Our RAM Care quality improvement team were tasked with implementing ERPs for every elective overnight stay and formulated a common one page implementation framework which has proved fundamental in simplifying the role out process and act as a quick reference tool for providers. We wish to share this to enable other health systems to benefit from this process.
We initially developed a horizontal strategy to implement ERPs going specialty by specialty but realized many elements were common to all specialties. We then looked at a vertical implementation across all specialties breaking up the pathway into the following areas: preassessment and optimization, pre surgical unit, anesthesia and surgery in the operating room, post anesthetic care unit (PACU) and then postoperative care on the floor. Planned de-escalation of care
We developed a single page ERP for each specialty with common elements such as preoptimization for all specialties but also procedure specific elements and specific fluid and analgesia goals. The result is a compendium of ERPs for each specialty and procedure. We present 2 such frameworks in this abstract.
A single page framework guide helps in the role out of ERPs and also enables a concise summary of all surgical subspecialty procedures to be accessible as a guide to deliver care for all providers involved in the patient’s care.