Purpose
With an increasingly aging population, there are a growing number of patients with complex conditions and in need of surgeries. SPOC aims to:
- improve assessment and management of these patients, which will in turn reduce adverse events, increase patient and caregiver satisfaction, and improve post-operative outcomes.
- address the need for a coordinated approach to surgical patient prehabilitation in BC.
Sizing it Up
Launched on May 6, 2019 with support from health authorities, SPOC has implemented interactive, multi-disciplinary learning fueled by in-person learning sessions and action periods, designed to support the implementation of prehabilitation processes and components. Teams are supported throughout the period of the collaborative to create a sustainable prehabilitation process in order to be able to continue this work beyond the time period of the collaborative.
Things to Know
BC Surgical Patient Prehabilitation is designed to assist patients to prepare for an elective procedure, so they experience improved outcomes from their surgery. It focuses on both the mental and physical aspects of surgery, therefore decreasing pre-surgical risk factors so that patients can obtain high quality outcomes from their surgery. Components of prehabilitation include: anemia, cardiac, glycemic control, frailty, mental health, nutrition, pain management, physical activity, sleep apnea, smoking cessation, social supports, substance use, and VTE prophylaxis.
Access Support
Fourteen teams across BC are being supported by this collaborative. These teams were selected for their previous experience and engagement in this work, readiness assessment scores, and health authority support. Teams were also chosen based on regional diversity and fair representation across health authorities. Each team has two or more members depending on the scope of the project. The teams include a specialist physician lead, a co-lead, and other health practitioners including nurse practitioners, family doctors, nurses, and allied health.
The prehabilitation practices introduced by this collaborative are expected to be integrated in the medical system after the end of this collaborative.
GET INVOLVED in SPOC 2.0: Expressions of interest are being accepted for the next SPOC cohort until December 31, 2021. To submit your EOI, please complete this form.
Resources
- SPOC Initiative Information Sheet
- Download an information sheet about SPOC.
- BC Surgical Prehabilitation Toolkit
- The BC Surgical Prehabilitation Toolkit offers surgical prehabilitation resources for health care providers.
- Spread and Sustainability Resource Cards
- Part of the BC Surgical Prehabilitation Toolkit, this deck of resource cards can help specialists foster the spread and sustainability of change. The deck includes six critical areas that impact spread and sustainability: support, positive culture, resources, engagement, adoption and desired results (S·P·R·E·A·D)
- Patient Passport for Surgical Prehabilitation
- With the help of a health care provider, patients can use this guide to get involved in their health and health care. In this case, patients can use the passport to prepare for surgery and work towards a better experience and outcomes after surgery.
- Patient Education Videos
- These 13 component videos are available with subtitles in English, Cantonese, Chinese (Traditional), and Punjabi. To select a language, click to watch the video on YouTube and then click on the gear icon (bottom right) to select the subtitle language.
- Anemia
- Anxiety
- Cardiac
- Frailty
- Glucose Control
- Pain
- Physical Activity
- Nutrition
- Sleep Apnea
- Smoking Cessation
- Social Supports
- Substance Use
- Weight Loss
- In the News & Stories
-
Collaboration transforms delivery of care for surgical patients (BC Medical Journal, 2021)
- Reports
-
SPOC Evaluation Report (2021)
- SPOC Outcomes Congress 2021
- Watch the recording of the webinar from September 23, 2021.
00:00:00 | Welcome
00:05:54 | Dr Ahmer Karimuddin, Prehabilitation and the BC Landscape
00:18:00 | Overview of the Collaborative
00:56:00 | The SPOC Patient Experience
01:08:47 | The SPOC Site Experience- Burnaby Hospital
01:23:28 | Evaluation Findings
01:35:10 | Economic Evaluation Findings
01:52:49 | Next Steps and Thank You
Contact
Geoff Schierbeck, Portfolio Liaison: gschierbeck@doctorsofbc.ca.
An initiative of the Specialist Services Committee, SPOC is also supported by the Shared Care Committee and General Practice Services Committee --three Joint Collaborative Committees that represent a partnership of Doctors of BC and the BC Government.
