In February 2016, the 1st Annual Safety in Spine Surgery Summit was held in New York City. The response was overwhelming:
- More than 200 registrants attended from across the US, while 50 more remained on a waiting list.
- 10 leading medical associations, hospital networks, and research groups endorsed the Summit.
- 8 medical device companies chose to support the Summit, viewing the topic as vitally important.
- Numerous requests were received to repeat the meeting in 2017.
These factors spoke clearly that throughout the field there is a desire to ensure that spinal surgeries are safe and life transforming.
- Identify ways to enhance safety in spine surgery
- Help spine professionals implement safety best practices
- Eliminate unnecessary harm and make care better by ensuring frontline adoption of scalable healthcare solutions that produce improve care at the most critical moments in people’s lives
- Quality tools are a public good that should be shared widely and freely
- Safety is a science using rigorous methods from the fields of health services research and implementation science
- Tools are not enough to produce change. Culture change is critical.
Who We Are
Michael G. Vitale MD MPH
- Dr. Michael G. Vitale is the Ana Lucia Professor of Pediatric Orthopaedic Surgery at Columbia University Medical Center, and Director of the Division of Pediatric Orthopaedic Surgery and the Chief of the Pediatric Spine and Scoliosis Service at Morgan Stanley Children’s Hospital of New York – Presbyterian.
- Dr. Vitale serves as the director of the Pediatric Orthopaedic Research Group, and has over 100 peer reviewed research publications in the field of pediatric orthopaedics, including a number of efforts leading national guidelines aimed at improving quality and safety of pediatric spine surgery.
- Dr. Vitale also serves numerous roles in the national governance of the field—currently serving on the Board of Directors of the Pediatric Orthopaedic Society of North America, chairing the International Pediatric Orthopaedic Society, leading the efforts of the Scoliosis Research Society on Advocacy for Unmet Needs of Children for Pediatric Medical Devices, serving on the Executive Committee of the Children’s Spine Study Group, and is a Member of the International Pediatric Orthopaedic Think Tank.
- Dr. Vitale has a long career in the area of Quality Improvement, leading the research arm of the Pediatric Orthopaedic Society of North America’s Committee on Quality, Safety, and Value, serving as the Medical Director of New York Presbyterian’s Initiative to Make Care Better, and serving as the Chief Quality Officer of the Department of Orthopaedic Surgery at Columbia University Medical Center. His worked has informed the development of commercial pay-for-performance initiatives and best practice guidelines in spine surgery.
- Dr. Vitale received his Masters of Public Health from Columbia University Joseph Mailman School of Public Health. He received his Doctor of Medicine from the College of Physicians and Surgeons of Columbia University, which was followed by a residency in Orthopaedic Surgery at Columbia-Presbyterian Medical Center and a one year fellowship at the Children's Hospital of Los Angeles in University of Southern California.
- Dr. Vitale is an avid skier, marathon runner, and recreational triathlete. Most of all, he enjoys spending time with his wife and four sons.
Lisa McLeod MD
- Dr. Lisa McLeod is Assistant Professor and Attending Physician in Pediatric Hospital Medicine and the Fellowship Director at the Children’s Hospital of Colorado (CHCO) Section of Hospital Medicine.
- As a clinical epidemiologist, Dr. McLeod’s career has been dedicated towards evaluating the impact of systems- and organizational-level factors on the safety and value of the inpatient care provided by hospitalists.
- As an expert in improvement science, her ongoing studies are related to the prevention of surgical site infections (SSIs) in children undergoing complex spinal procedures. She has been awarded funding through a Patient Centered Outcomes Research K99/R00 award from the Agency for Healthcare Research and Quality (AHRQ) to study the organizational barriers and facilitators to effective interventions for SSI prevention in this population.
- She is a former member of the Children’s Hospital of Philadelphia (CHOP) Center for Pediatric Clinical Effectiveness (CPCE) and current faculty member at the University of Colorado Adult and Child Center for Outcomes Research and Delivery Science (ACCORDS). Dr. McLeod has expertise in quantitative and qualitative research and has published several manuscripts related surgical outcomes improvement.
- She also co-leads the CHCO orthopedic spine quality improvement team and has been involved with national-level surgical outcomes research and performance improvement through CHOP, CHCO, the Pediatric Orthopedic Society of North America (POSNA), and as research chair of the American Academy of Pediatrics (AAP) Surgical Co-management Subcommittee.
- Dr. McLeod received her Doctor of Medicine from Harvard Medical School and conducted her clinical training as an Intern in Pediatrics at Massachusetts General Hospital and as a Resident and Fellow in Pediatrics at Children’s Hospital of Philadelphia. She received a Master of Science in Clinical Epidemiology from the University of Pennsylvania School of Medicine and Certificate in Healthcare Quality, Safety, and Efficiency from the University of Colorado School of Medicine.
Raj Sethi MD
- Dr. Raj Sethi is the Chair of the Neuroscience Institute, Director of Spine Research, and Director of Complex Spine Surgery at the Virginia Mason Medical Center in Seattle, Washington. He is also a clinical associate professor at the University of Washington specializing in health services research in the Program of Health Economics and Outcomes Methodology
- Dr. Sethi’s strategic and operational leadership has led the Spine Surgery field in quality improvement, including the development of the Virginia Mason Complex Spine Care Pathway, which was awarded the 2014 Mary L McClinton Patient Safety Award, and the Seattle Spine Team Approach. Innovations that have been recognized by the Whitecloud Award by the SRS for best research paper have included a systems-based approach to perioperative care, screening patients using multidisciplinary indication conferences, and a dual surgeon approach for complex spine surgery.
- His work on the Seattle Spine Team approach and the use of the Toyota Production System to model safety and appropriateness in spine care has led to the commercial development of Spine Surgery Centers of Excellence with major employers and American purchasers of health care.
- A Fulbright Scholar, Dr. Sethi attended Harvard Medical School in Boston and completed his training both in the Harvard Combined Orthopaedic Program in Boston and at the University of California at San Francisco.
S3P is committed to engaging with willing partners through rich collaborative improvement, key initiatives, strategic partnership, and services designed to meet the unique local needs of those with whom we work.
Initial Offerings will include:
- Site Diagnostics — providing an informed view of where an organization is intis improvement journey and delivering a clear roadmap to achieving higher levels of performance & transformation
- Leadership Coaching — helping surgeon-leaders design engage others to become high-performing teams or mobilize people in complex, dynamic organization towards collective, large-scale systemic change
- Collaboratives — using shared learning to rapidly test and implement changes that lead to lasting improvement using proven methodologies for change management & culture change including:
- Exploring hospital-specific organizational factors that distinguish high vs low performance
- Using multidisciplinary evaluation to decrease utilization of lumbar spine fusion, including development of interdisciplinary spine clinics and indication conferences;
- Piloting the implementation and spread of lean management in orthopedic practices
- Wisdom of Crowds — Utilizing practices such as the Delphi method and nominal group technique with leaders in spine surgery to develop best practices. Past work has included:
- Prevention of Surgical Site Infection in High Risk Spine Surgery
- Response to Changes in Neuromonitoring during Spine Surgery
- Prevention of Wrong-level Spine Surgery