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On-Demand
Kaiser Permanente Northen California has been on a journey to build a robust succession and competency program over the last two years. Currently developing Role Profiles for each role in this structure which are mapped to the NAHQ competency framework...
On-Demand
In this session we will review the VHA VISN 15 annual network-level quality program assessment design. We will highlight the priority of review items to address directives, compliance, problem-prone and future-focused items. Finally, we will discuss using simulation to illuminate...
On-Demand
This session will explore the critical role of Interprofessional Education (IPE) in advancing healthcare quality and safety. Participants will gain insights into how collaborative learning across various healthcare disciplines fosters a team-based approach, leading to improved patient outcomes. The panel...
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For hundreds of years, graphs have been used to help humans understand data. Graphs and charts will always be a key part of our skill set as a Quality Professional. We depend on them to help us make good decisions...
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This session will discuss the impact of providing education to home healthcare staff through virtual huddles that are recurring, structured, and brief. Our home healthcare agency has utilized virtual education huddles to expand communication, drive patient safety, and facilitate survey...
On-Demand
Through our case study – Audience would be able to know challenges faced in organizations to provide evidence-based learning resources to frontline staff and how OPENWHO learning platform was beneficial in training and creating awareness on important patient safety standards...
On-Demand
In healthcare, pressure injuries are a serious problem that cannot be overlooked. Pressure injuries carry a psychological, financial, and physiological burden to patients and a financial burden to healthcare organizations. The Agency for Healthcare Research and Quality developed a toolkit...
On-Demand
The purpose of this project is exploring opportunities for decreasing bleeding post percutaneous coronary intervention with the overall goal to decrease patient length of stay and mortality and increase patient satisfaction and safety. The data documents Good Samaritan University hospital’s...
On-Demand
This quality improvement project utilized a Plan-Do-Study-Act (PDSA) framework to implement a new process for unplanned inpatient hospital discharges in the ambulatory hematology oncology space aimed at supporting patient transitions. Problem: When Hematology/Oncology clinic patients were admitted inpatient, there was...
On-Demand
An interdisciplinary care model was implemented in January 2020 to improve cardiopulmonary resuscitation care outcomes. Through consistent collaboration of a Physician Champion, a Clinical Nurse Specialist (CNS), a Registered Nurse Quality Specialist, and Quality Data Abstractors, implementation of evidence-based strategies...
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Most care delivery in the US is provided in ambulatory settings, yet quality improvement and patient safety efforts are heavily weighted towards inpatient settings. It is estimated that 5% of outpatient encounters result in an adverse event, however, efforts to...
On-Demand
For prescribing teratogenic medications to women Veterans, although both the national pharmacy Teratogenic Medication warning and national guidance regarding teratogenic clinical reminders were implemented, process was not optimal as most medications were prescribed in the specialty setting and processes implemented...
On-Demand
The study evaluates the process of providing hospital-grade breast pumps to NICU mothers at UCLA Ronald Reagan Medical Center, identifying inefficiencies and barriers in the current system. Problem: The problem tackled at UCLA Ronald Reagan Hospital’s NICU involved challenges NICU...
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A multifactorial project focused on reducing Catheter-Associated Urinary Tract Infections (CAUTIs). This comprehensive approach included daily audits by the nursing department to prompt early removal recommendations, enhanced electronic health record (EHR) processes for specimen collection and Best Practice Alerts, staff...
On-Demand
This session will review the DMAIC process and tools used to improve handoff communication between departments, with transportation services and from the Emergency Department to inpatient nursing units. Problem: Patient handoffs are a well-known time of risk. A handoff contains:...
On-Demand
In 2019, our multi-facility System identified reduction of Broad Spectrum Antibiotics utilization rates, reduction of hospital acquired Clostridioides difficile and increasing rate of conversion from intravenous to oral antibiotics as a priority. A multidisciplinary team used Lean Six Sigma methodology...
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The American Hospital Association (AHA)’s Quality Collective convened over 100 health care quality leaders nationwide to provide a collaborative platform to engage deeply with their peers, collectively strategizing on the most pressing health care quality-related issues. Over the course of...
On-Demand
Encouraging cessation and providing referrals to cessation treatment programs is an important aspect of high-quality cancer care for patients who smoke tobacco. The UMMC outpatient cancer care clinics did not have a highly reliable process for providing smoking cessation resources...
On-Demand
Cleveland Clinic Weston Hospital was experiencing increased cases of hospital onset Methicillin Resistant Staphylococcus Aureus (MRSA) bacteremia. Studies indicated that hand hygiene practices are highly effective in reducing cross transmission of MRSA to patients from healthcare workers. This transmission of...
