2013 IHQSE Outcomes

BONE MARROW TRANSPLANTATION

Opportunity: Reduce length of stay by improving discharge process. Intervention: Standardized process for earlier discharge education prior to discharge Outcome: Length of stay reduced by 7 days. Total projected savings of $840,000 per year.


2014 IHQSE Outcomes

PALLIATIVE CARE

Opportunity: Improve length of stay for palliative 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.

ESOPHAGEAL SURGERY

Opportunity: Reduce length of stay for esophageal surgery patients. Intervention: Standardize order set with compliance reporting. Outcome: Length of stay reduced by 1.1 days and composite harm score reduced by 33%.


2015 IHQSE Outcomes

PRIMARY CARE CLINIC

Opportunity: Reduce readmission rate Intervention: Standardized transition process, follow up phone call, focus on medications. Outcome: Reduced readmission's by 42%: sustained for 5 years Spread: Framework incorporated into hospital care management workflows.

ORTHO SPINE “CRASH” PROJECT

Opportunity: Reduce incidence of rescue care associated with OR PICU transfers Intervention: Standardize order set with compliance reporting. Outcome: Reduced incidence of rescue care by 43%; projected savings of $403,000 per year.


2016 IHQSE Outcomes

PANCREAS SURGERY

Opportunity: Reduce length of stay 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 readmission's.


2018 IHQSE Outcomes

DISCHARGE NURSE

Opportunity: Improve discharge process. Intervention: Created discharge nurse to improve discharge planning. Outcome: Reduced time to discharge by 43 minutes, LOS by 1 day and doubled rate of patients discharged by 11am. Spread: 3 units, additional 3 underway.

PYXIS OPTIMIZATION

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


2019 IHQSE Outcomes

TIMELY MEDICATION AT DISCHARGE

Opportunity:Reduce time discharging patients waited to receive medication.  Intervention: Optimized the process by using a medication delivery system for all early discharges. Outcome: Nearly a 60% reduction in total amount of time patients had to wait for medication.

TRANSITION OF CARE-KIDNEY TRANSPLANT

Opportunity: Reduce graft failure of patients ages 13-24. Intervention: Develop a program to transition these patients to adult care starting at 14 & fully transitioned by 22.Outcome: Improved making of 1st appointment in the Adult Kidney Transplant Program from 30% to 70%. 

CARDIAC & VASCULAR CENTER

Opportunity: Improve inefficiency and throughput of unit, decrease LOS. 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.

DEVELOPMENTAL PEDIATRICS

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. 

BRONCHIOLITIS STANDARDIZATION

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 LOS in the PICU from 2.3 to 1.6 days.

AMBULATORY ANTIMICROBIAL STEWARDSHIP

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

PULMONARY INPATIENT TEAM

Opportunity: Reducing LOS for pulmonary hypertension patients. 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

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