Two groups (Campbell River and Fraser Northwest) presented on their models of optimization used in BC that adopt a multi-group approach and engage both primary care and specialist care. Development and implementation of the models, along with resource created were shared with the group. A highlight was the Patient Passport, created by the Campbell River team to increase communication between care providers.  

Participants learned from clinical champions how some BC sites have developed a core set of care processes and data sets for the ERAS urology pathway. Some next steps in BC for Urology include continuing to share learnings and support the implementation of ERAS for radical cystectomy, laparotomy and minimally invasive procedures for same day admit patients.

Provincial ERAS Resources can be found HERE .

The Victoria RebalanceMD clinic shared knowledge on the formation and growth of the FAAST (First Available Appropriate Surgeon), a patient centric model used to optimize patients and decrease wait. The use of PROMS- PREMS, data analytics and the integrated care models with their team approach were also discussed.

Stefan Fletcher touched on how we can replicate these models in the province, as well as ways to integrate the system, enhance physician and patient experience, and decrease duplication and red tape to move the system forward.

Dr Gregg Nelson, keynote speaker, and Geoff Schierbeck of the BC Patient and Safety Quality Council reviewed the implementation of the ERAS gynecology pathway and the evidence behind why it matters.

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Provincial ERAS resources can be found HERE.

Dr. Feldman presented McGill’s multimodal pre-habilitation approach focusing on components such as nutrition and exercise as well as patient engagement strategies.

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Dr Jaquelyn Trudeau focused on aggressive management of preoperative anemia can improve outcomes, and how many primary care providers and surgeons alike can optimally prepare their patients for surgery.

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Dr Karen Wong provided an overview of her Pre-surgical Screening Pilot Project which is re-designing the pre-operative screening process at NRGH. This presentation highlighted the challenges of implementing this new process and the importance of engaging in teamwork to find success.

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Drs Sampath and Malik shared lessons from the Bariatric Surgery Program including the patient pathway to surgery, opportunities to optimize and the pros and cons of standardized surgical checklists for patients preparing for Bariatric surgery.

Participants learned from clinical champions how some BC sites have developed a core set of care processes and data sets for an ERAS gynecology pathway. Discussion around next steps for support of this pathway occurred.

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Provincial ERAS resources can be found HERE.

Jason Sutherland shared his research on PROMs, explaining how they can be used in surgery and key outcomes to measure such as overall health and symptom relief. Other key points addressed included the importance of evaluating the evidence behind the reliability and validity of the instrument you choose, and having adequate support to analyze data.