University of Texas Clinical Safety and Effectiveness Program Third Year Evaluation October 27,2011 Sherry Martin, Chancellor’s Health Fellow in Clinical Effectiveness Programs

University of Texas Clinical Safety and Effectiveness Program Goal: To integrate quality and safety concepts into the way we do our work everyday and enhance organizational knowledge through disseminated successful practices across the UT System –The Clinical Safety and Effectiveness (CS&E) quality improvement course –Annual conference and recognition event –University of Texas CS&E Fellowship Core UT

CS&E Quality Improvement Course The purpose of the CS&E course is to establish a critical mass of clinicians able to lead improvement efforts and serve as faculty for the course to make improvement practices part of daily operations

UT CS&E Course Objectives and Related Measures Establish the course at each of the UT healthcare organizations –# of organizations achieving full implementation Reach a critical mass of graduates, completing successful projects and leading improvement efforts –# of graduates –# of successful projects –% of graduates leading improvement initiatives –# of publications and presentations by graduates

CS&E Course Implementation Third Year Results Fully implemented at MDACC, UTHSC – Houston, UTSW, and UTHSCSA –936 Graduates + 35 enrolled –328 Completed projects + 18 underway UTMB – preparing for first class graduation in 2012 UTHSC-Tyler faculty graduates provide organizational project mentorship and oversight All campuses have course graduates

CS&E Course Implementation Third Year Results CS&E Annual Survey of Graduates Purpose: –Determine extent to which course goals are achieved –Identify opportunities for improvement –Identify individuals demonstrating exceptional quality improvement expertise Electronic survey 2011 response – 18%

University of Texas CS&E Annual Conference and Recognition Event Goals: –Transfer learning and applicable best practices across the UT health care organizations –Recognize exceptional individual and team improvement efforts –Develop ideas and concepts to drive system-wide improvement initiatives

UT CS&E Conference Organizational Learning Goal Measures # of conference participants/ % satisfaction # of abstracts accepted for presentation # of participants adopting CS&E project practices # of projects achieving sustained results $ achieved through cost avoidance or revenue enhancement

Second Year CS&E Conference Results 80 abstracts accepted 233 participants “Overall satisfaction”- 74% “excellent”; 98% “excellent/good” “Identify strategies to adopt new ‘best practices’ 52% “excellent”; 92% “excellent/good

Third Year CS&E Conference Results 83 abstracts accepted for presentation Score to be considered for awards = greater than 825 Registration = 250 One project submitted under “Adopted ” Five demonstrated sustained results over 2 years or more 18 publications by CS&E graduates in peer-reviewed journals; numerous graduates presented at national and state meetings

Course/Conference Results Quality Pays! The “return-on-investment” for the projects presented at the 2011 conference: $2.2M in project revenue, realized $0.9M in project cost avoidance, realized ( assuming 50% reimbursement ) $3.7M projected savings/revenue if even 50% of the projections are realized $6.8M = Total gain

UT System Fellowship Program Goal: Establish a body of healthcare providers who demonstrate exceptional improvement expertise and commitment to apply these skills to make regular improvements and to educate others Inducted 16 Fellows from all six UT health care organizations

New Curriculum Concepts Lean Thinking and/or Six Sigma – all campuses Team STEPPS – UTHSCSA Crew Resource Management – UTSW, UTHSCSA Disclosure Training – UTHSCH, UTHSCSA

Graduate and Undergraduate Training Programs Integrated quality and patient safety inter- professional education into medical and nursing students curriculum Established internal medicine and family medicine residency rotations focused on CS&E principles Provide quality principles at ground rounds

Web –Based Training IHI Open School courses suitable for all health professions - five sites Quality College, courses at all levels, resulting in certification – MDACC Office Time – courses in Microsoft Office graphing principles - UTSW