MSQC Care Pathway Development

MSQC is working to develop specific care pathways for colon surgery, hernia, laparoscopic cholecystectomy, and hysterectomy. As a collaborative we will identify the most effective care pathways across our state and help hospitals implement these best practices.

Colectomy Care Pathway

MSQC’s Colectomy Care Pathway was implemented in 16 MSQC hospitals as part of the 2019 MSQC P4P QI Initiatives.

Laparoscopic Cholecystectomy Care Pathway

MSQC’s lap chole quality improvement targets have been identified as reducing ED visits, opioid free procedures, and reducing unnecessary imaging.

Hernia Repair Care Pathway

MSQC’s Hernia Repair Care Pathway quality improvement targets include preoperative patient optimization, multimodal pain management and opioid sparing protocols, instituting a synoptic op note to include common nomenclature that will allow examination of intraoperative practices.

Based on collaborative feedback at our 2019 December Meeting Hernia Breakout Session, a synoptic op note was drafted and later finalized.

Hysterectomy Care Pathway

MSQC’s Hysterectomy Care Pathway was developed during our Hysterectomy Quality Improvement Workshop on May 17th 2019. Slides and documents from that meeting are available here.

The MSQC Hysterectomy Care Pathway template is available here:

Whipple Care Pathway

During a workshop at the October 2019 MSQC Conference, several surgeons collaborated to share best and evidence-based practices to develop the MSQC Whipple Care Pathway.