Webinar: Enhanced Recovery After Surgery: Impacting Postoperative Pain and the Opioid Crisis at Quaternary Academic Care Center
In the face of widespread use of opioid analgesics to treat
postsurgical pain, the opioid epidemic and its outcomes have
taken today’s media by storm. Drug overdose deaths involving
prescription/illicit opioids have become the number one cause of
accidental death nationwide, and opioid prescriptions given by
perioperative physicians (pain specialists, surgeons, etc.)
contribute to it. In an effort to address this public health
crisis, a team of innovative physicians and allied health
professionals at USC are tackling the source of the problem: the
pain. Is there a way to reduce postsurgical pain such that it can
be managed with less potent pain medications?
Our solution: the ERAS (Enhanced Recovery After Surgery) program.
After numerous meetings and educational sessions between all team
members – physicians, nurses, mid-level providers, pharmacists –
we successfully launched the ERAS pathway for thoracic patients
in July 2018. Since then, ERAS has grown to encompass seven more
surgical lines. Amongst 370 ERAS patients, results are
outstanding. Acute pain scores have gone down by 23%, opioid use
has lessened by 47%, and length of stay has decreased by 21%.
Going forward, we plan to encompass all surgical lines and
include more attention to pre-habilitation and patient education
Outline ERAS Program deployment methods and KMUSC journey
Diagram the multidisciplinary infrastructure behind the
success of the ERAS at KMUSC
Analyze strategies for engaging clinicians, frontline staff
and administration to become advocates for positive change
Date and Time
Wednesday, March 18, 2020 from 11:00am-12:00pm Pacific
Michael Kim, DO
Assistant Professor of Anesthesiology at Keck School of
Medical Director of Value Improvement Office
Director Ultimate Surgical Experience
Keck Medicine of USC
Dr. Michael Kim is an assistant professor of Anesthesiology of
the Keck School of Medicine of USC. He completed his medical
training at Touro University, his anesthesiology residency at
University of Colorado and his critical care fellowship at
Cedar-Sinai in Los Angeles. Since the completion of his
fellowship, he has been at the Keck Hospital of USC, working both
in the ORs and the ICU units.
Most recently, he has been the catalyst for rapid system change
by spearheading the Enhanced Recovery After Surgery program and
onboarding 8 surgical specialties in a mere 12 months. Using his
skills in system improvement and collaborative team building, Dr.
Kim has built up the ERAS program from its infancy to a very
productive and promising program, both for improved
cost-effectiveness for the hospital and for enhanced patient
recovery. He lives in Glendale, CA, with his wife, Eunice,
and his two children, Josiah and Johanna.
Eugenia Chong, MSN, RN, AGCNS-BC, PCCN
Clinical Nurse Specialist, Value Improvement Office
Keck Medicine of USC
Eugenia has been a Registered Nurse for the past 12 years, with
the majority of her experience caring for patients in the acute
care setting at Keck Medicine of USC. Her experience includes
assisted in opening a 14-bed Cardiothoracic Telemetry unit for
high risk surgical patients. Over the past 2 years, Eugenia had
the unique opportunity to be the first Clinical Process Architect
Fellow with the Value Improvement Office. With a passion to
facilitate meaningful adoption of best evidence into practice,
she went on to join as the department’s Clinical Nurse Specialist
to co-lead the ERAS program alongside Dr. Kim in January 2019.
She holds a Master of Science in Nursing Degree with specialty
certification in Adult-Gerontology from Azusa Pacific University.
She also serves as a board member of the American Association of
Critical-Care Nurses (AACN) Chapter at Keck Medical Center of
2019 Dauner Quality Award Winner Finalist
here to view Keck Medicine of USC 2019 Dauner Award
Continuing Education Credit
One complimentary CE unit will be provided to dues-paying member
hospitals of the Hospital Quality Institute, CHPSO Patient Safety
Organization, the California Hospital Association or the regional
hospital associations in CA.
HQI is an approved continuing education (CE) provider by the
California Board of Registered Nursing and will provide CHPSO
members an opportunity to earn CEs. Provider Number CEP16793
for 1.0 contact hour.
HQI does not currently offer ACPE approved Pharmacy CE, but
the State of California will accept CE from courses which have
been approved for continuing education by the Medical Board of
California, the California Board of Podiatric Medicine, the
California Board of Registered Nursing or the Dental Board of
California towards their California continuing education
requirement (Section 1732.2(b) of the California Code of
Regulations). Pharmacists need to keep track of CE from these
sources on their own as they are not submitted to NAPB.