IHQSE in the News

  • The Hospitalist Logo

    Demystifying Performance Measures for Hospitalists: HCAHPSOpens in a new window

    May 1, 2024
    The Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) survey is used to compare performance on patient experience metrics across hospitals, but its impact on patient outcomes as well as its utility as an incentive metric for providers remains unclear. In this article for the Hospitalist, members of the Society of Hospital Medicine Performance Reporting and Measurement Committee, including IHQSE faculty member Anunta Virapongse, MD, MPH discuss the pros and cons of using HCAHPS as a metric for measuring performance in hospitalist programs.
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  • 3Q's for QI | Q&A with Dr. Michelle Knees

    May 1, 2024
    Diagnostic error may result in serious harm for more than 500,000 patients and contribute to an estimated 10% of all patient deaths. Understanding diagnostic accuracy is crucial for improving patient outcomes and ensuring effective healthcare delivery. IHQSE Faculty, Drs. Michelle Knees and Katie Raffel, along with colleagues from the University of Colorado Division of Hospital Medicine, recently published an AHRQ Issue Brief aimed at furthering efforts to enhance diagnostic accuracy. The brief reviews a substantial body of literature on the impact of cognitive load on diagnostic accuracy, identifies areas for future research, and provides recommendations for integrating existing knowledge into current practice.
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  • 3Q's for QI | Q & A with Dr. Jeff Glasheen

    Apr 9, 2024
    The Institute for Healthcare Quality, Safety and Efficiency received a two-year grant from the Gordon and Betty Moore Foundation to develop a Diagnostic Excellence Capacity Building Program. As part of the Achieving Diagnostic Excellence through Prevention and Teamwork (ADEPT) collaborative, the IHQSE will use the grant funds to create a model for developing and implementing diagnostic excellence programs at 15 hospitals across the country. IHQSE Director, Dr. Jeff Glasheen, discussed the new grant and how it will support efforts to address and improve diagnostic accuracy across the country.
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  • Discharge Paperwork

    Diving Into Hospital Discharge Details Enhances Safety for Infectious Disease PatientsOpens in a new window

    Apr 9, 2024
    Orders for IV antimicrobials (OPAT) were being omitted or listed inaccurately in more than 50% of discharge summaries and were leading to near misses and patient harm events, according to a 2-year study led by Lorna Allen and funded by an IHQSE grant. To address the issue, she, with data assistance from IHQSE faculty Heather Hallman, MSHS, MHA, CSSGB, implemented a streamlined treatment order in the electronic health record that standardized the discharge process across units so that OPAT ordering occurs seamlessly on nearly 99% of after-visit summaries.
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  • Emily-Gottenborg-5

    3Q's for QI | Q & A with Dr. Emily Gottenborg

    Apr 5, 2024
    Physical therapy consultation in the hospital is a valuable, yet limited resource, and ordered for a large proportion of admitted patients. IHQSE faculty members, Dr. Emily Gottenborg and Dr. Moksha Patel, recently published their work to address inappropriate overuse of physical therapy consultation. Their team found that nearly 25% of all consultations were inappropriate, and by creating an EHR order integrating clinical decision-making support and restructuring nursing roles to empower them to assume PT – ordering responsibility, they decreased inappropriate ordering to <10%. This work highlights the value of eliminating inefficiencies in the inpatient setting to reduce waste and improve patient care!
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  • Katie Raffel, MD

    3Q'S for QI | Q & A with Dr. Katie Raffel

    Feb 9, 2024
    Diagnostic error is common, morbid, and mortal. IHQSE faculty member, Dr. Katie Raffel, along with Dr. Andrew Auerbach and other experts on diagnostic error, recently published findings from a multicenter retrospective cohort study in which 2500 hospitalized adults who experienced ICU escalation or death were evaluated for diagnostic error. This study adds to a body of literature highlighting the importance of diagnostic safety within hospital medicine. We discussed the larger implications of this study with Dr. Katie Raffel in this edition of 3Q's for QI.
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  • 3Q's for QI | Q & A with Dr. Diane Christopher

    Jan 23, 2024
    Faced with rising maternal mortality, the first prenatal visit is essential but, in many cases, important topics are missed. An IHQSE small grant supported the redesign of the first visit, dividing it into a nurse-led telemedicine visit and an in-person visit with an obstetric clinician. Clinic no-shows dropped (9.9%-4.2%), the topics covered in the first prenatal visit increased (70.0%-95.6%), and improvements were observed for all key themes. We spoke with Dr. Diane Christopher about her recent publication, Redesigning the First Prenatal Visit: A Quality Improvement Initiative, and her team's work to improve care for expecting mothers.
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  • Katie Raffel, MD

