Advocate Good Samaritan Hospital DVT/PE Reduction Project Michael McKenna, MD VP, Medical Management.

Slides:



Advertisements
Similar presentations
PAYING FOR PERFORMANCE In PUBLIC HEALTH: Opportunities and Obstacles Glen P. Mays, Ph.D., M.P.H. Department of Health Policy and Administration UAMS College.
Advertisements

Learning from managed care in mental health Dr Richard Ford Director.
The Thrombosis Committee: an Instrument for Governance & Change
Presented to IHA Quality Encounter “Delivering Measurable Results Through Process Improvement” June 16, 2009 Robin Oakley, Manager CCU Susan Eller, Manager.
High Value Revenue Cycle Audits AHIA 2009 Annual Conference September 1, 2009.
Optimizing Venous Thromboembolism Prophylaxis using Physician Order Entry: Johns Hopkins Hospital Experience Michael B. Streiff, MD Associate Professor.
12 June 2004Clinical algorithms in public health1 Seminar on “Intelligent data analysis and data mining – Application in medicine” Research on poisonings.
Venous Thromboembolism (VTE) Prophylaxis Policy Mary-Anne Davies Patient Safety Specialist Accreditation Coordinator.
 When untreated, general postsurgical patients risk for Deep Venous Thrombosis (DVT) is 19%-25% (Buckner, et al., 2013).  Post surgical orthopedic patients.
Designing Successful Strategies and Alliances. Clinical Quality – Integrity – Service Excellence – Teamwork – Accountability – Continuous Improvement.
INITIATING DISCHARGE PLANNING PRIOR TO ADMISSION Start Date: October 5, 2012 Report Date: April 5, 2013 Executive Sponsors: David Mountjoy, Dennis McGowan,
[Hospital Name | Presenter name and title | Date of presentation]
Pre-Project Planning Lessons from the Construction Industry Institute Construction Industry Institute Michael Davis, P. Eng, PMP Ontario Power Generation.
Good Samaritan Hospital Readmission Risk Assessment and Intervention Algorithm John Robinson, MD, VP Medical Affairs, Good Samaritan Hospital Theresa Wnek.
The Big Puzzle Evolving the Continuum of Care. Agenda Goal Pre Acute Care Intra Hospital Care Post Hospital Care Grading the Value of Post Acute Providers.
Trauma Data Use: A Trauma Physician’s Point of View Frederick A. Foss, Jr. M.D. F.A.C.S Trauma Medical Director Saint Alphonsus Regional Medical Center.
Information Technology Audit
Medication Reconciliation in the Medical Floor A Patient Safety Quality Improvement Initiative Medication reconciliation is defined as a formal process.
November 12, 2014 St. Louis, Missouri OPTN Strategic Planning Feedback Board of Directors.
Alternative Quality Contract: Improving Health Care Quality While Reducing Spending Growth Alliance for Health Reform Deborah Devaux Monday, August 10,
1 Patient Access Management Leveraging Best Practices.
Dr Samira Alsenany.  Knowledge must be translated into clinical practice to improve patient care and outcomes  The understanding of care based on evidence.
Putting the Tools to Use: One Hospital’s Experiences Donna Farley, PhD – RAND Ellen Robinson, PT ATC – Harborview Medical Center.
KMC Workshop Group E Monitoring and Evaluation. Clarification of Concepts Monitoring: vigilance of a process Evaluation: assessment, value judgment about.
What did the team do? The project was What happened next? Temporarily Suspended.
Surgical Care Improvement Project Prevention of Post-operative Venous Thromboembolism Team Membership Department of Surgery, Nursing, General Medicine,
Nursing Peer Review Process Overview Linkage to BPE/BP/Finance: A nursing peer review process supports NMH’s strategic objectives to provide the Best Patient.
Gripesand Performance Improvement In Residency Auxford Burks, MD Albert Einstein College of Medicine Department of Pediatrics/ Jacobi Medical Center.
Survey Methodology Four Point Scale Very SatisfiedSatisfiedDissatisfiedVery Dissatisfied.
QA Best Practices Tool Kit Task Force The Back Story QA Summit The Healthcare Documentation Quality Assessment and Management Best Practices Tool Kit.
Cost-Consciousness Assignment Ollie Ross DSR 2. Adherence to ACP DVT prophylaxis guidelines Objective: Evaluate adherence to ACP DVT prophylaxis guidelines.
Surgical Care Improvement Project Prevention of Post-operative Venous Thromboembolism Team Membership Department of Surgery, Nursing, General Medicine,
Hospital-Acquired VTE: What We Have Learned Martha J. Radford, MD Chief Quality Officer NYU Langone Medical Center September 2009.
Pediatric Quality Management Unit. Hospitals and other healthcare organization across the globe have been progressively implementing total quality management.
Quality and Patient Safety Council May 27, 2014 Presented By Susan M. Blackhurst BS, RN & Eric Jean BSN, RN, CCRN.
Overview Linkage: Providing Safe and Effective care, Coordinating Care, & The Joint Commission National Patient Safety Goal #8, Reconciling Medications.
Reduction of Nosocomial Pressure Ulcers on 5 NEW Rehabilitation Unit S ave O ur S kin Confidential: Quality Improvement Material.
Using Self-Serve Predictive Analytics to Align Staffing with Forecasted Demand Yvette Porter-Lee, BS, MSJ Manager, Staffing/ Budget Nursing Administration.
Utilizing the Patient Safety Indicators for Improvement Anita Gottlieb, MA, APN, CPHQ St. Joseph’s Mercy Health System Hot Springs, Arkansas.
Vantage Care Positioning System®: Make Your Case with Medicare Spending Data November 2014 avalere.com.
Carol J. Peden BSC, MB ChB, MD, FRCA, FFICM, MPH Royal United Hospital, Bath.
Educational Purposes. Coalition To Prevent VTE - Risk Assessment.
You Don’t Have to Write Like Hemingway: How to Communicate Your Quality Journey Denise Remus, PhD, RN Cynosure Health.
PRACTICE TRANSFORMATION NETWORK 2/24/ Transforming Clinical Practice Initiative (TCPI) Practice Transformation Network (PTN)  $18.6 million –
Andrew Batchelder Specialty Registrar in Surgery & NIHR Academic Clinical Fellow in Medical Education University Hospitals of Leicester NHS Trust Using.
Antimicrobial Stewardship in LTC Roadmap to a Successful Start Jamie Moran, MSN, RN, CIC Quality Improvement Consultant Qualis Health.
Dr Thomas Lloyd F1 Dr Aman Hargehandewal Wrexham Maelor Hospital
Building a Bridge between Clinic and Hospital Taking the lead in Service Line Development Sara Brice, Director Texas Health Resources Presbyterian Plano.
‘Preventing and treating blood clots’ The South Tees Anticoagulation Team 1.
/ ©2015 NAVIGANT CONSULTING, INC. ALL RIGHTS RESERVED 1 TERRANCE GOVENDER MD CLINICAL DOCUMENTATION INTEGRITY.
Role of Administrator in Quality Improvement
Step by Step Approach for Implementation & Sustainability of the Bundled Payment Model Jeff Peters CEO, Surgical Directions.
Collaborative Initiatives on Improving the Quality of Post-Anesthesia Care by Decreasing Postoperative Nausea and Vomiting in the Post-Anesthesia Care.
STRATEGY MAP OBJECTIVES BALANCED SCORECARD ACTIONS MEASUREMENT TARGET
Venous Thromboembolism Prophylaxis (VTE)
MHA Immersion Pilot Project Mercy Hospital Springfield Improving Transitions of Care and Reducing Hospital Readmissions for Total Hip.
Update on Effectiveness and Efficiency
The Impact of Pneumonia Core Measure Scores on Value Based Purchasing Financial Outcomes Presented by Brenda Lee, MSN,RN.
Dorothy Jenrette, PharmD, BCPS Ralph H. Johnson VA Medical Center
Optimizing Emergency Department Utilization
How Bundled Payments Change Reimbursement Landscape
Preventing VTE in hospitalised patients
Global Burden of VTE. Preventing Thrombosis During and Post-Hospitalization: New Paradigms in Clinical Care.
Provider Peer Grouping: Project Overview
Improving Infection Control Practices in the Philippines Through a Multicenter Collaborative Evidence-Based Quality Improvement Program Marissa M. Alejandria,
PATIENT BLOOD MANAGEMENT PROGRAMS
Driving Success in Bundle Payments
Project Planning Charter
Presentation transcript:

