1. Chief of Surgery NSQIP Surgeon Champion Langley Memorial Hospital
Mitra Maharaj Otolaryngology, Head and Neck Surgery
Chief of Surgery NSQIP Surgeon Champion Langley Memorial Hospital

2. Background Surgeon at LMH since 2004 NSQIP Surgeon Champion since 2010
LMH data collection began 2011
Second SAR March 2013
Based on 1st SAR and subsequent non-risk adjusted data, multidisciplinary front-line team achieved a 28% reduction in all UTIs over 3 month implementation

3. Role of a Surgeon Champion
Get educated about NSQIP
ACS NSQIP National Conference
Advertise and cheerlead = educate your peers
Surgeons, Anesthesiologists, Nurses, Family Physicians … anyone who will listen
Work with the SCRs to understand the data
Present the data
Give your peers the tools they need to act on the data

4. Engaging Colleagues Believe Make it real Make it achievable
If you don’t believe in NSQIP and what it can accomplish, no one else will
Make it real
UTI vignette
Make it achievable
Realistic goals

5. Engaging Colleagues Give them ownership
“We have lots of ideas (aka best practices). We need you to tell us which ideas are the right ones.”
Grass roots, not top down
We know what is needed at our site
Use the in-house credible expertise
UTI best practices per your local respected Urologist
Use outside experts to galvanize discussion on major changes
Personal “report cards”

6. Multidisciplinary Team
Stop the “Us vs. Them” mentality before it starts
Everyone who touches the patient has a role to play
Credibility when all the players are at the table
Capacity to actually bring about sustainable change
Amazing insights when you ask everyone in a non- threatening environment
Share the successes as a team win
Builds cohesion in the department and builds enthusiasm for the next project