Development of the Illinois Surgical Quality Improvement Collaborative (ISQIC): Implementing 21 Components to Catalyze Statewide Improvement in Surgical Care.
Development of the Illinois Surgical Quality Improvement Collaborative (ISQIC): Implementing 21 Components to Catalyze Statewide Improvement in Surgical Care.
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DOI：
10.1097/as9.0000000000000258
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发表时间：
2023-03
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在2014年，56伊利诺伊州医院走到一起，形成了一个独特的学习协作，伊利诺伊州手术质量改进协作（ISQIC）。我们的目标是提供ISQIC前3年的概述，重点是（1）协作如何形成和资助，（2）实施21项战略以支持质量改进（QI），（3）协作维持，以及（4）协作如何作为创新QI研究的平台。ISQIC包括21个组件，以促进针对医院、外科QI团队和围手术期微系统的QI。这些组成部分是根据现有证据、医院的详细需求评估、既往手术和非手术QI协作的回顾经验以及与QI专家的访谈制定的。这些组成部分包括5个领域：指导实施（例如，导师、教练、全州QI项目）、教育（例如，过程改进[PI]课程）、医院和外科医生级别的比较绩效报告（例如，过程、结果、成本）、网络（例如，分享QI经验和最佳实践的论坛）和资金（例如，用于整体计划、试点补助和改进奖金支付）。通过实施21个新的ISQIC组件，医院有能力使用他们的数据来成功实施QI计划并改善护理。医院在努力实施解决方案时进行了正式（QI/PI）培训、指导和辅导。医院收到了该计划的资金，并能够在全州范围内的质量倡议合作。通过会议、网络研讨会和工具包与所有参与医院分享了1家医院的经验教训，以促进相互学习，共同目标是为伊利诺伊州的手术患者提供更好、更安全的护理。在最初的3年里，伊利诺伊州的手术结果有所改善。ISQIC的前3年改善了伊利诺伊州手术患者的护理，并使医院能够看到参与手术QI学习协作的价值，而无需自己进行初始财务投资。由于医院的大力支持和支持，ISQIC在最初的3年之后继续支持伊利诺伊州医院的QI。
In 2014, 56 Illinois hospitals came together to form a unique learning collaborative, the Illinois Surgical Quality Improvement Collaborative (ISQIC). Our objectives are to provide an overview of the first 3 years of ISQIC focused on (1) how the collaborative was formed and funded, (2) the 21 strategies implemented to support quality improvement (QI), (3) collaborative sustainment, and (4) how the collaborative acts as a platform for innovative QI research. ISQIC includes 21 components to facilitate QI that target the hospital, the surgical QI team, and the perioperative microsystem. The components were developed from available evidence, a detailed needs assessment of the hospitals, reviewing experiences from prior surgical and nonsurgical QI Collaboratives, and interviews with QI experts. The components comprise 5 domains: guided implementation (eg, mentors, coaches, statewide QI projects), education (eg, process improvement [PI] curriculum), hospital- and surgeon-level comparative performance reports (eg, process, outcomes, costs), networking (eg, forums to share QI experiences and best practices), and funding (eg, for the overall program, pilot grants, and bonus payments for improvement). Through implementation of the 21 novel ISQIC components, hospitals were equipped to use their data to successfully implement QI initiatives and improve care. Formal (QI/PI) training, mentoring, and coaching were undertaken by the hospitals as they worked to implement solutions. Hospitals received funding for the program and were able to work together on statewide quality initiatives. Lessons learned at 1 hospital were shared with all participating hospitals through conferences, webinars, and toolkits to facilitate learning from each other with a common goal of making care better and safer for the surgical patient in Illinois. Over the first 3 years, surgical outcomes improved in Illinois. The first 3 years of ISQIC improved care for surgical patients across Illinois and allowed hospitals to see the value of participating in a surgical QI learning collaborative without having to make the initial financial investment themselves. Given the strong support and buy-in from the hospitals, ISQIC has continued beyond the initial 3 years and continues to support QI across Illinois hospitals.