CTP 2013-2019 Outcomes

2019 IHQSE Project Outcomes

Opportunity: Reduce time patients waited to receive medications.  

Intervention: Optimized the process by using a medication delivery system for all early discharges.

Outcome: Nearly a 60% reduction in total amount of time discharging patients had to wait for medications.

Opportunity: Reduce graft failure of patients ages 13-24 yo. 

Intervention: Develop a program to transition these patients to adult care starting at 14 yo & fully transitioned by 22 yo.

Outcome: Improved making of first appointment in the Adult Kidney Transplant Program from 30% to 70%. 
Opportunity: Improve inefficiency and throughput of cath lab by decreasing the length of stay. 

Intervention: Created a new fast track unit for patients of lower complexity.

Outcome: Reduction in the amount of time a patient spent in the unit by 2 hours and 5 minutes.
Opportunity: Improve access to care for pediatric patients with autism. 

Intervention: Shifted tasks to trained nurse to complete initial evaluation.

Outcome: Reduced physician time from 155 to 120 minutes, led to a 55% increase in number of patients seen per physician. 
Opportunity: Improve standardization of transfer of bronchiolitis patients from ICU to floor. 

Intervention: Introduced transfer criteria and new process for transfer readiness assessment.

Outcome: Reduced median length of stay in the PICU from 2.3 to 1.6 days.
Opportunity: Over 80% of all antibiotics are prescribed in the outpatient setting. Up to 50% of these are inappropriate or unnecessary. 

Intervention: Developed a data analytics tool to track antibiotic use in UCHealth ambulatory clinics.
Opportunity: Decrease length of stay (LOS) from 8.2 to 6.4 days.

Intervention: Engaged with staff to change culture and treatment of pulmonary hypertension patients.

Outcome: Discharge of pulmonary hypertension patient improved from 4% to 14%, and LOS decreased from 8.22 days to 6.43 days.


2018 IHQSE Project Outcomes

Opportunity: Improve discharge process.

Intervention: Created discharge nurse to improve discharge planning.

Outcome: Reduced time to discharge by 43 minutes, length of stay by 1 day and doubled rate of patients discharged by 11am.

Spread: Spread to 6 additional hospital units.

Opportunity: Reduce nursing time spent looking for medications.

Intervention: Redesign Pyxis content and layout.

Outcome: Reduced nursing time to find medication by 21 minutes per nurse per shift. Estimated savings of $76,895 on unit.

Spread: All hospital units: projected benefit of $916,584 per year.


2016 IHQSE Project Outcomes

Opportunity: Reduce length of stay(LOS) for pancreatic surgery patients.

Intervention: Standardize order set with compliance reporting.

Outcome: LOS reduced by 1.1 days, 35% reduction in complications, 67% reduction in return to ICU, 46% reduction in readmissions.

Opportunity: Reduce length of stay(LOS), improve outcomes in geriatric hip fracture patients.

Intervention: Standardize order set with compliance reporting; cohorted patients on orthopedic unit and service.

Outcome: Reduced LOS by 1 day, decreased readmissions by 16% and reduced 1-year mortality by 48%.


2015 IHQSE Project Outcomes

Opportunity: Reduce readmission rate. 

Intervention: Standardize transition process, follow up phone call, focus on medications.

Outcome: Reduced readmissions by 42%: sustained for 5 years.

Spread: Framework incorporated into hospital care management workflows.

Opportunity: Reduce incidence of rescue care associated with operating room pediatric intensive care unit transfers.

Intervention: Standardize order set with compliance reporting.

Outcome: Reduced incidence of rescue care by 43%; projected savings of $403,000 per year.


2014 IHQSE Project Outcomes

Opportunity: Improve length of stay (LOS) for palliative care patients.

Intervention: Move consult earlier in hospital stay.

Outcome: Patients received treatment 14 hours earlier improving pain and symptom scores, reducing LOS by 1.7 days. Total projected savings of $3 million per year.
Opportunity: Reduce length of stay(LOS) for esophageal surgery patients.

Intervention: Standardize order set with compliance reporting.

Outcome: LOS reduced by 1.1 days and composite harm score reduced by 33%.


2013 IHQSE Project Outcomes

Opportunity: Reduce length of stay(LOS) by improving discharge process.

Intervention: Standardize process for earlier discharge education prior to discharge.

Outcome: LOS reduced by 7 days. Total projected savings of $840,000 per year.

Opportunity: Antimicrobial over-utilization results in side effects for pediatric patients, excess length of stay(LOS) and avoidable cost.

Intervention: Implemented "handshake stewardship" program.

Outcome: Antibiotic usage reduced by 25%, C. difficile rates by 41%. Reduced LOS for patients on antibiotics by 8% and pharmacy costs by $1-2 million.

Contact

Jeff Glasheen, MD
IHQSE Director

IHQSE Administrative Support
SOM.IHQSE@ucdenver.edu

 

Anschutz Medical Campus
Leprino Building, 9th Floor 
12401 E. 17th Avenue,
Campus Box L-963
Aurora, CO 80045