On-Demand
The University of Colorado Department of Medicine Systems Improvement Conference analyzes safety cases within a Just Culture lens to discover system-based issues, rather than blaming providers, for errors that occur in our hospital system. This type of analysis, called Safety...
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As part of the Kingdom of Saudi Arabia’s healthcare transformation journey, this poster outlines an innovative approach to integrating virtual health services at King Fahad Specialist Hospital-Dammam (KFSH-D). Leveraging the PDSA cycle for continuous quality improvement, the project aimed to...
On-Demand
The clinical decision-making process for obtaining a blood culture in the pediatric population is highly variable and not standardized. Contamination and false positive results can result in unnecessary antibiotic exposure. We aimed at reducing the rate of blood cultures in...
On-Demand
Medical errors and harm are global phenomena and a top ten leading cause of death, accounting for over 251,000 annual U.S. deaths. The Salzburg Global Seminar statement (2019) emphasizes the analysis of real-time incident data to identify harm. Incident underreporting...
On-Demand
Hospital-acquired VTE is a leading cause of preventable death and has significant impact on quality across hospital systems related to both patient care and financial/reputational programs. Compared to other academic medical centers, in addition to other entities within MedStar Health,...
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The collection of patient-reported outcomes (PROs) is constantly improving, driven by a desire to provide patient-centered care and use PROs to measure care satisfaction. This abstract outlines strategies to increase PROs collection among prostate cancer patients undergoing radiation treatment within...
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This session will describe development and implementation of a National Quality Professionals Orientation (QPO) for the Department of Veterans Affairs. The QPO was designed by the National Office of Quality Management (OQM) collaboratively with representatives from VA Hospitals and Veterans...
On-Demand
Lack of mobility has been proven to lead to complications and adverse effects on hospitalized patients such as increased length of stay, pressure ulcers, falls and DVTs/PEs. At Atrium Health Pineville, we experienced challenges with both documenting and executing our...
On-Demand
We used the Plan-Do-Study-Act (PDCA) process improvement methodology to decrease the prevalence of hospital acquired Aspiration Pneumonia* Review literature* Create a Best Practice presentation for staff on the prevention of Aspiration Pneumonia – Order swallow evaluations in patients with AMS...
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Every minute that passes by when someone is having a stroke, 1.9 million brain cells are being lost. Recognition of stroke signs and symptoms and calling 911 is the key to minimizing long term affects of stroke and death; therefore...
On-Demand
Session Description Poster presentation about implementing a Lean methodology performance improvement project using percutaneous tracheostomy on the bedside instead of referring to ENT, thus decreasing waiting time, lowering hazards of infection in ICU, decreasing length of stay, while eliminating adverse...
On-Demand
CHW has had multiple years of financial penalties and opportunities to improve outcomes related to PSIs. In 2022, CHW had a PSI 90 rate of 1.17, with an average of 31 PSI 90 component events per month. A comprehensive program...
On-Demand
The Quality Measurement & Analytics department provides data to hospital leadership and multiple service lines across the organization to improve outcomes based on current and historical data trends. There are a wide variety of data sources that are incorporated to...
On-Demand
Early recognition and identification of patients having a stroke, and subsequent administration of thrombolytics within 60 minutes, can lead to improved patient outcomes and reduce disability and mortality. Arrival by Emergency Medical Services (EMS) and pre-notification among ischemic stroke patients...
On-Demand
Diabetic foot is a chronic serious complication of diabetes mellitus (DM). It has a worldwide prevalence of 6.3% and accounts for hospitalization in 4-10% of diabetic patients. (1) Diabetic foot imposes a great challenge on the affected individuals, affecting both...
On-Demand
Sepsis contributes to over a third of hospital deaths which represents 350,000 hospital deaths or discharges to hospice annually. In addition to patient outcomes, sepsis rates influence quality scores, performance and financials with the addition of the Sepsis/Septic Shock SEP-1...
On-Demand
Sepsis is one of the leading causes of intensive care unit (ICU) transfers and mortality in the inpatient setting due to delayed recognition and untimely management of sepsis symptoms on non-ICU medical-surgical floors. Educating nurses on units with the highest...
On-Demand
A poster presentation describing the interventions implemented to improve hypertension for patients in a primary clinic setting.Problem:The high prevalence of uncontrolled hypertension in underserved populations is a major cause of health disparities in the United States and requires innovative healthcare...
