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)