Michigan Surgical Quality Collaborative – The MSQC was ...



Hospital Name:Team Members & their role in the project:Person Responsible for Submitting this Report: Quality Implementation Goals:Collect the complete pain and opioid variable set for all laparoscopic appendectomy and cholecystectomy, inguinal/femoral/umbilical hernias, and all hysterectomy cases (all approaches): 90% of population receives the recommended amount of opioid at discharge [40 points]Capture the discharge opioid prescription in the workstation for 100% of the selected population [15 points]75% of the selected population has an email address for 90-day PRO assessment [5 points]Conduct at least one multi-disciplinary meeting to discuss pain management and create pathway [20 points]Create pain pathway [20 points]Target Compliance RateCumulative Rate 1Cumulative Rate 2Cumulative Rate 3Cumulative Rate 4Cumulative Rate 5Cumulative Rate 6 Patients receive recommended opioid amount (or less) at discharge 90%Appy90%Chole90%Hernia90%Hyster90%Opioid script capture rate100%Email address collected75%Activity Tracking:Steps to Implement SuccessesBarriers/challenges Analysis/Next StepsSubmit a Pain Pathway: Pre-Operative:Patient ScreeningPrior Opioid Use Current Opioid UsePatient EducationWho performsMaterialsReinforced by...Topics Included:Non-opioid pain managementPain expectationProper medication disposalPreoperative Analgesia PlanningConsultation with other team membersPlan for communication with other providers (PCP, Pain Management)Care CoordinationIntraopIntraop Multimodal Pain Management ProtocolRegional anesthesia?Local infiltration of long acting anesthetic before closing?Non-opioid adjunctivesPostop Multimodal Pain Management ProtocolNSAIDS and acetominophenMinimize oral opioidsPostopPrescribingMichigan OPEN recommendationsNo hypnotics, anxiolytics, sedativesStandardized discharge instructions for patientSchedule for non-opioid medicationsOpioids used for breakthrough pain only Preventing returns to ED for pain:Who to call Pain expectationsMedication disposalPatient Education MaterialsWho DeliversTopics CoveredPatient Follow-Up Plan CPT Codes included in Opioid ProjectLaparoscopic AppendectomyLaparoscopic CholecystectomyMinor Hernia RepairVaginal HysterectomyLaparoscopic HysterectomyAbdominal Hysterectomy44970475624756347564495054950749520495214952549550495534955549557495704957249585495874959049650496514965249653496544965549656496574965958260582625826358267582705827558280582855829058291582925829358294585415854258543585445854858550585525855358554585705857158572585735815058152581805820058210582405895158953589545895659525 ................
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