On-Demand
Smoking cessation education is often looked over and brushed aside in the emergency department setting due to many factors. This affects population negatively since many patients utilize the emergency department as their primary care provider. Optimizing the effectiveness of smoking...
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General Inpatient Hospice care provides hospitalized patients and their families additional support at the end-of-life. But, a lack of explicit criteria delineating when a hospice referral should be considered results in qualified patients not receiving beneficial services. Additionally, patients that...
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Explore the innovative approach of LVEDP-guided fluid management in preventing contrast-induced nephropathy (CIN) and fluid volume overload among CKD patients in cath labs. This session delves into the genesis, implementation, and outcomes of a pioneering protocol that personalizes hydration strategies...
On-Demand
Infection Prevention in conjunction with the CAUTI (Catheter Associated Urinary Tract Infection) Team and CLABSI (Central Line Associated Blood Stream Infection) VAT (Vascular Access Team) Committee implemented a new initiative called Eyes on the Lines to decrease indwelling urinary catheters...
On-Demand
In a large healthcare system, there are advantages to leveraging standardized sedation committees, a standardized sedation audit tool and convening all facility sedation committees to report to a system committee. To ensure consistent practices across the system, the System Safe...
On-Demand
UMass Memorial Health System Suicide Steering Committee identified three focused areas for continuous improvement for patients at risk for suicide: incomplete evidence-based suicide risk assessments, inadequate documentation of observation levels, and gaps in environmental checklist documentation. The team implemented enhancements...
On-Demand
Research indicates medical errors as the third leading cause of deaths, with national estimates suggesting that 14-56% of inpatient deaths are preventable. To address this issue, the mortality review process was designed to be the driving force in identifying opportunities...
On-Demand
We will discuss how a virtual nursing team can support an organization’s efforts to enhance patient safety and reduce risk in the face of patient surges, work stoppages, and staff turnover. Demonstrate how we used clinician engagement and measures of...
On-Demand
St. Louis Children’s Hospital is a member of Solutions for Patient Safety (SPS), a network of pediatric hospitals working together to eliminate serious harm. SPS identified that a safety coach program is a crucial component of the culture of safety....
On-Demand
Deployed system redesign lean principles and Change Management strategies to move key stakeholders from buy-in to ownership were used effectively to roll-out best practice management of C-diff in acute care and nursing home community living centers (NHCLC). Reduction in C-diff...
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We developed a quality metric board, ‘Healthy Planet’, in the electronic health record system to observe HEDIS measure performance in the offices. Based on the data, we set yearly goals on our Balanced Score Card to strategically identify barriers and...
On-Demand
UMass Memorial Medical Center (UMMMC) identified a gap in an effective system to identify, plan, and coordinate care for pediatric behavioral health patients who board in the hospital, as they have complex needs behaviorally and/or socially. These patients experience an...
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This is a quality improvement project to identify best practices for collaboration between hospitals and birth centers/midwives to decrease transfer times and improve maternal and neonatal outcomes. Interprofessional training, provider pre- and post- surveys, and a new transfer process based...
On-Demand
In 2022, we recognized the need to improve care for our patients suffering from heart failure (HF). At that time, our annual HF 30-day readmission rate was 21.56% and our 18-month HF mortality rate was 4.27%. In order to tackle...
On-Demand
Recently implemented care transition program called ED Follow Up Program through the Social Work Department at Elmhurst Hospital targets patients who screen positive for social determinants of health and have frequent Emergency Department (ED) utilization rates. 90-day program provides social...
On-Demand
As our healthcare system evolves so should the way we treat our patients and engage with physicians. We cannot move the needle in our value-based care performance without prioritizing patients in the strategies we develop. Our diverse patient panels require...
On-Demand
In today’s world audits are an unavoidable part of operating a healthcare agency. These audits come from all types of reviewers: the Federal Government, Medicare Administrative Contractors (MACs) and State Agencies. While audits are different from surveys, agencies can use...
On-Demand
The Quality Incentives Engineer (QIE) team is an extension of the Quality of care delivered by our ambulatory practices at Oaklawn Hospital. The QIEs are instrumental in maintaining our PCMH designation and the successful performance in the PGIP and MIPS...
On-Demand
The session will include an overview of a successful PDCA project to reduce CAUTI rates led by the hospitals nursing council. Tools used to understand root causes included 5 Why Analysis and a Driver Diagram. Best practice interventions supported by...
On-Demand
Maternal health (MH) racial and ethnic inequities persistently contribute to the rise in maternal mortality (MM) from 20.1 in 2019 to 32.9 in 2021. The financial burden totaled $32.3 billion in 2019 and continues to rise. There is a significant...
