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Cholecystectomy Quality Improvement Collaborative – Extended Reach (CholeQuIC-ER)

CholeQuIC-ER (Cholecystectomy Quality Improvement Collaborative-Extended Reach) aims to reduce variation and improve the quality of care for patients with acute gallstone disease.

Background

Between 2016 and 2018, the Royal College of Surgeons Cholecystectomy Quality Improvement Collaborative (Chole-QuIC) supported 13 hospitals to improve care for patients with acute gallstone disease.

Our analysis suggests that participating trusts  saved an average of £38,586 a year as a result of increased emergency cholecystectomies.1

Evaluation publications

Our published evaluation papers (listed below) demonstrate that participating hospitals substantially improved outcomes for patients by significantly reducing time to surgery for patients needing an emergency cholecystectomy. 

  • Understanding the influences on successful quality improvement in emergency general surgery: learning from the RCS Chole-QuIC project -  Implementation Science.
  • Effectiveness of a quality improvement collaborative in reducing time to surgery for patients requiring emergency cholecystectomy - BJS Open.


CholeQuIC-ER

CholeQuIC-ER launched in July 2019. The project is working with 25 trusts/health boards across the UK to radically improve outcomes for their patients with gallstone disease by implementing the learning from Chole-QuIC.

 

What are the benefits?

  • support from clinical and QI experts through on-site coaching sessions, email support and teleconferences;
  • peer collaboration with colleagues at participating sites;
  • attendance at webinars and collaborative events;
  • advice and support from Chole-QuIC Alumni;
  • specially designed programme to meet your trust or health board’s specific needs;
  • bespoke “improvement pack” for your trust or health board;
  • the opportunity to deliver improvements that save your service money.

Timeline

Period

Phase

Feb 19 – May 19

1) Initiation: recruitment, payment and set-up

May 19 – Jul 19

2) Launch and testing

Aug 19 – Apr 20

3) Demonstrating improvement

May 20 – Jun 20

4) Close and sustainability

 

CholeQuIC-ER sites

1

Aneurin Bevan University Health Board

2

Belfast Health and Social Care Trust

3

Brighton and Sussex University Hospitals NHS Trust

4

Cardiff & Vale University Health Board

5

Croydon Health Services NHS Trust

6

Cwm Taf Morgannwg University Health Board

7

Dartford and Gravesham NHS Trust

8

East Lancashire Hospitals NHS Trust

9

Gloucestershire Hospitals NHS Foundation Trust

10

Great Western Hospitals NHS Foundation Trust

11

Imperial College Healthcare NHS Trust

12

Kingston Hospital NHS Foundation Trust

13

Manchester University NHS Foundation Trust

14

North Cumbria University Hospitals NHS Trust

15

North Middlesex University Hospital NHS Trust

16

Royal Devon and Exeter NHS Foundation Trust

17

Royal Free London NHS Foundation Trust (Royal Free London Group)

18

Royal Surrey County Hospital NHS Foundation Trust

19

South Tees Hospitals NHS Foundation Trust

20

The Dudley Group NHS Foundation Trust

21

The Royal Bournemouth and Christchurch NHS Foundation trust

22

United Lincolnshire Hospitals NHS Trust

23

University Hospitals of North Midlands NHS Trust

24

Western Health and Social Care Trust

25

Wrightington, Wigan And Leigh NHS Foundation Trust

 

CholeQuIC-ER site requirements

The cost per trust or health board to participate in CholeQuIC-ER is £8,000. In addition, sites and health boards need to cover their travel and expenses.

The named project lead should be allocated at least ½ PA in their job plan to lead the project locally.

Registration closed on 17 May 2019.

 

Contact details

If you have any questions call 0207 869 6264 or email cholequic@rcseng.ac.uk 

 

References

1 Analysis from the Chole S study and our own calculations based upon tariffs suggests a minimum saving of £38,000 per annum (analysis available on request). This is likely to be a conservative estimate as it does not account for savings made from preventing the multiple re-admissions that a third of acute biliary patients suffer pre-surgery

 

 

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