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An Approach to Clinical Practice Variation

Held April 29, 2015

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Call description:

The National Surgical Quality Improvement Program (NSQIP): Originally developed by the United States Department of Veterans Affairs, NSQIP is offered through the American College of Surgeons (ACS) across North America and internationally. ACS-NSQIP is the first validated, risk-adjusted, outcomes-based program to measure and improve the quality of surgical care. This program is used to evaluate patient outcomes and quality indicators, with the objective to make valid, informed data comparisons, and set targets for improvement.

Due to the success and impact of NSQIP in the United States, select Canadian regions are now participating in the program with a total of 28 sites across BC, Ontario and Quebec. Since starting the program in 2006, BC now has 24 sites across the province utilizing ACS-NSQIP as the key measurement tool to improve surgical quality. In addition, Health Quality Ontario (HQO) has established NSQIP-ON, a long-term goal to see ACS-NSQIP utilized in all hospitals in Ontario.

Join us for a dynamic webinar as we learn from experts who have already implemented this improvement program to understand the value of participating in data driven QI programs. Discover what it can do for Canadian organizations and how to get involved.

Call Objectives:

  • Review an example of a data-driven QI program in surgery: ACS-NSQIP
  • Highlight the process undertaken to establish and spread ACS-NSQIP in BC, and share some of the preliminary outcomes from select sites
  • Outline how ACS-NSQIP is helping to improve the quality of surgical care at University Health Network (UHN) in Toronto and demonstrate how it links to the Quality Strategy in Ontario
  • Highlight opportunities in the Canadian context


tim jackson imageDr. Timothy D. Jackson, BSc, MD, MPH, FRCSC
Co-Chair, NSQIP-ON Steering Committee, General Surgeon, University Health Network

After receiving a Bachelor of Science degree in Life Science from McMaster University in 1999, Dr. Jackson attended medical school at McMaster. Upon completion, he entered the McMaster post-graduate training program in General Surgery. Dr. Jackson became a Fellow of the Royal College of Physicians and Surgeons of Canada in 2009, and was certified by the American Board of Surgery in 2010. In 2006, he attended Harvard University and received a Master of Public Health degree in Quantitative Methods. Currently, his research interests are in surgical quality improvement and surgical outcomes. In 2010, he completed the Harvard Advanced Laparoscopic Surgery Fellowship at Massachusetts General Hospital in Boston. His clinical focus is in bariatric and gastrointestinal tract surgery. Dr. Jackson is a member of the Division of General Surgery at University Health Network based at Toronto Western Hospital. He is an Assistant Professor of Surgery within the Faculty of Medicine at University of Toronto.

lila gottenbos imageLila Gottenbos Surgical Clinical Reviewer, NSQIP, Langley Memorial Hospital

Lila Gottenbos is a Surgical Clinical Reviewer at Langley Memorial Hospital in British Columbia, Canada. Lila has been with the NSQIP program since its inception in 2011 at Langley Memorial Hospital. Prior to becoming a Surgical Clinical Reviewer, Lila has been a Registered Nurse on an inpatient surgery unit, a perioperative nurse, and a Clinical Nurse Educator. Lila has spent her 14 year career dedicated to improving outcomes for the surgical patients at Langley Memorial Hospital.


Stephen Samis imageStephen Samis, Vice-President, Programs, CFHI

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