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Community of Practice

Operative Encounter Registry

Surgical Care for All: Transforming Lives Together through the G4 Alliance.

G4 Alliance — Operative Encounter Registry

A Vision for Surgical Care

Imagine a world where every patient has access to safe, timely, and affordable SOTA care.

At the G4 Alliance, we're making this vision a reality through three transformative initiatives that form a locally-led, data-driven, and globally connected strategy to revolutionize healthcare delivery in low- and middle-income countries (LMICs).

1

Operative Encounter Registry (OER)

A digital platform for the routine collection of standardized surgical patient data. Equips providers with real-time insights into patient outcomes, delays, and access barriers — empowering them to plan, allocate resources, and improve quality of care.

2

Community of Practice (CoP)

A global network of healthcare professionals, researchers, advocates, and hospital leaders committed to interpreting OER data and turning it into action through peer learning, virtual collaboration, and direct technical support.

3

ECHO Project

The educational backbone of the OER and CoP model. Through tele-mentoring, case-based learning, and interactive virtual sessions, the ECHO Project creates ongoing capacity-building opportunities for healthcare providers in LMICs.

At a Glance

The OER is a software platform developed under the guidance of the World Health Organization (WHO). Hosted within WHO's DHIS2 database, the OER is designed to improve surgical data collection — a transformative project and catalyst for healthcare systems in LMICs through a patient-centered, data-driven, and locally-led approach.

The data collected powers a Community of Practice (CoP) — run through the Project ECHO Model — including doctors, members of international medical societies, academics, representatives of nonprofit organizations, and corporate executives, who coordinate directly with the local health workforce to implement actionable quality improvement.

The CoP Helps Hospitals

  • Implement the OER effectively
  • Design local quality improvement strategies
  • Advocate for evidence-based policy change

Real data. Real change. Real lives saved.

Piloting a Global Solution

A Memorandum of Understanding with the WHO.

In 2024, the G4 Alliance signed a Memorandum of Understanding with the WHO to pilot and scale this three-part model — OER, CoP, and ECHO — across multiple LMICs, in partnership with implementing organizations including Mercy Ships and ReSurge International.