Written by Kevin Hare, Executive Director, Clinical Quality and Strategic Priorities, Clinical Quality and Patient Safety

Thank you to everyone involved for their tireless commitment to improving the quality of our services for the benefit of all our patients.

The term “patient-centred care” has become a familiar mantra in health care. Everyone from CEOs to patient advocates talk about it, but what does it really mean? Depending on who you ask, you’ll likely get a different answer.

For us on the quality team, it means taking the experience of a patient and learning from it to make sure we provide the best care possible, and our patients have the best outcomes possible.

One area where we knew we could make a significant difference in the lives of our patients was in reducing complications after surgery. Our patients expect to get better after surgery, not worse, so Fraser Health brought the American College of Surgeons National Surgical Quality Improvement Program (ACS NSQIP) to Canada in 2005. Surrey Memorial, Royal Columbian and Burnaby Hospitals were among the first hospitals in the country to join the program. The objective of the program is to identify and target specific procedures and outcomes in order to determine where we need to focus our efforts to reduce the chance of complications for our patients after surgery. This means they can get back to their lives faster and with fewer challenges.

The program is now being used in all of our sites where we perform surgeries and many more sites across the country.

Since we implemented the program, we have seen tremendous results. At Burnaby Hospital the surgical team received national recognition this year for Meritorious outcomes from ACS NSQIP in eight specific categories including mortality rates, pneumonia and urinary tract infections. This means Burnaby Hospital ranked in the top 10 per cent of hospitals that participate in the program. It is one of six hospitals in Canada, and 66 sites across North America to be recognized with this status. Other hospitals that were also acknowledged this year include the Cleveland Clinic and the Mayo Clinic.

This is the second time a Fraser Health hospital has received this prestigious award since its inception in 2010, when Royal Columbian Hospital was recognized. Since then only six other hospitals in B.C. have received this recognition.

This dedication to excellence has been seen across the region. Several of our sites have received Exemplary recognition from ACS NSQIP for very low rates of post-surgical complications in various categories. To receive Exemplary recognition means our sites must be among the top 10 per cent of all participating hospitals. Examples include Langley Memorial Hospital for Exemplary recognition in more than 25 measures including colorectal mortality, all cardiac cases, urology mortality and renal failure.  Below is a list of recent accomplishments by site:

  • Abbotsford Regional Hospital: Exemplary recognition for more than 30 measures including Vascular Surgical Site Infections (SSI), General Surgery Urinary Tract Infections (UTIs), Colorectal Length of Stay, All Cases Readmission, Targeted Orthopedic Total Knee Arthroplasty (TKA) Morbidity, Orthopedic TKA SSI, and All Cases Venous Thromboembolism (VTE)
  • Chilliwack General Hospital: Exemplary recognition for more than 20 measures, including General Surgery Mortality, Colorectal Length of Stay, All Cases Mortality, All Cases Renal Failure, Urology Readmission, Orthopedic TKA UTI
  • Delta Hospital: Exemplary recognition for General Vascular UTI and General Surgery UTI 
  • Eagle Ridge Hospital: Exemplary recognition for Ortho SSI, Plastic VTE, Plastic Sepsis, Urology Return to Operating Room, Gyne Hysterectomy/Myom Intestinal Obstruction
  • Jim Pattison Outpatient Care and Surgery Centre: Exemplary recognition for Plastic VTE, Plastic Sepsis, Plastic Readmission, Urology Return to Operating Room, Breast Reduction SSI and Breast Reconstruction Readmission
  • Langley Memorial Hospital: Exemplary recognition for more than 25 measures, including Colorectal Mortality, All Cases Cardiac, All Cases Unplanned Intubation, Urology Mortality, Urology Renal Failure, Urology UTI and Ortho Hip Fracture Cardiac
  • Royal Columbian Hospital: Exemplary recognition for more than 25 measures including Colorectal Mortality, Colorectal Sepsis, Vascular Pneumonia, All Cases Mortality, Cardiac Mortality, Neurosurgery Unplanned Intubation, Colectomy Length of Stay
  • Ridge Meadows Hospital: Exemplary recognition for nine measures, including General Surgery VTE, Colorectal Length of Stay, All Cases VTE, Gynecology UTI, Gynecology Readmission and Nephrectomy Length of Stay
  • Surrey Memorial Hospital: Exemplary for more than 25 measures, including General Surgery VTE, Gynecology Readmission, Otolaryngology VTE, Thoracic Cardiac, Thoracic UTI, Urology SSI and Orthopedic Hip Fracture Morbidity

Congratulations to everyone involved in the ACS NSQIP program for their tireless commitment to improving the quality of our services for the benefit of all our patients.


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