Neha Agarwal, MD and Tasha Kouvatsos, MD
To increase the number of diabetic patients that are ordered a diabetic diet at time of admission
So that blood sugars may be better controlled throughout admission with decreased usage of CDI
Barriers to Anticoagulation in Atrial Fibrillation among Cardiologists, Internists and Family Physicians
Jad Al Danaf, MD, MPH; Mitul Kanzaria, MD; and John U. Doherty, MD
The rates of AC in patients 18 years or older who visited general internists & family physicians not seen by cardiologists from 4/30/2013 to 4/30/2015, cardiologists from 11/29/2012 to 11/29/2014 and all 3 specialties from 1/30/2014 to 1/30/2016 were derived from the EHR.
A 12-question survey was shared using RedCap with these physicians to examine potential reasons for not prescribing AC.
Medical Student and Resident Foley Catheterization training program to decrease Post-Operative Catheter Associated Urinary Tract Infections
Peter J. Altshuler; Adam P. Johnson, MD, MPH; Danica Giugliano, MD; Gerald A. Isenberg, MD; and Scott W. Cowan, MD
Determine whether a more comprehensive medical student urinary catherer training curriculum can be successful in decreasing post-operative CAUTI rates in general and vascular surgery patient populations.
Reduce post-operative UTI rates by 0.5% over 6 months
Achieve 100% medical student confidence in Foley catheter placement, understanding indications and contraindications to urinary catheterization.
Improve objective performance of urinary catheterization skills as determined by objective clinical skills exam (OSCE) scores.
Improving Influenza Vaccination Rates and Understanding Reasons for Patient Refusal at Jefferson Hospital Ambulatory Practice
Daniel Brandt, MD; Ashley Butland, MD; Kevin Kwak, MD; Joseph Yoo, MD; Albert Lee, MD; and Susan West, MD
Improve influenza vaccination rates for eligible patients at the Jefferson Hospital Ambulatory Practice to levels above the national average of 43.6% between October 2015 and March 2016 with universal screening and improved documentation.
To characterize reasons for patients who did not receive vaccination.
On-Site Test Collection Intervention Improves Lead Screening Rates at an Urban Family Medicine Practice
Krys Foster, MD, MPH; Tina Castellan, MD; Kelly Lopez, MD, PGY-III; Phoebe Askie, MD, MPH; Daniel Chung, MD; Laura Parente, MD; Yury Parra, MD PGY2; Grace Amadi, MD; Mariana R. Kuperman, MD, MPH; Bruce Reaves, MD; and Marc Altshuler, MD
Examine the effect of on-site lead screening collection on resulted lead screening rates.
Anusha G. Govinda, MD; Anita Modi, MD; Emma Biegacki; and Bryan Hess, MD
Performance measure: Percentage of HIV-infected patients with documentation of influenza vaccination in Allscripts.
Numerator: Number of HIV-infected patients who have obtained an influenza vaccine during influenza season.
Denominator: Total number of HIV-infected patients at the Jefferson Infectious Disease (ID) Clinic
Patient exclusions: Those who are allergic to eggs or have had allergic reactions to the influenza vaccine in the past
Goal: "75% of HIV-infected patients at the Jefferson ID clinic will be vaccinated against influenza and documented in Allscripts during influenza season"
Allison Greco, MD; René Daniel, MD; Raymond Janowski, MD; and Bracken Babula, MD
Goal for Improvement:
To improve proper medication regimens for patients as they transition between healthcare settings
So that patients achieve improved outcomes and reduced hospital admissions caused by medication errors
SMART aim is to decrease teh number of discrepancies between discharge medication lists and pill bottles or blister packs produced at one-week follow up with Jefferson PCP by 10% within six months.
Analyzing Patient Satisfaction and Improved Physician-Patient Communication Using Introductory Brochures
Raza A. Hasan, MD and Lily Ackermann, MD
Assess how the use of introductory brochures added to patient satisfaction at time of discharge. Also, assess whether the brochure helped foster improved physician-patient communication.
Justin Herman, MD; Andrew Dargan, MD; John Madara, MD; Michael Baram, MD; and Bharat K. Awsare, M.D., FCCP
For patients admitted to the medical ICU over an additional period of 17 months, our goal is to reduce the rate of ICU readmissions within 72 hours of transfer out of the ICU to less than 2%. This will as a result reduce the costs of care, length of stay, and in-hospital mortality rates for these patients.