    3 Qs for QI | Q&A with Dr. Katie Raffel

    Dec 8, 2023
    Few hospitals have created surveillance programs for diagnostic errors. Fewer have programs to translate those opportunities into improvement efforts to prevent future harm. The Achieving Diagnostic Excellence through Prevention and Teamwork (ADEPT) collaborative is a 16 site AHRQ funded project which is developing measurement frameworks for diagnostic safety, and then using these frameworks to aid with implementation of diagnostic excellence programs. We spoke with IHQSE Faculty Dr. Katie Raffel about ADEPT and its potential impact.
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  • IHQSE Faculty Member Leads the Way for Bladder Cancer Robotic SurgeryOpens in a new window

    Dec 4, 2023
    IHQSE Faculty Dr. Janet Kukreja is one of the most prolific robotic cystectomists in North America, completing 100+ surgeries a year and leading the way in the field of robotic surgery. Now she is leading pilot project that’s developed a web-based app to help patients choose the urinary diversion that best suits their personal circumstances and preferences, giving them power and choice in an overwhelming situation.
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  • Chenille VA ECMO ambulationsmall

    Ready to Roll: Team Effort Bucks Sedation TrendOpens in a new window

    Jul 31, 2023
    Most patients requiring prolonged mechanical ventilation in Cardiothoracic Intensive Care Units (CTICU) – which treat some of the hospitals’ sickest patients – remain sedated and bedridden for the bulk of their stay. A team of IHQSE Alumni are helping to change that and improve patient outcomes, starting with one strong-willed young woman named Chenille.
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  • nrf profile photo

    3 Q's for QI | Q&A with Dr. Norman Friedman

    Jun 6, 2023
    A IHQSE team, including Dr. Norman Friedman, engaged clinicians and staff across multiple services to revise the perioperative pathway for children having a T&A. Published in The Laryngoscope, the team found that 75% of children who qualified as “high risk” patients by the American Academy of Otolaryngology’s clinical practice T&A overnight monitoring guideline were off oxygen within 3 hours of surgery.
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  • IHQSE Social Media logo

    3 Q's for QI | Q&A with Dr. Tyler Anstett and Dr. Brad Morse

    Mar 29, 2023
    A team including IHQSE Faculty member Dr. Tyler Anstett engaged clinicians from different specialties to rethink the design of blood transfusion orders in the EHR at University of Colorado Hospital. This project, ultimately aimed at improving adherence with transfusion guidelines, was recently published in the January volume of Applied Clinical Informatics. We caught up with Dr. Brad Morse and Dr. Tyler Anstett to learn more about the motivation behind this project and what it could mean for future EHR design improvements.
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  • IHQSE Social Media logo

    Innovation SOARs in the CTICU | Interview with Dr. Mikita Fuchita

    Feb 1, 2023
    A team from the Cardiothoracic Intensive Care Unit that completed the IHQSE Improvement Academy recently launched their SOAR (Sedation Off, Awake, Rehabilitate) initiative which is aimed at weaning patients off deep sedation sooner to mitigate adverse outcomes related to prolonged sedation periods. The intervention allowed the team to mobilize one of its most critical patients on ECMO. We spoke with Dr. Mikita Fuchita, one of the doctors spearheading this initiative to learn more about the SOAR initiative and its impact.
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  • Kevin MD logo

    IHQSE Faculty and Colleagues Address Workplace Violence in HealthcareOpens in a new window

    Nov 7, 2022
    The cycle of workplace violence in healthcare facilities is detrimental to providers as well as patients. IHQSE Faculty Katie Raffel, MD, along with Jenica Cimino, and Lyza Hilton, RN, discuss how trauma-informed transformations may help to reduce violent episodes in hospitals on MedPage Today’s KevinMD.
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  • 9 news

    IHQSE Alum Leads New Virtual Respiratory Therapist Program Aimed at Improving Patient Outcomes and WorkflowOpens in a new window

    Oct 25, 2022
    IHQSE Alum Candice Kmetz-Parkinson was recently featured on Colorado's 9NEWS discussing UCHealth's new Virtual Respiratory Therapist program that is helping to streamline workflow and get patients off ventilators sooner.
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  • US news and world report square

    IHQSE Faculty Member Discusses Need to Improve Conversations about Sexual Side Effects of Cancer TreatmentOpens in a new window

    Aug 8, 2022
    Studies find that most patients undergoing cancer treatment receive little to no information on the possible effects that treatment may have on their sexual well-being. In this US News & World Report article, IHQSE Faculty member, Dr. Sarah Tevis, discusses the need for providers to give honest information to patients about these side effects early in the treatment process.
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  • RSNA logo

