We had 32 harm events in 2021 and we were able to reduce the overall number of harms to 24 in 2022 (which was our regional goal). The Quality Director, with the assistance of a physician dyad Quality Medical Director...
The scoring system helped the respective committee members and the Medical Strategic Teams to define the set criterions for defining an effective committee. It helped in the areas to concentrate on to improve effectiveness of the committee. The compliance percentage...
This session aims to describe how we implemented a coordinated improvement structure to facilitate sustained improvement work. We will use improvement in patient experience scores to illustrate how this model functions. The component pieces include a huddle framework with feedback...
Healthcare is ever-changing, with new evidence and practices constantly coming out that highlight the need to change practice through quality improvement initiatives. Many projects can be going on at once, leading to miscommunication, a breakdown in reporting project progress, and...
Stakeholders focused on cause and effect, updating policies, and in-depth review of fallouts. One service line changed its preoperative order set, including automatic assessment of VTE risk and orders for chemical prophylaxis. Our PSI-12 observed rate decreased from 9.94 in...
Access to healthcare quality data continues to expand, presenting opportunities for new insights and creating significant new challenges. Busy clinicians and leaders can get lost in an overwhelming amount of nuanced data. Atrium Health’s Musculoskeletal Institute tailors scorecards so matrixed...
This session is designed to share our experience with an inaugural class of 4th-year medical students who took our newly designed QI elective. An overview of the elective as a whole will be shared. We will describe the timeline of...
One year prior to the TAP Strategy the facility had 71 CLABSIs with a CLABSI SIR of 1.441 and 22 CAUTIs with a CAUTI SIR of 1.734. After the implementation, there were 65 CLABSIs with a CLABSI SIR of 1.328...
Aligning CNSs with the Quality Department enhanced access to outcome data and collaboration on nurse-sensitive indicators, including healthcare-acquired conditions. Indicators of success include 100% of CNSs utilizing improvement science methodology, up from 38%. Additionally, quality nurse leader-led projects applying these...
The hospital spent $463,331 in FY22 directly on the cardiovascular registries. The direct benefits totaled $917,270 for FY22. In aggregate, there is a monetary benefit to participating in cardiovascular registries. However, only three registries contribute to this positive outcome, pay...