Dr Marie-Noelle Trottier-Boucher presented a project aimed at improving the care of neonates exposed in utero to opiates, which was funded by the South Island Facility Engagement Initiative and Physician Quality Improvement (PQI).

The project focused on reducing the length of stay in the NICU by 20% and implementing interventions such as the use of PRN morphine and the Eat Sleep Console method.

Despite challenges in data collection and confounding factors like changes in drug supply and maternal stability during COVID, the project showed success in reducing the length of hospital stay and increasing comfort levels with non-pharmacological interventions.

Drs Tim Kostamo and Reza Faraji and nurse practitioners Jen Watters and Brittany Spence presented their successful same-day discharge program for total hip and knee replacements, which has increased their same-day discharge rate from 8% (baseline) to 22.2% in a 29-month period, and up to 32% in recent months, saving more than $1.14 million in 36 months.

The team developed comprehensive resources and protocols for the program, which has been sustained for more than three years with high patient satisfaction.

The project has been shared through various platforms and publications, and the team continues to collaborate with other sites to spread their successful model.

Dr Stephen Trebble from Elk Valley Hospital presented on a noise-cancelling headphones initiative in day surgery, where overcapacity created privacy challenges.

The project improved patient privacy and reduced anxiety, with positive patient feedback and low implementation costs.

87.5% patients agreed or strongly agreed that noise-cancelling headphones made the recovery space more comfortable, more private, and should be offered to patients in the future (n=8).

Dr Kevin McKechnie, project manager Danica Burwash, and Director of Clinical Operations Tyler van Ramshorst shared their Leadership Dyad project, which strengthened medical leadership relationships through structured sessions and resulted in improved collaboration and reduced conflict among hospital teams.

The leadership dyad session provided an opportunity for clinical managers and operational leads to reach a shared understanding of the operational and medical staff “sides of the bus” and to create a personalized dyad partnership agreement. 

Participants' change in knowledge and understanding of their dyad partner was reported as 20% same, 70% better, 10% much better (n=8) compared to before the session.

Examples of Common Measures Across FE offers examples of relevant, actionable measures to consider when planning the evaluation of FE-funded engagement activities, in alignment with the JCC Quintuple Aim Framework.

Highlights & Results – Submission Example provides instructions and examples of how to evaluate and communicate outcomes of FE project work in MSAs Annual Review reports.

Facility Engagement's Evaluation Resource Guide is a toolkit with surveys, templates, and other helpful information for evaluation planning.

Campbell River MSA's Example Impact Survey is an adaptable template that MSAs can use to assess the impact of FE-funded work.

JCC Impact Guide* & JCC Quintuple Aim Framework* documents are in development to support the Joint Collaborative Committees (JCCs) in collectively and cohesively reporting the results of their work, clearly demonstrating alignment and impact within the Quintuple Aim.  

SSC's Physician Quality Improvement Resources (PQI)

Training – PQI Levels 1, 2, 3

Peer Coaching – up to 10 hours of support per project   

Intro to QI – one-pager

*Note that these two documents are drafts and prototypes and are likely to be updated over the next year.

Part 1: Physician feedback (n=15)

93% strongly/agreed that the workshop increased their knowledge of physician-led projects and activities funded through FE.

93% strongly/agreed that the workshop enabled them to consider new approaches to evaluation.

87% strongly/agreed that the workshop increased their confidence in identifying measures for my FE-funded activities.

Part 2: Physician feedback (n=8)

100% strongly/agreed that the workshop was a valuable use of their time.

88% strongly/agreed that the workshop increased their knowledge of the JCC Quintuple Aim Framework and the JCC Impact Guide.

75% strongly/agreed that the workshop enabled them to consider new approaches to demonstrating impact.

Highlights – Successes

“The shared guide of common measures used across FE was extremely helpful, and I  see myself using it frequently in my work. I’ve never seen it before and have always needed something like it!”

“The successful examples and resources shared in this workshop are the most valuable thing to me. I am inspired by these examples, and I am eager to start my next engagement project with all the resources available.”

“[Campbell River MSA] Survey for evaluation of project looked really good and would be useful for us in our site.”