CG
Clinical Governance
One evidence-based clinical standard across every site — practice guidelines, protocol standardization, blood conservation, and ECMO governance owned above the vendors.
CG-01Enterprise Clinical Governance
A single accountable governance structure for perfusion across every hospital — clinical practice guidelines, best-practice implementation, and clear clinical authority above the vendors delivering care.
Deliverables & Outcomes
- System-wide perfusion governance charter & committee
- Evidence-based clinical practice guidelines
- Defined clinical authority above third-party vendors
- Board- and C-suite-level performance reporting
CG-02Protocol Standardization
Harmonized perfusion protocols across all sites so practice no longer varies by hospital, vendor, or individual perfusionist — reducing unwarranted variation and risk.
Deliverables & Outcomes
- System-wide protocol library, versioned and owned
- Reduction of unwarranted site-to-site variation
- Best-practice implementation and adoption tracking
- Change-management support
CG-03Blood Conservation Oversight
Enterprise patient blood management for cardiac surgery — standardized strategies that lower transfusion, protect patients, and reduce one of the highest-yield cost lines in the OR.
Deliverables & Outcomes
- Standardized PBM protocols across programs
- Transfusion benchmarking by site and surgeon
- Reduced product utilization and complication risk
- Measured impact on outcomes and cost
CG-04ECMO Program Governance & Development
Governance and development for ECMO and high-acuity mechanical support — from standing up a new program to overseeing quality, coverage, and ELSO alignment across an existing one.
Deliverables & Outcomes
- ECMO program development & maturity roadmap
- ELSO-aligned quality oversight
- Coverage model and competency governance
- Outcome benchmarking and reporting
QA
Quality & Patient Safety
Independent QA/QI, root cause and near-miss investigation, and adverse-event and M&M review — so problems are found, fixed, and verified system-wide.
QA-01QA/QI Program Management
Independent quality assurance and continuous improvement — every program benchmarked against national standards and against each other, not grading its own homework.
Deliverables & Outcomes
- Independent QA program with defined metrics
- Cross-site and national benchmarking
- Structured QI cycles with accountable owners
- Transparent quality reporting to leadership
QA-02Adverse Event & Root Cause Review
Independent, structured investigation of perfusion-related adverse events, near-misses, and mortality/morbidity — with system-level corrective actions that are implemented and verified.
Deliverables & Outcomes
- Independent RCA and near-miss investigation
- Mortality & morbidity review
- System-wide corrective action plans
- Closed-loop verification and trend analysis
VM
Vendor Management
Vendor scorecards, contract compliance, SLA monitoring, staffing audits, and independent credential verification — accountability the health system can trust.
VM-01Vendor Performance Management
Independent oversight of third-party perfusion vendors — scorecards, contract compliance, and SLA monitoring that give leadership an unbiased read on whether vendors are delivering.
Deliverables & Outcomes
- Independent vendor scorecards
- Contract compliance monitoring & remediation
- Clinical & service SLA tracking
- Staffing audits against contracted models
VM-02Credentialing & Competency Verification
Independent credentialing and competency verification for every perfusionist — employed or contracted — so the health system knows exactly who is qualified to be at the machine.
Deliverables & Outcomes
- Primary-source credential verification
- Ongoing competency & simulation assessment
- System-wide credentialing registry
- Vendor-staff qualification assurance
REG
Regulatory Compliance
Continuous readiness for The Joint Commission, CMS, state surveys, and internal audits — perfusion documentation and competencies audit-ready every day.
REG-01Regulatory Readiness & Survey Preparation
Continuous readiness for The Joint Commission, CMS, state surveys, and internal audits — perfusion documentation, competencies, and protocols audit-ready every day, not scrambled together before a survey.
Deliverables & Outcomes
- The Joint Commission & CMS readiness program
- State survey and internal audit preparation
- Documentation and competency gap closure
- Mock surveys and continuous audit posture
DATA
Data Analytics
Executive dashboards and predictive analytics on volumes, staffing, blood utilization, outcomes, equipment, cost-per-case, compliance, and benchmarking.
DATA-01Executive Dashboards & Outcomes Analytics
Registry-grade dashboards built on STS and ELSO data — pump case volumes, staffing, blood utilization, outcomes, equipment, cost-per-case, and compliance trends in one trustworthy view.
Deliverables & Outcomes
- Executive dashboards across every site
- STS & ELSO-aligned data pipelines
- Outcomes, utilization, and cost-per-case analytics
- Benchmarking and compliance trending
DATA-02AI-Powered Reporting & Predictive Analytics
AI-assisted reporting and predictive models that surface risk and performance drift early — automating oversight reporting and flagging programs that need attention before events occur.
Deliverables & Outcomes
- Automated oversight & regulatory reporting
- Predictive risk and outcome modeling
- Early-warning flags on performance drift
- Narrative summaries for non-clinical leadership
CAP
Capital Planning
Objective, vendor-neutral evaluation of heart-lung machines, cell savers, heater-coolers, ECMO platforms, and disposables — planned across the fleet.
CAP-01Capital Equipment Planning & Evaluation
Fleet-level capital strategy and objective, vendor-neutral evaluation of heart-lung machines, cell savers, heater-coolers, ECMO platforms, and disposables — planned, not reactive.
Deliverables & Outcomes
- System-wide equipment inventory & lifecycle plan
- Vendor-neutral technology evaluation
- Multi-year capital replacement roadmap
- Standardization to reduce cost and variation