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

Essey Yirdaw, MPH
IHQSE Program Manager

 

Anschutz Medical Campus
Leprino Building, 9th Floor 
12401 E. 17th Avenue,
Campus Box L-963
Aurora, CO 80045
Phone: (720) 848-5806