On-Demand
Human Centered Design and customer journey maps lay the foundation to identify the root cause of pain points and improve patients’ experience and outcomes. Through a deeper understanding of our customer’s wants and needs, the patient is at the heart...
On-Demand
In this session, a team of Certified Professionals in Healthcare Quality (CPHQs) will impart insight into the myriad of burgeoning opportunities for quality professionals within the healthcare industry. This includes addressing infection control and prevention challenges as organizations continue to...
On-Demand
Infection prevention and control practices are critical to safeguarding the health of patients and staff in healthcare settings and are key processes assessed in many regulatory and accreditation surveys. During this session, attendees will learn about The Joint Commission’s new...
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Understanding the concepts of Human Factors is imperative to building safe processes for both patients and staff. The concept of the Dirty Dozen from the Federal Aviation Administration provides a solid foundation for understanding human factors and identifying ways to...
On-Demand
In our five-hospital system, the swarming process published in literature was adapted to address resuscitation events outside the Intensive Care Units or Emergency Departments. The swarming process includes an interdisciplinary review that starts with the patient condition 24 hours prior...
On-Demand
When The Joint Commission first updated their Standards from the Sentinel Event Alert on Workplace Violence in 2018, our organization created an interdisciplinary team to address this topic using the FMEA tool. Our team of staff and leaders from inpatient...
On-Demand
Implementing a quality improvement initiative to reduce blood culture contaminations involves utilizing evidence-based practices within DMAIC framework. This includes assessing structures (e.g., equipment), processes (e.g., collection techniques), and outcomes (e.g., contamination rates). By incorporating best practices, such as staff training...
On-Demand
NCQA’s Behavioral Health Quality Framework: A Roadmap for Using Measurement to Promote Joint Accountability and Whole-Person Care is a call to action. Carelon Behavioral Health is committed to delivering improved holistic health care to our membership. To support our organizational...
On-Demand
Our organization has developed a robust toolkit to create a benchmark of excellence for virtual care and to address the absence of best-practice guidelines for virtual care quality assurance. Our toolkit is composed of a provider chart review rubric, targeted...
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This session will describe how a 2-hospital system reduced CAUTI to ZERO through forming an interdisciplinary committee. I will take the audience through DMAIC methodology and show them how to achieve something similar for themselves. The focus will be: ‘WHO’...
On-Demand
The purpose of this presentation is to discuss efforts to reduce violence and seclusion rates on a psychiatric emergency services unit. Through the implementation of an evidence-based protocol that includes assessment of violence risk using a validated tool, identifying de-escalation...
On-Demand
In 2024, TJC accreditation requirements will begin to require competency-based training and education of hospital staff on infection prevention and control processes. This session will focus on development and implementation of staff competencies in donning and doffing personal protective equipment....
On-Demand
We will show how a radio show format using the Microsoft Teams platform can be used to spread culture change. We will share the joy and sorrow of broadcast with our standard work and the challenges we had along the...
On-Demand
Healthcare Quality must be a top priority for our nation. The Quality Improvement Organization (QIO) Program, run by the Centers for Medicare and Medicaid Services (CMS), is one of the largest federal programs dedicated to improving health quality for Medicare...
On-Demand
A quality improvement project was implemented to improve nursing workload and staffing in a rural primary care clinic. The Ambulatory Workload and Role Delineation (AWARD) Model was used to measure nursing work in relation to scope of practice, and types...
On-Demand
This session will describe steps taken to promote staff-driven continuous improvement through a Kaizen Improvement Board mechanism to collect, implement, and track staff ideas. While this Rehab Services department had improvement initiatives underway across >35 teams and >700 staff, initiatives...
On-Demand
Healthcare facilities are supposed to remain in a constant state of readiness, but we all know priorities pull us in different directions. As an inevitable survey approaches, preparing for the big day becomes more important. Join an accreditation expert as...
On-Demand
In this session, attendees will explore how business intelligence technology improves healthcare quality and patient safety by providing clinicians with the real time data needed to make informed decisions and steer optimal clinical outcomes. Our revolutionary applications and dashboard solution...
On-Demand
Hand hygiene (HH) is the most effective measure for preventing hospital-associated infections. Despite this knowledge, hand hygiene adherence rates are low. Utilizing a covert observation program, HH was assessed in a rural community hospital. Initial Compliance was noted to be...
On-Demand
As VHA works to continuously improve its HRO assessment process, it identified opportunities to optimize the baseline version of the VHA HRO Framework, Maturity Model, and Matrix for usability across the enterprise. This improvement cycle included a literature review and...