Advocate Good Samaritan Hospital DVT/PE Reduction Project Michael McKenna, MD VP, Medical Management

Opportunity

DVT/PE Trend – Medical Overall 64% medical vs 36% surgical

DVT/PE Trend – Surgical Overall 64% medical vs 36% surgical

Linkage to Strategic Plan: Quality, Physician Partnership, Service, and Finance Pillars Problem Statement: The DVT/PE complication rate presents an opportunity for improvement for Good Samaritan Hospital. The current DVT/PE complication rate per 1000 is Benefits: Positive impact on patient outcomes (decreased morbidity, increased quality of life, decreased mortality, shorter hospital stay) and patient satisfaction (happy with the quality and service they received because they did not develop a complication of hospitalization). Scope: The team will implement a Performance Improvement methodology focusing on a data, measurement, and prompt and appropriate prophylaxis to reduce the DVT/PE complication rate for both medical and surgical patients. Process will be analyzed from admission to discharge. Goals: Specification Limit (minimum goal): complication rate of 23.7 pre Target: complication rate of 21.0 per Define Opportunity – Team Charter Sponsor: Dr. McKenna Project/Process Owner: Improvement Leaders: D.Calcagno, T.Esposito Milestones: DescriptionDate (mo/yr) #1 #2 #3 Milestones: DescriptionDate (mo/yr) #1 #2 #3 Key Metrics Medical DVT/PE complication rate Surgical DVT/PE complication rate Proper DVT prophylaxis utilization

Improving the Assessment Process Accountability moved to nursing – CareConnection Task/prompt Revamped assessment form – Risk assessment – Prophylaxis guidelines Standard Work – Procedure for completion and physician notification – Potential failure modes identified and addressed (e.g. shift change) – Audit process Pilot – Rapid cycle small test of change 43 completed assessments on pilot unit 65% of patients scoring high and highest categories

Initial Assessment Results 65% of patients scored High or Highest Risk Data Source: Care Connection- Patients Discharged 11/01/ /31/2008

Sustained completion rate of 98% Assessment process also validated for accuracy and reliability Data Source: Care Connection- Patients Discharged 1/1/2008-9/30/2008 Assessment Results

Improve Prophylaxis VTE cases discharged between 8/2007 and 3/2008 were reviewed (n = 40) – DVT/PE was hospital acquired (not present on admission) – Demographic, administrative, and clinical data reviewed – 68% (n = 27) did not receive optimal pharmacological prophylaxis – Largest opportunity included circulatory cases 30% of all DVT/PE cases reviewed grouped into a circulatory MDC

DVT/PE Case Drilldown Circulatory cases – N size = 12 – 92% (n = 11) surgical cases – 83% (n = 10) did not receive optimal chemical prophylaxis

Next Steps Case by case review of VTE cases by physicians – Verification of optimal prophylaxis – Follow-up/feedback to individual physicians Leverage existing anticoagulation subcommittee for other DVT/PE reduction strategies