Quality Improvement

A Multidisciplinary Approach to Improving Congestive Heart Failure (Chf) Specificity Documentation

Background: Appropriate documentation of Congestive Heart Failure (CHF) specificity is still a major documentation problem in most hospitals in the United States despite the frequent presence of Clinical Documentation Improvement Specialists (CDIs) to assist with [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Innovations Abstracts, Quality Improvement|Comments Off on A Multidisciplinary Approach to Improving Congestive Heart Failure (Chf) Specificity Documentation

A Novel Md-Rn Collaborative Protocol to Prevent and Manage Acute Delirium in Inpatient Wards

Background:  Delirium affects 20-60% of the general hospitalized patients, and up to 85% of intensive care unit (ICU) patients. Its occurrence is associated with higher morbidity and mortality, long-term institutionalization, worse long-term cognitive outcomes, and [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Finalist, Innovations Abstracts, Quality Improvement|Comments Off on A Novel Md-Rn Collaborative Protocol to Prevent and Manage Acute Delirium in Inpatient Wards

Afternoon Discharge Huddles to Increase Early Discharges

Background: Late discharges are a known barrier to patient flow.  Our project was to identify barriers to early discharges and develop processes to increase early discharges from the inpatient medicine teams.   Purpose:  "Daily afternoon multidisciplinary team huddles [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Innovations Abstracts, Quality Improvement|Comments Off on Afternoon Discharge Huddles to Increase Early Discharges

Building a Comprehensive Patient-Centered Readmission Reduction Program

Background: Traditional readmission case review processes at our tertiary-care academic institution failed to identify obvious target processes for readmission reduction.  Looking for a more nuanced method of readmission review, we turned to our patients.   We [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Innovations Abstracts, Quality Improvement|Comments Off on Building a Comprehensive Patient-Centered Readmission Reduction Program

Fixing What Is Broken: Quality Improvement in the Critical Lab Value Process

Background: Critical lab values are those results that require rapid notification to clinical staff so that urgent interventions can be made to avoid morbidity or mortality. The Joint Commission requires that hospitals have an effective [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Finalist, Innovations Abstracts, Quality Improvement|Comments Off on Fixing What Is Broken: Quality Improvement in the Critical Lab Value Process

Hepatitis C Antibody Testing: Saving Costs by Preventing Multiple Unnecessary Tests

Background: Healthcare costs continue to represent a growing burden on the American economy.  Current research has focused on methods to eliminate unnecessary tests or procedures to save costs and prevent waste.  Hepatitis C antibody testing [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Innovations Abstracts, Quality Improvement|Comments Off on Hepatitis C Antibody Testing: Saving Costs by Preventing Multiple Unnecessary Tests

Implementation of a Code Blue Event Outcome Tracking System for Resident-Led Teams

Background: Code Blue events, or in-hospital patient emergencies, often require advanced cardiac life support (ACLS) and unfortunately can end in loss of life. Defining and measuring outcomes is an essential step for improvement in any [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Innovations Abstracts, Quality Improvement|Comments Off on Implementation of a Code Blue Event Outcome Tracking System for Resident-Led Teams

Implementation of a Pay-for-Perfomance Structure for Hospitalist-Led Quality Improvement Projects

Background: Pay-for-performance incentives allow for engagement and motivation of participating physicians. Hospitalist compensation structure commonly combines base salary with performance and/or productivity-based incentives. Frequently used quality measures are value based purchasing metrics, patient satisfaction scores, [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Finalist, Innovations Abstracts, Quality Improvement|Comments Off on Implementation of a Pay-for-Perfomance Structure for Hospitalist-Led Quality Improvement Projects

Implementation of a Routine Inpatient Hepatitis C Virus (Hcv) Screening and Outpatient Linkage to Care Program

Background: Chronic hepatitis C virus (HCV) is a leading cause of liver failure and cancer. Half of 3.5 million infected persons in the U.S. know their status, and 43% have access to care. Despite antivirals [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Innovations Abstracts, Quality Improvement|Comments Off on Implementation of a Routine Inpatient Hepatitis C Virus (Hcv) Screening and Outpatient Linkage to Care Program

Improving Goals of Care Documentation at an Academic Medical Center with Electronic Health Record-Based Alerting

Background: Hospital admission presents an important opportunity to engage with patients about goals of care (GOC) and advanced care planning. The significant and sensitive nature of GOC conversations requires that documentation of a patient’s goals [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Innovations Abstracts, Quality Improvement|Comments Off on Improving Goals of Care Documentation at an Academic Medical Center with Electronic Health Record-Based Alerting

In Pursuit of Happiness: Creating an Academic Hospitalists Wellness Committee

Background: Physician burnout poses a critical threat to the United States health care system.  Finding a solution to this problem is a leadership imperative, as studies report that nearly half of physicians in the U.S. [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Innovations Abstracts, Quality Improvement|Comments Off on In Pursuit of Happiness: Creating an Academic Hospitalists Wellness Committee

Increasing Ambulation with Fitbits in Hospitalized Medicine Patients

Background: Ambulation is significantly reduced when patients are hospitalized, which leads to decreased muscle strength and aerobic capacity. A recent study of geriatric inpatients found daily median step counts of 478 to 846, much lower [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Innovations Abstracts, Quality Improvement|Comments Off on Increasing Ambulation with Fitbits in Hospitalized Medicine Patients

Integrated Clinical Decision Support Focused on Early Recognition and Standardized Treatment of Sepsis

Background: Despite widespread awareness of best practices in the early management of sepsis, sepsis continues to burden our healthcare systems with high mortality, prolonged length of stay and excessive cost.  Early recognition of sepsis and [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Innovations Abstracts, Quality Improvement|Comments Off on Integrated Clinical Decision Support Focused on Early Recognition and Standardized Treatment of Sepsis