    IHQSE Alumni Invited to Present at 2022 RSNA Annual MeetingOpens in a new window

    Aug 1, 2022
    IHQSE Alumni Dr. Jennifer Kemp and Sherry Knott, NMTCB, have been asked to present their work, ‘Adding Friction to the Electronic Health Record to improve adherence with best practices for diagnostic testing across multiple hospital system intensive care units,’ at the Scientific Assembly and Annual Meeting of the Radiological Society of North America in November 2022.
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  • American College of Surgeons

    IHQSE Alumni Win Award for Best PRO/Patient Centeredness Abstract at ACS ConferenceOpens in a new window

    Jul 15, 2022
    IHQSE Alumni Drs. Laura Leonard, Danielle Abbitt, Edward Jones, Andrew Berry and nurses Emily Englehaupt and Sara Davidson presented their work, ‘post-operative readmissions in an aging veteran population,’ which won the award for the Best PRO/Patient Centeredness abstract at the American College of Surgeons 2022 Quality and Patient Safety Conference.
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  • Headshot of Moksha Patel

    IHQSE Faculty Member Speaks on Mental Health and Overcoming Adversity at Matiya World Cultural ConventionOpens in a new window

    Jul 10, 2022
    IHQSE Lead Physician Informaticist, Moksha Patel, MD, gave an inspirational talk about mental health awareness and overcoming adversity, discussing his own journey with severe OCD as a template, at the Matiya World Cultural Convention.
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  • som_IHQSE_c_clr

    Institute for Healthcare Quality, Safety and Efficiency Celebrates 10-Year AnniversaryOpens in a new window

    Mar 1, 2022
    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.
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  • Emily Gotteenborg

    IHQSE Leader Speaks on Adaptability of CU Residents in Response to Challenges of COVID-19 PandemicOpens in a new window

    Dec 3, 2021
    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.
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  • Dr. Jeffrey Glasheen

    IHQSE Faculty Member Creates Real-time Mortality Prediction ToolOpens in a new window

    May 12, 2021
    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.
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  • ASP photo

    ‘Handshake Stewardship’ Program Backbone of TJC's Best Practices in Antimicrobial StewardshipOpens in a new window

    Oct 4, 2019
    Two recent publications, one from TJC and the other from the CDC highlight Certificate Training Program graduates Drs. Sarah Parker, Jason Child and Christine MacBrayne’s innovative ‘handshake stewardship’ program. Developed during of their time in the Certificate Training Program, the program does not rely on traditional stewardship policies such as preauthorization of antimicrobials.
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  • Pancreas Program - 2016 CTP Cohort 4

    IHQSE Graduates Recognized for Improvement in Pancreas Surgery Patient OutcomesOpens in a new window

    Jun 1, 2017
    Certificate Training Program graduates were recognized for significant improvements in pancreas surgery outcomes. The team highlighted the importance of “building relationships, identifying stakeholders, creating a business case--important work that we didn’t know how to do before IHQSE” as well as the need to enhance communication and build care pathways.
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  • Pierce, Read

    Improving Sepsis careOpens in a new window

    Mar 1, 2017
    In an interview with the University of School of Medicine, Dr. Read Pierce, IHQSE faculty member noted the importance of robust data systems, clinician engagement and creating a sense of urgency in driving improved outcomes in sepsis.
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  • CHCO Spine Team

    IHQSE Team Receives Top Quality and Safety Award at Children’s Hospital ColoradoOpens in a new window

    Apr 21, 2016
    IHQSE is proud to announce the Children’s Colorado Hospital Ortho Spine Team was presented with the Excellence in Quality & Patient Safety Award at Children’s Hospital medical Staff dinner on April 21, 2016.
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  • SHM-Innovations-Award-March 2015

    IHQSE Receives Society of Hospital Medicine Top Innovation Award

    Mar 1, 2015
    The Society of Hospital Medicine awarded IHQSE the Innovation Award for their work in developing the program. The program, selected from a over 100 innovation presentations was recognized for developing high-functioning clinical teams that are trained, resourced and aligned with broader organizational goals in order to improve the value of the care provided.
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  • UCH EGMT Team

    IHQSE Sets the Path to CUSPOpens in a new window

    Feb 3, 2015
    The IHQSE Certificate Training Program helped set the path to creating a Comprehensive Unit-based Safety Program for the program’s 2014 Esophageal Surgery Team. After achieving their primary goal of standardizing care, they decide to set another goal in reducing the average length of stay by one day.
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Institute for Healthcare Quality, Safety and Efficiency (IHQSE)

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IHQSE@cuanschutz.edu

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