Rady Ho, MD; Ravi Patel, MD; Matthew Zheng, MD; and Albert Lee, MD
We want to improve our colorectal screening rates for Tuesday JHAP patients to 40% by March 2016.
We will assess monthly rates of the % of patients who received CRC screening over the past 10 years.
This will improve overall health maintenance, and find/prevent pre-cancerous lesions. This potentially improves the life expectancy of our population.
Adam P. Johnson, MD, MPH; Ruben Rhoades, MD; Allison Greco, MD; Caitlyn Sidrane, MPH; Bracken Babula, MD; and Rebecca C. Jaffe, MD
Residents traditionally are under-engaged in event reporting through institutional channels.
The ACGME Clinical Learning Environment Review prioritizes this issue, and is establishing national benchmarks.
In 2015 the Housestaff Quality and Safety Leadership Council selected Increasing Error Reporting as their clinical quality initiative.
Benjamin Khazan, MD; Ankita Mehta, MD; Neena Mohan, MD; and Albert Lee, MD
Decrease the quantity of daily cigarettes smoked by 25% in cigarette smokers receiving their care at an ambulatory resident practice from January 2016 to May 2016.
Teresa Lee, MD; Shuwei Wang, MD; Susan Truong, MD; and Albert Lee, MD
To improve the arrival rate of patients at the Jefferson Hospital Ambulatory Practice (JHAP) by 10% over a 10-month period from July-April 2016 using a combination of additional reminder calls and targeted summaries from physicians.
To Fib or not to Fib: Misdiagnosis of Atrial Fibrillation on Telemetry: Case Presentation and Root Cause Analysis
Andrew W. Panakos, MD; Loheetha Ragupathi, MD; Sarah Feldman, RN; Brittany Heckel; Susannah Eckman; and Rebecca C. Jaffe, MD
Case presentation, current practices of telemetry management, root cause analysis, goals for improvement, proposed intervention and next steps.
Kinjal Parikh, MD; Shuwei Wang, MD; Kimberly Conway, RN; and Rebecca C. Jaffe, MD
"To minimize the number of missed or refused medications for inpatients so that adverse patient events such as PE or DVT are prevented"
SMART AIM: Within 3 months of initiating an EMR based electronic identification system for refused and missed medications, we will decrease the rate at which DVT prophylaxis was ordered however not eventually administered by 50%.
Taking the "e" out of Night "MARe" Rotation: Uncloaking Ghost Admissions via Teletracking and Reducing Paper Fatigue
Ramya Punati, MD; Jaehee Kim, MD; Rebecca C. Jaffe, MD; Lakshimi Ravindran, MD; and Bracken Babula, MD
To improve communication at admission for patients admitted from non-ED locations so that patient care delays are minimized and provider frustration decreases.
Ruben Rhoades, MD; Adam P. Johnson, MD, MPH; Rebecca C. Jaffe, MD; and Bracken Babula, MD
The ACGME Clinical Learning Environment Review (CLER) is driving a national re-evaluation of the engagement and alignment of housestaff in institutional Quality and Safety.
In 2008, the concept of a housestaff quality and safety committee was born, as a means of driving practice change
Our CLER data suggested that we need a similar council
Mansi Shah*, MD; Hasmik Minasyan*, MD; Alison Liss*, MD; John Caruson, MD; Loren Chen, MD; and Albert Lee, MD
By April 2016, we aim to improve Complete Diabetic Care of Thursday JHAP Clinic's patients with diabetes by 50%.
* These authors contributed equally
Screening for Venous Thromboembolism in Asymptomatic Trauma Patients: Effective in High Risk Patients
Seth Stake, BS; Adam Wallace, BS; Deepika Koganti, MD, PGY-4; Adam P. Johnson, MD, MPH; Joshua A. Marks, MD; Scott W. Cowan, MD; and Murray Cohen, MD
Through data analysis of a large cohort of trauma patients, a clinically applicable protocol can be developed based on various predisposing factors for VTE in asymptomatic patients. By isolating the factors that make these patients high risk for VTE, we can effectively lower the incidence of PE in hospitalized trauma patients.