ICOUGH and reducing pulmonary complications
Starting in October 2016, the consortium has partnered with Boston Medical Center to implement the ICOUGH bundle to reduce peri-operative pulmonary complications, including pneumonia, ventilator dependence and unplanned intubation.  The bundle includes:

• I - Incentive Spirometry
• C - Cough and Deep Breathing
• O - Oral Care
• U - Understanding ICOUGH practices
• G - Get out of bed and walk
• H - Head of Bed greater than 30 degrees​

This program promotes patient compliance through audit and feedback and implements an innovative process improvement by transparently sharing outcome data, process measure compliance, and institutional barriers and successes.  

Boston Medical Center ICOUGH website

---

---

Pennsylvania - New Jersey Surgical Opioid Stewardship 
(​Formally known as POSSE)