Department of Medicine Unit Directors Meeting May 23 2016 Department QI and Patient Safety Goals QAampI Committee Update FY2017 UVMMG Quality Metricss Shameless Plugs Biostats support ID: 559437
Download Presentation The PPT/PDF document "QI & Patient Safety Update" is the property of its rightful owner. Permission is granted to download and print the materials on this web site for personal, non-commercial use only, and to display it on your personal computer provided you do not modify the materials and that you retain all copyright notices contained in the materials. By downloading content from our website, you accept the terms of this agreement.
Slide1
QI & Patient Safety Update
Department of Medicine
Unit Directors Meeting
May 23,
2016Slide2
Department QI and Patient Safety Goals
QA&I Committee Update
FY2017 UVMMG Quality Metricss Shameless Plugs:Biostats supportHigh value care proposalsFuture Website Content
Agenda
2Slide3
Create
infrastructure and resources within the department to support scholarly QI activities
Develop faculty skills in QI methodology and cultivate a cadre of faculty experts in QIEnhance innovation and scholarly productivity in QI and high value careAlign and promote collaboration in QI efforts across divisionsQI Goals for Dept of Medicine
3Slide4
Group
Member
Administration
Allen Mead
Cardiovascular Medicine
Dr. Mark Capeless transitioning to Dr. Peter Van Buren
Chief Residents
Dr. Jon Halevy
DermatologyDr. Julie LinEndocrinologyAnn Gotham, ANPFellowsDrs. Krysti Spiess (ID), Patrick Hohl (Cards), Sean McMahon (Cards)GastroenterologyDr. Jim VecchioGeneral Internal Medicine + GeriatricsDr. Marie SandovalHematology/OncologyDr. Farrah KhanHospital MedicineDr. Mike LatreilleInfectious DiseaseDr. Mary RamundoJeffords Institute for QualityPam Stevens, RNNephrologyDr. Jeff RimmerNursingTammy Berrings, RN (B4), Susan Bellemare, RN (M5), Peg Gagne, RNPatient representativeWalter GrantPharmacyMaria Airoldi, RPhPRISMad hocPulmonary Disease & Critical CareDr. Yolanda Mageto & Dr. Gil AllenResidentsDr. Susanna ThachRheumatology & Clinical ImmunologyAmanda Kennedy, PharmD
Medicine QA&I Committee
4Slide5
“Usual” activities
Case reviews
Adverse events, mortalitiesReports on institutional initiativesPatient experience, length of stay, core measures, mortalitySpecific institutional or department initiativese.g., sepsisMedicine QA&I Committee5Slide6
New Activities
Forum
for review UVMMG Quality MetricsEngage divisional representatives in process of developingDevelop “themes” to align UVMMG quality metricsMonitor progress, ensure timely submissionIdentify need for support (e.g., baseline performance, ongoing reporting)Defining specific metrics still up to individual divisionsDivisional reportsDivisional presentations about QI and patient safety activities within divisionHigh value care projects – adjudication of proposals
Medicine QA&I Committee
6Slide7
7Slide8
Medicine QA&I Committee
Generated approximately 30 potential “themes
” - broad categories to align the FY2017 QI initiatives across divisionsFactors: current QI initiatives, UVMMC strategic goals, cross-divisional, measurable, meaningfulIdentified 3 themes:Transitions of CareAdvance Care PlanningPatient Experience
UVMMG FY2017 Metrics
8Slide9
Two measurement
periods
Measurement Period 1: October 1, 2016 - March 31, 2017Measurement Period 2: April 1, 2017 - September 30, 2017SMART Criteria:SpecificMeasurableAttainableR
elevantTime boundCan b
uild
on current
initiatives
Requires “active participation by physicians”
Requires achievement of target performance (not just documentation of participation)No such thing as perfectUVMMG Quality Metrics - Considerations9Slide10
Initial funding for 100 hours of biostats
Focus = scholarly
QI projects led by junior faculty as well as mentored resident and fellow QI projectsApplication processSimple, 1 page (handout)Compels consideration of key elements for projectIdentifies scholarly productSubmission to yours truly. Review by Renee Stapleton and me.Based on initial demand, will determine need for dedicated %FTE for biostatsShameless Plug #1: Biostats
10Slide11
Seeking next round of HVC proposals
Program
entering its 5th year 14 projects undertakenProjects focus on: reducing harm, reducing cost and/or improving patient outcomes or experience1 page application – recently circulated via e-mailEvaluated on a rolling basis Selected projects receive:Project Management for Jeffords Institute for Quality
Data analytics from Jeffords including collecting background and follow up information (no second application needed)
Resources
from the clinical steering committee to develop a system change, including
PRISM alterations
Shameless Plug #2: High Value Care
11Slide12
List of divisional QI and Patient Safety activities
Application for
biostats supportHigh Value Care proposal form“Guide to QI” in Department of MedicineFaculty development and publishing resourcesFuture Website Content12