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Table 2 Program Maintenance Resources

From: Designing and integrating a quality management program for patients undergoing head and neck resection with free-flap reconstruction

Domains Role Responsibility Hours / Week Estimated Cost Comment
Program Guidance Council
Pathway Maintenance
Computerized Order Entry
Program Lead / Champion Leads and coordinates the overall program, articulates the need for change, answers questions. Guides data collection and analysis and also development of measurement, audit and feedback system. 3 Variable funding depends on local circumstances. The program lead's responsibilities are similar to those during the design phase. Fewer hours are required but ongoing focus and leadership is critically important.
Administrative Assistant Coordinates team meetings 0.5 $45 / hr Administrative support to assist the program lead with meetings is a valuable support.
QI Consultant Ensures QI methodologies and measurement are being used appropriately. 1 $50 / hr This role was performed by the Calgary program lead. This may not be transferable to other programs.
Data Collection Ongoing collection of key performance indicators at point of care. 3.5 $45 / hr Current program uses some manual data collection. A new hospital EMR might should reduce the need for manual collection.
Analyst Cleans, validates and analyses clinical data. Maintains, along with clinical lead, the measurement audit and feedback system as well as the minimum data set. Prepares and distributes quality management reports. 5 $52 / hr Data analysis and reporting are ongoing program costs and represent a major cost of sustainability.
Clinicians - MD Shares knowledge of clinical processes, helps with data interpretation, participates in creating new processes. 0.5 Variable funding depends on local circumstances. MDs participate in program guidance council meetings and can become more involved depending on interest and availability.
Clinicians - RN Shares knowledge of clinical processes, helps with data interpretation, participates in creating new processes. 0.5 $50 / hr RN leaders from the inpatient unit attend program guidance council meetings and also assist with training of unit nursing staff.
Clinicans - Allied Health Shares knowledge of clinical processes, helps with data interpretation, participates in creating new processes. 0.5 $50 / hr Allied health leaders from the inpatient unit attend program guidance council meetings and also assist with communication among allied health staff.
Information Techology (IT) Consultant Works with team to translate clinical pathway / protocol into the hospital electronic medical record. Liaison with order set developers with IT. 0.5 $50 / hr This individual works with the team on an "as-needed" basis. Total hours required are less than 50. Once order sets are developed the IT Consultant is available to implement pathway modifications.