A team led by Dr. Justin Honce, Nancy Pritchard, Julia Drose, and Nancy Cheung set out to reduce the inpatient MRI turn-around-time (TAT) from order entry to 1st image acquisition. Pre-intervention TAT was 751 minutes. Through multiple PDSA cycles including redesign of the MRI scheduling and role clarity around which team members would transport the patient and do the MRI screening forms the team was able to reduce the TAT to 401 minutes. Review of the process a year later found most of this gain was sustained.
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.
IHQSE graduates, Ricky Mohon, MD, program coordinator Su Linstrom, Susan Hines, CPNP, and Susan Crane, PsyD, presented the outcomes of their Certificate Training Program project to improve care of pediatric patients with obstructive sleep apnea. Through the implementation of an innovative EMR process, the team significantly increased the percentage of patients who scheduled follow up appointments from 72% to 92% as well as those who completed their visits from 60% to 85%. The increased follow up enhanced patient adherence to necessary positive airway pressure treatment.
Founding IHQSE faculty members Drs. Read Pierce and Patrick Kneeland published the results of a 3-year intervention to improve well-being and reduce burnout in a hospitalist group. The intervention resulted in a 27% reduction in burnout.
Drs. Read Pierce and Patrick Kneeland, founding faculty members of IHQSE, show how addressing the limits of brainpower can lead to better patient outcomes.
Dr. Sarah Parker, a pediatric infectious disease expert and graduate of the Certificate Training Program, shares the more than $2 million cost savings obtained by building the hospital’s antimicrobial stewardship program through the CTP.
Drs. Mary Anderson, Jason Stoneback and Kelly McDevitt, RN, Certificate Training Program graduates, and Dr. Ethan Cumbler, a founding faculty member of IHQSE, share the outcomes of a comprehensive geriatric hip fracture program. The program, completed as part of the Certificate Training Program resulted in nearly a day reduction in length of stay, increases in patient follow up, and significant improvements in osteoporosis treatment.
Drs. Ethan Cumbler and Read Pierce, both IHQSE faculty members, help to understand how QI success can lead to future failure. Using the analogy of airplane lift, the two show how flight (QI success) leads to increased wingtip vortices spiraling behind the plane resulting in drag (difficulty sustaining success with current and future QI projects) and offer suggestions to address the change fatigue common in QI.