On January 22, the Specialist Services Committee, along with the Shared Care Committee and GP Services Committee (a partnership of Doctors of BC and the BC government) and the BC Patient Safety & Quality Council hosted over 210 participants including specialists, GPs and surgical team members, operational leaders, policy makers and surgical quality improvement experts, as well as patient representatives at a one-day summit. The purpose was to learn about, discuss and expand on surgical improvement within the context of the BC’s surgical services strategy. The summit focused on the following:
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Why is it important?
What's it all about?
The day provided a platform for surgical teams and administrators to come together and learn about some of the great work that is happening in BC and across Canada. It was also a time to discuss current barriers and engage in a preliminary discussion of next steps, in an effort to form a collective vision around the evolution of surgical improvement in British Columbia.
Key topics of discussion throughout the day included:
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Multimodal prehabilitation in BC and in other jurisdictions
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ERAS for gynecology and urology
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Communication and coordination between GPs and Specialists
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Barriers and opportunities to improve optimization for patients through enhanced coordination across BC
Pre-Surgical Optimization - Integrate and coordinate care across providers to enhance the surgical patient’s experience and outcomes, by exploring:
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The role of patients, GPs, Surgeons, Anesthesiologists, other physician and non-physician supports
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Optimizing surgical patients, particularly with treatment of anemia, glycemic control, smoking cessation, nutrition and exercise
Enhanced Recovery - Build on successes and positive patient outcomes experienced by surgical teams that have adopted Enhanced Recovery care pathways to:
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Spread ERAS for new sites, get up to speed and share solutions for adopting ERAS for colorectal surgery
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Extending ERAS to other surgical procedures (e.g. gynecology, urology, vascular, neurosurgery, and others where appropriate)
