The global tracheostomy collaborative: A multi-disicplinary quality initiative improving the lives of children and adults who have a tracheostomy around the world

Ms Tanis  Cameron1,2, Ms  Charissa Zaga1,2, Ms Kristy McMurray1,2, Ms  Jack Ross1, Dr  David Roberson2,3,4

1Tracheostomy Review and Management Service (TRAMS) Austin Health , 2Global Tracheostomy Collaborative, 3Department of Otolaryngology, Boston Children’s Hospital, 4Department of Otology and Laryngology, Harvard Medical School

Aim: The Global Tracheostomy Collaborative (GTC), founded in 2012, is an international multi-disciplinary Quality Improvement (QI) collaborative which strives to improve outcomes in both paediatric and adult tracheostomy care (www.globaltrach.org). Dr David Roberson, ENT Specialist, Boston Children’s Hospital and Harvard is the lead in this world first tracheostomy QI . The GTC works through the following key drivers: Patient and family participation, multi-disciplinary tracheostomy care, a HIPAA-compliant REDCap database to track and benchmark outcomes among member hospitals, creation of institution wide tracheostomy policies and protocols, and coordinated interdisciplinary education for all providers. The aim of this study is to report on the process, outcomes, future directions of this tracheostomy quality collaborative. Austin Health in Melbourne Victoria is a founding member and the Australasian lead site for the GTC with a team led by allied health professionals, nurses and doctors.

Method: Establishing mission and vision, international clinical governance, committee structure, website formation, creation of and reports from international HIPAA-compliant REDCap database, 4 international kick-offs and ongoing global recruitment.

Results: Since April 2014, over 50 hospitals in the United Kingdom, Sweden, United States, Singapore, Qatar, and Australia have joined the collaborative. 770 individuals from 125 institutions attended GTC launch meetings in Boston (April 2014), London (July 2014) Melbourne (October 2014); and Baltimore (April 2016). 1000 additional individuals from over 20 countries attended virtually. All disciplines (anesthesia, critical care, pulmonary, respiratory care, physiotherapy, speech pathology, nursing, social work, and hospital management) were represented at the meetings. Data collection has been successful with 1500 new tracheostomy cases entered into the database by 19 institutions and counting.

Significance of the findings to allied health: This world first global initiative has strong allied health leadership  and membership.  Allied health are key to this specialist healthcare community.