Bilimoria Karl Y, McGee Michael F, Williams Mark V, Johnson Julie K, Halverson Amy L, O'Leary Kevin J, Farrell Paula, Thomas Juliana, Love Remi, Kreutzer Lindsey, Dahlke Allison R, D'Orazio Brianna, Reinhart Steven, Dienes Katelyn, Schumacher Mark, Shan Ying, Quinn Christopher, Prachand Vivek N, Sullivan Susan, Cradock Kimberly A, Boyd Kelsi, Hopkinson William, Fairman Colleen, Odell David, Stulberg Jonah J, Barnard Cindy, Holl Jane, Merkow Ryan P, Yang Anthony D
Illinois Surgical Quality Improvement Collaborative (ISQIC) Coordinating Center, Chicago, IL.
Surgical Outcomes and Quality Improvement Center (SOQIC), Department of Surgery, Indiana University School of Medicine.
Ann Surg Open. 2023 Mar;4(1):e258. doi: 10.1097/AS9.0000000000000258. Epub 2023 Mar 1.
In 2014, 56 Illinois hospitals came together to form a unique learning collaborative, the Illinois Surgical Quality Improvement Collaborative (ISQIC). Our objectives are to provide an overview of the first three years of ISQIC focused on (1) how the collaborative was formed and funded, (2) the 21 strategies implemented to support quality improvement (QI), (3) collaborative sustainment, and (4) how the collaborative acts as a platform for innovative QI research.
ISQIC includes 21 components to facilitate QI that target the hospital, the surgical QI team, and the peri-operative microsystem. The components were developed from available evidence, a detailed needs assessment of the hospitals, reviewing experiences from prior surgical and non-surgical QI Collaboratives, and interviews with QI experts. The components comprise 5 domains: guided implementation (e.g., mentors, coaches, statewide QI projects), education (e.g., process improvement (PI) curriculum), hospital- and surgeon-level comparative performance reports (e.g., process, outcomes, costs), networking (e.g., forums to share QI experiences and best practices), and funding (e.g., for the overall program, pilot grants, and bonus payments for improvement).
Through implementation of the 21 novel ISQIC components, hospitals were equipped to use their data to successfully implement QI initiatives and improve care. Formal (QI/PI) training, mentoring, and coaching were undertaken by the hospitals as they worked to implement solutions. Hospitals received funding for the program and were able to work together on statewide quality initiatives. Lessons learned at one hospital were shared with all participating hospitals through conferences, webinars, and toolkits to facilitate learning from each other with a common goal of making care better and safer for the surgical patient in Illinois. Over the first three years, surgical outcomes improved in Illinois.
The first three years of ISQIC improved care for surgical patients across Illinois and allowed hospitals to see the value of participating in a surgical QI learning collaborative without having to make the initial financial investment themselves. Given the strong support and buy-in from the hospitals, ISQIC has continued beyond the initial three years and continues to support QI across Illinois hospitals.
2014年，伊利诺伊州的56家医院联合起来，组成了一个独特的学习协作组织——伊利诺伊州外科质量改进协作组织（ISQIC）。我们的目标是概述ISQIC头三年的情况，重点关注：（1）协作组织的组建和资金来源；（2）为支持质量改进（QI）而实施的21项策略；（3）协作组织的维持；（4）协作组织如何成为创新QI研究的平台。
ISQIC包括21个促进QI的组成部分，其目标针对医院、外科QI团队和围手术期微观系统。这些组成部分是根据现有证据、对医院的详细需求评估、回顾先前外科和非外科QI协作组织的经验以及与QI专家的访谈而制定的。这些组成部分包括5个领域：指导实施（如导师、教练、全州范围的QI项目）、教育（如流程改进（PI）课程）、医院和外科医生层面的比较绩效报告（如流程、结果、成本）、网络（如分享QI经验和最佳实践的论坛）以及资金（如用于整个项目、试点拨款和改进奖励支付）。
通过实施21个新颖的ISQIC组成部分，医院有能力利用其数据成功实施QI计划并改善护理。医院在努力实施解决方案时开展了正式的（QI/PI）培训、指导和辅导。医院获得了该项目的资金，并能够共同开展全州范围的质量计划。一家医院吸取的经验教训通过会议、网络研讨会和工具包与所有参与医院分享，以促进相互学习，共同目标是为伊利诺伊州的外科患者提供更好、更安全的护理。在头三年里，伊利诺伊州的外科手术结果得到了改善。
ISQIC的头三年改善了伊利诺伊州外科患者的护理，并使医院看到了参与外科QI学习协作组织的价值，而无需自身进行初始财务投资。鉴于医院的大力支持和参与，ISQIC在最初的三年之后仍在继续，并继续支持伊利诺伊州各医院的QI工作。
