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North Carolina Surgical Care Improvement Project (NC SCIP) Collaborative
Overview
Purpose:
To assist North Carolina hospitals in reliably implementing the components of
the Surgical Care Improvement Project (SCIP).
Partnerships:
Partnerships are used to support all the aspects of the collaborative. Partners
contribute resources and/or expertise unique to their organization. Year two of
the collaborative is led by the NC Center for Hospital Quality and Patient
Safety (Quality Center) in partnership with the Carolinas Center for Medical
Excellence (CCME), NC Area Health Education Centers (AHEC), Southern Atlantic
Healthcare Alliance (SAHA) and the Quality Insights of North Carolina.
Project Plan:
Using a modified collaborative model, the strategy is to provide surgical care
improvement expertise at the state level and at an affordable cost.
Collaborative components include:
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Comprehensive tool kit to assist the hospital project team with managing
the project.
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In-person learning sessions to educate and collaborate
with others.
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Use of Performance Improvement Model – rapid cycles of change with identified
pilot units/areas to develop a process that is individualized
to a hospital’s current systems and processes.
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Project time lines to move
the performance improvement process.
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Data collection to demonstrate improvements.
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Aggregate data to understand overall participant progress.
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Secure website to collect data and serve as a resource
for all documents and tools.
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Periodic, individual telephone consults to assist the hospital teams in overcoming
process barriers.
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Teleconferences to continue learning and drive process momentum.
Opportunity to share with larger audiences.
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Physician endorsement to support quality improvement efforts.
Additional components for year two:
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Use of additional performance improvement methods to improve performance
reliability and efficiency.
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Lean- to address optimal performance and elimination
of waste in processes
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Six Sigma- to identify and remove causes of defects and errors in
processes
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Optional measurement of safety culture
using a web-based administration of the AHRQ Hospital Survey on Patient Safety
Culture.
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Education and training on tools to improve culture such as Just Culture
and TeamSteppsTM.
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Incorporation of the WHO, Safe Surgery Saves Lives checklist to reduce surgical
errors and improve patient safety.
Year One Summary:
During the first year of the collaborative which kicked off in August 2007,
hospitals participated and networked through two regional, in-person learning
sessions, regular coaching/consultant calls, ongoing list serv discussions, and
three teleconferences to share best practices led by the sponsoring
organizations and national experts. A resource rich website and data tool has
enabled hospitals to accelerate their improvement. Collectively, NC SCIP
Collaborative hospitals have experienced a 10% increase in the SIP Optimal Care
Score (OC) and an 8% increase in the VTE OC as part of their monthly process
improvement efforts.
Year Two Plan:
Planning and recruitment for year two of the collaborative is complete. The
year one celebration was scheduled for September 30th, 2008 at the
Friday Center in Chapel Hill. This event marked the continuation for current
participants and served as the kickoff for new hospitals.
In addition to the support and services delivered during the first year of the
collaborative, year two includes a greater emphasis on teamwork and
communication, just culture, and the implementation of lean healthcare
methodology.
If you would like more information about the SCIP collaborative, please contact
Dean Higgins at dhiggins@ncha.org or
call 919-677-4212
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