IHQSE faculty members, Drs. Emily Gottenborg, Jeff Glasheen, and Tyler Anstett, along with IHQSE alumna Dr. Julia Limes, published the first program evaluation of a residency training program focused on Hospital Medicine. The paper describes the University of Colorado’s experience of training over a hundred hospitalist residents over 15 years. Notably, the program found that graduates were highly likely to choose careers in hospital medicine with over 80% holding quality, safety and operational leadership roles.
Dr. Moksha Patel, IHQSE Lead Physician Informaticist, authored a perspective piece, looking at ways to reimagine the way we measure hospital-provider productivity. This paper focuses on the limitations of traditional measures of hospital-provider value, such as clinical productivity and emphasizes the patient, employee, and institutional outcomes such as quality, safety and experience.
Despite decades of effort to drive quality improvement, many health care organizations still struggle to optimize their performance on quality metrics. The advent of publicly reported quality rankings and ratings allows for greater visibility of overall organizational performance but has not provided a roadmap for sustained improvement in these assessments. In 2012, the Institute for Health care Quality, Safety, and Efficiency was launched, which is an integrated set of quality and safety training programs, with a focus on leadership development and support of performance improvement through data analytics and intensive coaching. After 10 years, the IHQSE has trained nearly 2000 individuals and has been associated with significant improvement in organization-level quality rankings and ratings, offering a framework for organizations seeking systematic, long-term improvement.
Standardizing the transfer criteria and implementation of a transfer-readiness assessment reduced the time-to-transfer decision out of the PICU from 14.4 hours to 7.8 hours and increased the proportion of patients transferred on >/6Lpm of HHF oxygen in children with viral bronchiolitis. No increase in PICU readmissions or use of rapid response team was found.
The Institute for Healthcare Quality, Safety and Efficiency was launched in 2012 with the aim of developing leaders and transforming processes to create lasting organization-level change and fundamentally improve patient care. In March 2022, the IHQSE celebrates 10 years of work and nearly 2000 individuals trained.
The COVID-19 pandemic has created numerous challenges across all clinical specialties. One set of challenges for residency programs is finding balance between the elevated clinical needs in hospitals and the educational needs of residents. In this article from The Hospitalist, IHQSE faculty member Dr. Emily Gottenborg speaks about the willingness of CU residents to meet challenges head-on and adapt to change, caring for high volumes of critically ill patients while still maintaining a focus on education.
Working with a team of clinicians and informaticists, IHQSE Director Dr. Jeff Glasheen helped create and implement an EHR-driven tool that accurately predicts inpatient mortality. A recent feature by EHR Intelligence highlights how the team leveraged EHR data and multiple models to create this highly predictive tool in just one month. Tested on over 80,000 patients, the tool was developed to aid decision making in scare resource situations, such as COVID-19 ventilator shortages.