !
• Knowledge Transfer/Sharing– Best Practices !
VIHA LOS ReductionVIHA LOS Reduction
• VIHA Average:– Knees down 0.8 days
• 1.4 days under ELOS
– Hips down 0.9 days• 1.2 days under ELOS
• 2,274 cases = ~ 1,915 days saved
Spin Offs & Building BlocksSpin Offs & Building Blocks
• SSI• Med Rec.• # Hip
Collaborative• Surgical
Integration• Sullivan
Benchmarks• CCHSA Ortho
Teams• Quality Councils
• Patient Access• Patient Flow• Patient Safety & Wellness• Healthy Workplace
SSI InitiativeSSI Initiative
Surgical Site Infection CollaborativeTarget: 90%
11
9675
92 100 100
020406080
100
Timely Use ofProphylactic
Antibiotic
AppropriateSelection of
Antibiotic
Appropriate HairRemoval
Per
cen
t (%
)
Baseline
Current
VGH: Orthopedics
Med Rec InitiativeMed Rec Initiative
Unintentional Discrepancies *
0.43
1.31
0.9
0.110.03 0.0
0
0.4
0.8
1.2
1.6
Royal 2 Royal 3 West 3
Nu
mb
er
pe
r p
ati
en
t
Baseline Impact of MedRec Pharmacist
* Physician unintentionally changed/added/ omitted a home medication
Continuing StepsContinuing Steps
• Determine Targets and Volumes – Build Capacity as Required
• Intake Assessment Clinics
• Waitlist Management/SPR
• Collaborative Work– # Hips
• Optimize O.R. Time and Bed Utilization (Surgical Smoothing)