The IHQSE Certificate Training Program helped Dr. Sarah Parker, an infectious disease specialist at Children’s Hospital Colorado, build stronger interactions between the infectious disease and clinical teams.
Dr. Sarah Parker, an IHQSE graduate from Children’s Colorado Hospital, reports on the benefits of a streamlined antibiotic regimen in children with appendicitis. The work, a by-product of their enrollment in the Certificate Training Program shows how a simplified antimicrobial regimen can lower costs and improve outcomes in patients with or without perforated appendices.
Certificate Training Program graduate Dr. Mary Anderson and IHQSE faculty members Drs. Jeff Glasheen and Read Pierce report no difference in hospital LOS or mortality in states who did and did not expand Medicaid under the Affordable Care Act.
IHQSE Director Dr. Jeff Glasheen published the outcomes of a QI project resulting in approximately 60% less underdosing and 40% less overdosing of vancomycin in critically ill ICU patients.
Drs. Jason Child and Sarah Parker, Certificate Training Program graduates, published the outcomes of their QI project showing a 10.9% reduction in antimicrobial use over a 4-year period. Their ‘handshake stewardship’ program resulted in a greater than 20% reduction in broad spectrum antibiotic usage such as vancomycin and meropenem.
IHQSE faculty members Drs. Read Pierce, Darlene Tad-y and Patrick Kneeland publish their experience with redeveloping the M&M model to focus on systems-based quality improvement.
IHQSE faulty members Drs. Ethan Cumbler and Patrick Kneeland report on the key factors motivating participation in inter-professional QI teams. High-functioning teams, a focus on patient-centered outcomes and a drive for professional growth were all predictive of participation and should inform the development of future QI project teams.
Certificate Training Program graduates, Drs. James Borgstede and Kristen Nordenholz published the results of their project on ED efficiency. Utilizing the robust process improvement techniques and leadership skills developed in CTP the team was able to reduce time-to-CT scan in Emergency Department patients lowering overall ED LOS by 11 minutes. This change netted an annual estimated $450,000 in savings and $1,540,000 in revenue from new patients.
Founding IHQSE faculty members, Drs. Ethan Cumbler and Jeff Glasheen, detailed their process of looking to positive outliers (deviants) for answers to QI’s most nettlesome problems. By learning from top performing centers in the country the team was able to reduce the time-to-thrombolytics from 71 minutes to 43 minutes in patients with acute stroke.
When it comes to improving hand hygiene Dr. Ethan Cumbler, IHQSE faculty member, turned to core principles of psychology to drive hand hygiene compliance from 78% to 97%.