The VIHA Experience

1
The VIHA Experience
2
Collaborative Effects

• Application of Quality Improvement Tools
• Measurement !
• Teamwork
• Multidisciplinary !
• Knowledge Transfer/Sharing
• Best Practices !

3
VIHA 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

4
Spin 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

5
SSI Initiative
VGH Orthopedics
6
Med Rec Initiative
Physician unintentionally changed/added/
omitted a home medication
7
Continuing 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)