@NHLC2019 #NHLC2019

Physician Driven Innovations in Business Intelligence

Presenter: Dr Guy Moreau, Chief of Staff, Orthopaedic Surgeon, Montfort

guymoreau@montfort.on.ca

DISCLOSURE

• I have no actual or potential conflict of interest in relation to this work/presentation.

OBJECTIVES

Overview of Montfort’s early

Choosing Wisely experience“SAP” Model & Going Forward

Sharing what we have learned

through our different initiatives.

• Affiliated with the University of Ottawa – 1992

• Opening of the New Montfort – June 2010

• Accreditation with honourary standing – Sept. 2014 & May 2018

• Services in French and English

• Only French-language academic hospital of Ontario

• 289 acute care beds

WHAT WE DID

30% ReductionBiochemistry Laboratory Tests

Reduction in the Emergency

Department

30-40% Reduction Electrolytes throughout the

hospital

Grassrootsbehavioural changePhysician Inspired Tools for Utilization

Management

30-40% : ELECTROLYTES* (ALL DEPARTMENTS)

*Physicians are still ordering individual components such as K and Na, simply not electrolytes (Na, K, Cl, and CO2 ) automatically

THE CHIEF OF STAFF’ STORY AND HIS DEPARTMENT(ORTHOPEDIC SURGERY)

2015-2017

THE CHIEF OF STAFF’ STORY AND HIS DEPARTMENT(ORTHOPEDIC SURGERY)

2017-2018

Outliers…not because you can that you should

% Visits with Repeated Tests

Repeated Laboratory Testing

# Repetitions

# Visits with repeated Tests / Department Top Tests

% Visits with Repeated Tests

CHEST X-RAY (PRE-OP)

CHOOSING WISELY-MONTFORT

“…It seems you’re well positioned to make improvements in a variety of areas, with

proper clinician leadership and change strategies.”Hayley Thompson, Choosing Wisely Canada

Clinician-Led

Patient-Focused

Multi-Professional

Evidence-Based

Openness

Executive-Supported

From: Diving into Overuse in Hospitals

A Starter Kit for Reducing Unnecessary

Tests and Treatments

Version 1 | January 2019

MONTFORT CAMPAIGNS

Urinary

catherers

Sara Leblond

Josée Shymanski

Dr Nicolas Chagnon

Antimicrobial

stewardship

Christine Landry

Marie-France Gauthier

Dr Sarah Mansour

Emergency

Department

Dr Rohit Gandhi

Blood

Transfusion

Dr Linda Lacroix

Liane Cousineau

Telemetry

Dr Nassoh Hafez

Dr Nicole Leblanc

Margarita Pimentel

« LOSE THE TUBE»

% Visits with Catheters

URINE CULTURE IN THE EMERGENCY DEPARTMENT

URINARY TRACT INFECTIONS

Transfusion Profile

« TELEMETRY WISELY »

POWER BI OPTIONS

PATIENT FLOW

BED OCCUPANCY RATE

COST

FINANCIAL OUTCOMES

• Always keep Quality of Care at the forefront

• Clinical Leadership and Change Strategies

• Doing it for the right reasons

• Work in progress

• Personalize your needs

• Data-focused (real-time, agile, easy to use)

SUMMARY/LESSONS LEARNED

TAKE HOME MESSAGE

• Find a way to create your own recipe, with the

ingredients put at your disposition by Choosing

Wisely Canada, other hospitals, and most

importantly, your own internal ressources.