Physician Champion Meeting April 26, 2013

1. Physician Champion MeetingApril 26, 2013 Adrienne L. Melck, MD, MPH, FRCSC Surgeon Champion, St. Paul’s Hospital

2. PHC Quality & Safety Structure Board Quality & Performance Improvement Cte of the Board Senior Leadership TeamCouncil for Excellence Medical Advisory CteCouncil for Excellence Quality, Patient Safety & Clinical Risk Management Committee Infection Control Standards Committee Program/Service Quality & Safety Ctes (7)

3. Surgical Quality Committee Initiatives 2013/14 UTI ERAS • DATA • NSQIP • Canadian Hospital Reporting Project (CHRP) (CIHI) • Global Trigger Tool • PSLS • PHC/BC Strategic Priorities • IPAC Surgical Quality Committee Mortality Checklist Future: Elderly Care, Delirium OR Culture SSI(new)

4. Surgeon Champion Role • J. Reid & A. Melck • Weekly meetings with SCRs & Quality Specialist • Co-chair Surgical Quality Committee • Chair, UTI Working Group • Member, OR Safety Culture Working Group • Advisor, SSI Working Group

5. Engagement of Colleagues • Presentations: • Dept. of Surgery Grand Rounds • All Party Rounds – SPH and MSJ • Divisional Meetings • Orthopedics and Gynecology involvement

6. UTI Working Group • Surgery – Stephen Parker • Ortho – Michele Bech • Cardiac –Marie McCoy • O.R. – Jacek Murawski • MSJ – Connie Deugau • Clinical Care Analyst – Lisa Toback • QI Specialists – Meghan MacLeod • IPAC – Dr. Victor Leung • Urology – Dr. Mike Eng • Maternity– Mary Radmanovic • Anesthesia – Dr. Gus Chan • Chair – Dr. Melck

10. Challenges • Defending the data • Getting buy-in • Burnout • Resources • Sustaining the initiatives