Surgical Care Improvement Project
What does this mean to us-well similar to Core Measures it provices a framework of researched best practices only instead of it being about CHF, MI & Pneumonia that Cores target these are specific to pre and post op measures. You may have already seen them as part of ordersets-for instance stopping antibiotics after a set number of doses or VTE prophylaxis/screening. Other measures that we already know work were researched by other studies and are integrated into these measures-like all the respiratory measures SCU staff will recognize as IHI's 100,000 Lives Campaign; having the HOB greater than 30 degrees in a ventilated patient and Ulcer prophylaxis.
Here is a link to all the SCIP measures-and yes this is monitored and reported since repayment is contingent on our completing each step in the process and like Cores if we miss one measure of the whole surgical experience then we fail the whole"bundle" and payment.
http://www.premierinc.com/quality-safety/tools-services/safety/topics/scip/downloads/scip-final-10-14-05.pdf
One to note especially for SCU staff who commonly recover the big bowel cases is #7 :
Colorectal surgery patients with immediate postoperative normothermia.
Translation: We have 15 minutes to get the postop colorectal patients temp above 96.8.
Everyone is working hard to meet this measure, but even I was unaware that this was the standard until we had already missed one-unfortunate since it decreases the patients risk negative post op issues but now that I know I want you all to be in to make our patients safer also.
Please take the time to read through the measures on the link so that you ar aware also and we can all help each other to facilitate giving our patients the best care research says works.
Thanks for all you are doing for Cores-I went to the meeting on Friday and we were 100% for all measures in June-YEAH US!!!
So if we can do it for Cores-SCIP should be a breeze with a little attention to detail.
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