SAGES 2017

Thursday, March 23, 2017
SAGES 2017 Surgical Spring Week
1:30 PM - 5:30 PM *Included in Registration SuperPass (Option A) or Registration Option B
Workshop: SMART Enhanced Recovery for the Team
Chair: Liane Feldman, MD | Co-Chair: Pascal Fuchshuber, MD
SESSION DESCRIPTION
Enhanced Recovery Programs (ERPs) incorporate multiple evidence-based interventions into a single perioperative
care plan to reduce resource use and complications and increase patient satisfaction. ERPs encompass the entire
perioperative trajectory and require interdisciplinary teamwork to implement. The SAGES SMART ERP provides a
starting point to help SAGES members implement ERPs in their hospital (http://www.sages.org/smart-enhancedrecovery-program/).
SMART provides a generic template that can be adopted for a variety of procedures, both MIS
and open, including bowel, hernia, foregut and bariatric. This workshop will review the SMART recommendations
and provide templates for patient education materials, order sets and nursing guidelines to help teams get their
own ERPs into practice. The workshop is geared towards teams working to implement ERPs and ideally surgeons,
anesthesiologists and nurses would attend the workshop together. In addition, the workshop will be of interest to
teams encountering specific problems during implementation or who wish to expand their ERPs to new procedures.
The workshop will include a mixture of presentations and hands-on experience with the SMART materials and
discussion with expert faculty with ERPs in a variety of areas. Workshop attendees will form a SMART surgery
community and continue to be mentored through implementation in the year after the workshop.
SESSION OBJECTIVES
At the conclusion of this session, participants will be able to:
• Develop standardized, multimodal, evidence-based order sets
• Identify strategies to overcome barriers in ERP implementation
• Use the SMART web page to increase knowledge of ERPs
ACTIVITY OUTLINE
Time Presentation Title Invited Faculty
1:30PM SMART Enhanced Recovery: Hands-on introduction to using the website Liane Feldman, MD
1:45PM
I’m stuck: Common problems and solutions from the SMART FAQs (including getting buy-in from
multiple surgeons; managing common issues like food intolerance, urinary retention; getting
resources)
Thomas Aloia, MD
2:15PM Involving patients: Are apps the answer? John Monson, MD
2:30PM How to do audit and feedback Julie Thacker, MD
2:45PM
Workshop discussion in 4 groups/tables. Participants encouraged to bring their own ERP materials
to work on
1. Engaging patients in ERPs- creating patient version of your pathway
2. Creating an order set as a team- coming to consensus
3. Using your data for implementation and improvement
4. Making a business case using your own data
All talks will encourage interaction between speaker and participants in this workshop environment.
Invited Faculty: Thomas Aloia, MD; Vijaya Gottumukkala, MD (Anesthesia); Whitney Jemison (Nursing);
Deborah Keller, MS, MD; Lawrence Lee, MD; John Monson, MD; Julie Thacker, MD; Andrew Wright, MD
LEARNING THEMES:
PE Professional/Economic
NS New technologies/Skill acquisition
NATIONAL PRIORITIES
SAGES acknowledges educational grants in support of this course from Applied Medical and Merck.
56 Surgical Spring Week · SAGES 2017 · March 22 - 25, 2017 · www.sages2017.org