Project Spruce FAQs
Frequently Asked Questions
Why is so much data needed?
Case and demographic data are used to pinpoint high emission cases.
Other case data is used to track balancing metrics to ensure ongoing high quality care while emissions are reduced.
Who will see our data?
Each center's local PI will have their data on AdaptX. We are not planning a central data repository. PIs are available to help with analysis and troubleshooting but will not have direct access to PHI.
Do we need an EMR?
Yes, each center needs an EMR compatible with AdaptX (Epic and Cerner are both ok). The EMR must collect fresh gas flow data as well as exhaled volatile agent percentage.
We have negotiated a discounted rate per year for Project Spruce for this 2-year project. This is significantly less than the full AdaptX package. We have also applied for grant funding to help offset some costs, if awarded.
Email Lisa Counsell directly for AdaptX questions
Do we need AdaptX?
AdaptX is critical to visualizing the emissions data in real time, analyzing the response to interventions, and providing feedback to your team each month. Each site will contract with AdaptX individually.
Will I be an author on future publications?
That is our goal! We will discuss as a group how we want to manage the consortium. Our goal is that everyone gets credit for their work and that this project yields publications for its members. With a consortium, there is always a possibility of having your name in the consortium authorship list, but not a publication list (this would still be PubMed indexed).
How much time do I need?
Online meetings once a month with SPRUCE Forest Members (1-2 hours)
3-5 hours/month on data analysis + communications to your team
Quarterly meeting with your chair/hospital QI/PS leader to ensure adequate support
We've already started some sustainability work. Can we set our own emissions goals?
Yes! Each center will use their own data to track emissions and set new goals. We hope that each group will be able to achieve or surpass a 50% reduction goal during the study period.
Do I need IRB approval?
Project Spruce is a quality improvement projects that uses implementation science to change practice to recommended, approved methods for reducing emissions. We recommend submitting an IRB application to ensure compliance with local regulations, though full IRB approval is likely not required.
