Development of the Illinois Surgical Quality Improvement Collaborative (ISQIC): Implementing 21 Components to Catalyze Statewide Improvement in Surgical Care

dc.contributor.authorBilimoria, Karl Y.
dc.contributor.authorMcGee, Michael F.
dc.contributor.authorWilliams, Mark V.
dc.contributor.authorJohnson, Julie K.
dc.contributor.authorHalverson, Amy L.
dc.contributor.authorO'Leary, Kevin J.
dc.contributor.authorFarrell, Paula
dc.contributor.authorThomas, Juliana
dc.contributor.authorLove, Remi
dc.contributor.authorKreutzer, Lindsey
dc.contributor.authorDahlke, Allison R.
dc.contributor.authorD'Orazio, Brianna
dc.contributor.authorReinhart, Steven
dc.contributor.authorDienes, Katelyn
dc.contributor.authorSchumacher, Mark
dc.contributor.authorShan, Ying
dc.contributor.authorQuinn, Christopher
dc.contributor.authorPrachand, Vivek N.
dc.contributor.authorSullivan, Susan
dc.contributor.authorCradock, Kimberly A.
dc.contributor.authorBoyd, Kelsi
dc.contributor.authorHopkinson, William
dc.contributor.authorFairman, Colleen
dc.contributor.authorOdell, David
dc.contributor.authorStulberg, Jonah J.
dc.contributor.authorBarnard, Cindy
dc.contributor.authorHoll, Jane
dc.contributor.authorMerkow, Ryan P.
dc.contributor.authorYang, Anthony D.
dc.contributor.departmentSurgery, School of Medicine
dc.date.accessioned2024-02-27T15:46:21Z
dc.date.available2024-02-27T15:46:21Z
dc.date.issued2023
dc.description.abstractIntroduction: 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. Methods: 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). Results: 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. Discussion: 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.
dc.eprint.versionFinal published version
dc.identifier.citationBilimoria KY, McGee MF, Williams MV, et al. Development of the Illinois Surgical Quality Improvement Collaborative (ISQIC): Implementing 21 Components to Catalyze Statewide Improvement in Surgical Care. Ann Surg Open. 2023;4(1):e258. doi:10.1097/AS9.0000000000000258
dc.identifier.urihttps://hdl.handle.net/1805/38930
dc.language.isoen_US
dc.publisherWolters Kluwer
dc.relation.isversionof10.1097/AS9.0000000000000258
dc.relation.journalAnnals of Surgery Open
dc.rightsAttribution 4.0 Internationalen
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/
dc.sourcePMC
dc.subjectBenchmarking
dc.subjectEducation
dc.subjectGuided implementation
dc.subjectQuality improvement
dc.subjectQuality Improvement Collaborative
dc.subjectRegional collaborative
dc.subjectSurgery
dc.titleDevelopment of the Illinois Surgical Quality Improvement Collaborative (ISQIC): Implementing 21 Components to Catalyze Statewide Improvement in Surgical Care
dc.typeArticle
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