Practical Examples of Healthcare Quality Improvement: Tales from the Trenches

Track: Innovation

Session Number: 2002
Date: Tue, Sep 26th, 2017
Time: 4:00 PM - 4:45 PM

Description:

Lack of quality in healthcare is primarily resultant from variation in care. It follows, then, that the best way to improve care is to standardize care. In my experience, standardization is best accomplished through in-depth consideration & design, based on available evidence, of the “Best Clinical Process” (BCP) in the context of a given healthcare environment; and then down-stream efforts to implement and support the BCP through programmatic decision support (EHR-embedded), performance feedback, and education that is specifically designed to support process adoption and adherence. This session will consist of practical and concrete examples of grant-funded QI initiatives, implemented by Twine Clinical Consulting in collaboration with various healthcare systems in the US, that prompted statistically significant improvements in physician behavioral performance metrics (EHR-derived), which, in turn, prompted statistically significant improvements in patient outcomes (EHR-derived). QI examples that will be discussed include (but may not be limited to):
1. Title: Electronic Alerts, Comparative Practitioner Metrics, and Education Improves Thromboprophylaxis and Reduces Thrombosis.
o In collaboration with Intermountain Healthcare.
o Results published in the October, 2016 edition of The American Journal of Medicine
 Woller SC, Stevens SM, Evans SR, Wray DG, et al. Electronic Alerts, Comparative Practitioner Metrics, and Education Improves Thromboprophylaxis and Reduces Thrombosis. The American Journal of Medicine. Volume 129, Issue 10, October 2016, Pages 1124.e17–1124.e26
2. Title: Improving the Quality of Care in Systemic Lupus Erythematosus (SLE) Through Time-Structured, Information Technology-Enhanced, and Quality Improvement Indicator-Driven Patient Management.
o In collaboration with Ochsner Healthcare System
o 12th International Congress on Systemic Lupus Erythematosus, Abstract LUP17-0292
o Publication pending
3. Title: Combating the Hepatitis C Epidemic Among Military Veterans in Texas: Process Intervention, Decision Support, Education, and Impact.
o In collaboration with the Veterans Administration (VA) Healthcare System, Integrated Service Networks 17 and 18 (Texas).
o Publication pending.
Session Type: Presentation

Learning Objective 1: Discuss the root causes of variation in healthcare, generally & with specific examples, and the impacts of variation on healthcare quality.
Learning Objective 2: Discuss the optimal use and value of traditional education as it relates to the wider context of Quality Improvement in healthcare.
Learning Objective 3: Discuss practical and concrete examples of the application of Quality Improvement modalities; clinical process design, decision support programming, performance feedback, and education.
Session Type: Presentation

Learning Objective 1: Discuss the root causes of variation in healthcare, generally & with specific examples, and the impacts of variation on healthcare quality.
Learning Objective 2: Discuss the optimal use and value of traditional education as it relates to the wider context of Quality Improvement in healthcare.
Learning Objective 3: Discuss practical and concrete examples of the application of Quality Improvement modalities; clinical process design, decision support programming, performance feedback, and education.