1. The VIHA Experience

2. Collaborative Effects Application of Quality Improvement Tools –Measurement ! Teamwork –Multidisciplinary ! Knowledge Transfer/Sharing –Best Practices !

3. VIHA LOS Reduction VIHA Average: –Knees down 0.8 days 1.4 days under ELOS –Hips down 0.9 days 1.2 days under ELOS 2,274 cases = ~ 1,915 days saved

4. Spin Offs & Building Blocks SSI Med Rec. # Hip Collaborative Surgical Integration Sullivan Benchmarks CCHSA Ortho Teams Quality Councils Patient Access Patient Flow Patient Safety & Wellness Healthy Workplace

5. SSI Initiative VGH: Orthopedics

6. Med Rec Initiative * Physician unintentionally changed/added/ omitted a home medication

7. Continuing Steps Determine Targets and Volumes –Build Capacity as Required Intake Assessment Clinics Waitlist Management/SPR Collaborative Work –# Hips Optimize O.R. Time and Bed Utilization (Surgical Smoothing)