September 11, 2024
12:10 pm
Conclude NAHQ next with this enlightening session where we’ll delve into the complexities of navigating life’s challenges and the importance of self-care. We all know that life is full of ups and downs. It’s easy to get caught up in...
September 11, 2024
11:10 am
For the first time, four and even five generations are working together in and across teams. As people work and live longer, organizations should expect to continue to have multiple generations at work. This session will highlight the significance of...
September 11, 2024
10:10 am
We’ve made progress on bringing quality from the basement to the boardroom, but there’s more work to be done. And as professionals in this space you need to be enabled with the skills to make the case for yourself and...
September 11, 2024
9:00 am
NAHQ is making a difference in advancing healthcare by advancing quality & safety. Hear from NAHQ volunteer and staff leadership about NAHQ’s success this past year, where we are headed as an organization and how together we will make an...
September 10, 2024
4:10 pm
Join us for an insightful session delving into the critical distinction between types of human error in healthcare, and how the science of safety and understanding of system interactions can lead healthcare to a true state of high reliability. Led...
September 10, 2024
3:10 pm
Harm from adverse events doesn’t stop at the patient and their family. The emotional and physical impact on professionals working in quality and safety is all too real, and too often overlooked. The result: NAHQ data reveals that 63% of...
September 10, 2024
2:10 pm
An unprecedented level of urgency regarding equity issues is spurring conversations across society, and healthcare is no exception. There’s an awareness of the need to address social determinants of health, but implementing initiatives and programs that have concrete results in...
September 10, 2024
1:00 pm
Artificial Intelligence is revolutionizing the healthcare industry. AI empowers healthcare professionals to streamline processes, improve efficiency, and enhance patient care. As discussed in previous sessions at NAHQ next, the healthcare workforce ‘cliff’ is no exception to experiencing the impact of...
September 10, 2024
12:15 pm
Join your colleagues and friends for a dueling piano lunch break experience like no other. We can’t wait for you to participate in this all-request, rock and roll virtual experience by the Flying Ivories! Sing along, dance and tap your...
September 10, 2024
10:10 am
Join Rosemary Bartholomew, OIG Subject Matter Expert for Health Care Quality, to hear about the Office of Inspector General’s (OIG) work related to denials of prior authorization and payment requests in Medicare Advantage. OIG’s mission is to provide objective oversight...
September 10, 2024
11:20 am
According to NAHQ research, improving the quality of care and reducing the costs of care are the top two priorities among quality decision makers. And in today’s environment it’s nearly impossible to look at one without the other. Join NAHQ’s...
September 10, 2024
9:00 am
Success in healthcare requires health plans and providers to collaborate around targeted populations to address gaps in care, deliver quality outcomes and reduce the total cost of care burden. Despite the increased relevance and success of value-based initiatives, the payor/provider...
September 9, 2024
4:00 pm
NAHQ CEO Stephanie Mercado and The Joint Commission President & CEO Dr. Jonathan Perlin are both on a mission to shift legacy perspectives about healthcare quality & safety. Join them as they discuss how quality and safety are inextricably linked and...
September 9, 2024
2:50 pm
The Centers for Medicare & Medicaid (CMS) plays a vital role in strengthening and modernizing our nation’s healthcare system and helping to address the challenges of patient care, cost and the workforce cliff. Join this session to hear Directors of...
September 9, 2024
1:40 pm
Healthcare quality professionals are uniquely suited to lead, using quality as the north star to advance an organization. They view quality as a business strategy and convince C-suite to prioritize and invest in quality so that their organizations can provide...
September 9, 2024
1:00 pm
Overcoming challenges such as patient care, rising costs and the looming workforce cliff will require a coordinated effort and quality is key to developing sustainable solutions. Recent NAHQ research reveals that 85% of those working in healthcare agree quality should...
September 9, 2024
10:50 am
Recent NAHQ research has revealed enlightening insights and trends in healthcare and in quality & safety — from the top objectives for healthcare leaders to perceptions of who is responsible for quality and eye-opening differences in how those in healthcare...
September 9, 2024
10:05 am
The evolution of healthcare quality has brought us to the exciting place we stand today – where visionary leaders are making bold moves to advance quality & safety and improve healthcare. Where sustainable solutions have been developed, and we only...
September 9, 2024
11:55 am
Join your colleagues and friends for a dueling piano lunch break experience like no other. We can’t wait for you to participate in this all-request, rock and roll virtual experience by the Flying Ivories! Sing along, dance and tap your...