IHQSE leader Dr. Tyler Anstett and colleagues report on how a systems-based M&M conference with key stakeholders present resulted in significant improvements in completion time of ‘routine’ (18-minute reduction) and ‘now’ (8-minute reduction) ordered inpatient electrocardiograms. This is the first study to show a positive impact on a process following a systems-based case review conference.
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. The tool, using real-time data from Epic, provides a highly predictive mortality score that is updated every 15 minutes across a 12-hospital health system. Tested on over 80,000 patients, the tool was developed to aid decision making in scarce resource situations, such as COVID-19 ventilator shortages.
IHQSE Faculty member, Emily Gottenborg, MD, and her colleague, Amy Yu, MD, are first authors on an article about the pandemic's impact on personal and professional activities of healthcare providers. They suggest solutions to help mitigate the impact, such as continuing alternate and flexible work schedules, developing flexible promotion timelines, investing in family support mechanisms, creating social support networks, and addressing gender pay disparities.
Ninety percent of patients labeled as penicillin allergic are tolerant to the medication, yet those labeled as allergic have longer hospital stays, increased exposure to suboptimal antibiotics, and an increased risk of methicillin-resistant infections. Through several quality improvement interventions, including development of a multidisciplinary clinical care pathway, workflow optimization, and education sessions, a team from Children’s Hospital Colorado successfully increased the rate of penicillin allergy delabeling among low-risk hospitalized pediatric patients. Led by Certificate Training Program graduates Drs. Maureen Egan Bauer and Kirstin Carel, Christine MacBrayne, PharmD, and Amy Stein, CPNP, this work allowed for increased use of optimal antibiotics.
Dr. Emily Gottenborg, IHQSE faculty member and Director of the Introductory Training Program, was the lead author on a seminal paper understanding the experiences of women in leadership roles in hospital medicine. Her team highlighted four limiting challenges including lack of leadership training, bullying, a need to sacrifice to achieve balance and the need for personal and professional validation. Key interventions to address these issues were also shared.
Recognizing the challenges of in-person sessions due to COVID-19, Certificate Training Program graduates Drs. Mary Chandran and Margaret Bock and Clinical Program Manager Megan Bisek published their experience adapting their pediatric kidney transplant transition-to-adult-care program to a virtual platform. The team attributed much of their progress to the knowledge and skills gained in the CTP course.
IHQSE faculty published the six-year follow up of the success of University of Colorado School of Medicine’s Health Innovations Scholars Program. The program has shown a lasting impact on students' ongoing participation and leadership of quality and innovation work.
As part of the Leadership & Professional Development series in the Journal of Hospital Medicine, IHQSE faculty member Emily Gottenborg, MD, and her colleague, Manuel Diaz, MD, share insights on building a personal leadership brand. They emphasize reflecting on your strengths, values, goals, and organizational priorities. Sharing your brand and personal vision statement will help others understand what you bring to the team and will help you maximize your strengths.
Dr. Ethan Cumbler, an IHQSE faculty member, and Drs. Mary Anderson, (Hospitalist), Jason Stoneback, (Orthopedic Surgeon) and Kelly McDevitt (Registered Nurse), Certificate Training Program graduates, publish the outcomes of a comprehensive geriatric hip fracture program. Completed as part of the Certificate Training Program, the program resulted in a statistically significant improvement in 1-year survival in geriatric patients suffering a hip fracture.
Drs. Christine MacBrayne, Jason Child and Sarah Parker shared the 5-year follow up of the ‘handshake stewardship’ program developed in the Certificate Training Program. The program has resulted in a sustained 26% reduction in antimicrobial use and saved millions of dollars all without changes in balancing measures such as length of stay, mortality or readmissions.