Bibliographical noteFunding Information:
Dr Minami is funded under an institutional award from the Agency for Healthcare Research and Quality, United States , T-32 HS 000078 (P.I.: Jane L. Holl, MD MPH). Dr Englesby is an equity stakeholder in Prenovo.
A formal DMAIC project was initiated to boost compliance with the VTE measures. Team members included an internist with QI expertise, a surgeon with QI expertise, a process improvement leader, a quality measures specialist, a data analyst, a surgical resident, a nurse education coordinator, a clinical pharmacist, and a hospital medicine team leader. The project was sponsored by the hospital’s Chief of Staff and an anesthesiologist.
The Tennessee founders emphasized that the collaborative would be an effort controlled by surgeons and would be built on 3 factors: funding, data management across multiple institutions, and data sharing. Funding came from the Blue Cross Blue Shield Foundation of Tennessee, and this financial support went toward salaries for nurse reviewers, a stipend for the surgeon champions, and for administrative support through the Tennessee Center for Patient Safety. Data used for the collaborative was managed by the Tennessee Center for Patient Safety program. Although sharing of the data throughout the collaborative was facilitated by the development of a website, the Tennessee collaborative emphasizes that human collaboration underlies their success. The initiation of a successful collaborative rests on the knowledge that effective use of data can improve patient care and is a high priority for individual surgeons as well as institutions. How these data are then used rests on a shared vision of improvement. The concept of data sharing among the hospitals without fear of retribution was shared with the Michigan consortium. No data would be used for marketing or advertising and the good of the collaborative is recognized to come before the individual institution.
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