Vision:
Spine Surgery is a necessary, beneficial, and cost-effective intervention. However, every year an estimated 60,000 patients are harmed in the course of Spine Surgery. The S3P vision is to reduce the number of patients harmed during and after spine surgery by 50%, from 60,000 to 30,000 by 2023. Preventing harm would generate up to $1 billion in savings to society. Values:
• Quality tools are a public good that should be shared widely and freely
• Safety is a science using rigorous methods from the fields of health services research and implementation science
• Tools are not enough to produce change. Services:
S3P is committed to engaging with willing partners through rich collaborative improvement, key initiatives, strategic partnership, and services designed to meet the unique local needs of those with whom we work. Initial Offerings will include:
• Site Diagnostics—providing an informed view of where an organization is intis improvement journey and delivering a clear roadmap to achieving higher levels of performance & transformation
• Leadership Coaching—helping surgeon-leaders design engage others to become high-performing teams or mobilize people in complex, dynamic organization towards collective, large-scale systemic change
• Collaboratives—using shared learning to rapidly test and implement changes that lead to lasting improvement using proven methodologies for change management & culture change including:
– Exploring hospital-specific organizational factors that distinguish high vs low performance
– Using multidisciplinary evaluation to decrease utilization of lumbar spine fusion, including development of interdisciplinary spine clinics and indication conferences;
– Piloting the implementation and spread of lean management in orthopedic practices
• Wisdom of Crowds—Utilizing practices such as the Delphi method and nominal group technique with leaders in spine surgery to develop best practices. Past work has included:
– Prevention of Surgical Site Infection in High Risk Spine Surgery
– Response to Changes in Neuromonitoring during Spine Surgery
– Prevention of Wrong-level Spine Surgery
