Copyright © 2018 Health Catalyst 1 Successfully Sustaining Elective Colon Surgery Outcome Improvements Success Story EXECUTIVE SUMMARY For healthcare organizations, sustaining improvements that have been adopted in more than one part of an organization remains a serious challenge. After improvement initiatives have been successfully implemented, it is estimated that less than 40 percent of gains are sustained in the long term. Because improvement initiatives are necessary to maintain a high standard of care, sustaining them so that further improvements can be made remains a top priority for health systems. MultiCare Health System, a not-for-profit healthcare system serving Washington state, successfully implemented improvement efforts for patients undergoing elective colon surg

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