Medicine and Health Sciences Commons^™

Improving Resulted Hemoglobin A1c Rates: A Feasibility Study For Point-Of-Care Hemoglobin A1c Testing At An Urban Family Medicine Office, Phoebe Askie, Md, Mph, Daniel Chung, Md, Laura Parente, Md, Yury Parra, Md, Grace Amadi, Md, Mariana R. Kuperman, Md, Mph, Bruce Reaves, Md, Miranda Aragon, Md, Kyle Bardet, Md, Sunny Lai, Md, Anna Woods, Md, Marc Altshuler, Md

House Staff Quality Improvement and Patient Safety Conference (2016-2019)

Study Aims:

• Our practice’s goal is to increase the number of up to date hemoglobin A1c for diabetic patients seen at JFMA in order to help improve glycemic control
• The aim of this study is to see if point of care (POC) hemoglobin A1C is a feasible way to increase the number of up to date hemoglobin A1C. We looked at various factors including timing, training, and flow.

Tracking And Improving Bedside Procedures Through Standardized Documentation, N. Sich, L. Gartner, J. Sternlieb, K. Noonan

House Staff Quality Improvement and Patient Safety Conference (2016-2019)

Proposal and Goals:

We propose to create a standardized electronic procedure note that will replace all documentation for bedside procedures without sedation.

◦Makes notes legible and easily identified

◦Allows uniform tracking of metrics necessary to identify outcomes from a procedure (blood loss, specimens, post-procedure studies, complications)

2.The procedure note will be created in such a way as to allow specialized procedures to be added over time with minor customization to improve physician/nursing work flows and increase efficiency

◦Allows procedures to be sorted and tracked by type

◦Will be constructed to allow attaching CPT codes to patient charts via documentation

3. …

Improving Proficiency In Central Venous Catheter Insertion: Standardized Simulation Based Training For Internal Medicine House Staff, John Madara, Md, Christoph Hutchinson, Md, Ma, Frances Mae West, Md, Ms

House Staff Quality Improvement and Patient Safety Conference (2016-2019)

Objectives:

The objectives of this study are to assess residents' pre-workshop ability and comfort with CVC placement, undergo a standardized online didactic and hands-on clinical training simulation workshop, and subsequently undergo a proficiency test using simulation models to assess competency. The goal of a standardized training module is to create a universal approach to CVC placement in our institution and improve comfort and technical ability of house staff. We hypothesize that this will reduce complications and improve patient care and safety.

Addressing Barriers To Breast Cancer Screening: Where To Intervene To Increase Mammogram Completion Rates, Jennifer Laporta, Md, Robert J. Mcclowry, Md, Elizabeth "Mackie" Talley, Md, Lionel Mcintosh, Md, Allison Rague, Md, Claire Thesing, Md, Amy Leshner, Md, Gillian Love, Md, Daniel Sizemore, Md, Patrick Mcmanus, Md

House Staff Quality Improvement and Patient Safety Conference (2016-2019)

Methods:

Study sought to determine if an intervention would aid in increasing mammogram screening rates in the Jefferson Family Medicine Associates practice.

Standardized Consent Forms For Surgical Procedures: An Intervention To Improve The Resident-Led Informed Consent Process, C. Hodge, N. Sich, T. Olszewski, A. Rogers, R. Josloff, K. Noonan

House Staff Quality Improvement and Patient Safety Conference (2016-2019)

Objectives and Goals:

To provide high quality, consistent consent forms for common surgical procedures and improve resident workflow by creating and implementing standardized printed consents for common surgical procedures.

These consents will be used by residents consenting patients in the ED or inpatient setting.

Consents shall include standardized procedure descriptions, risks and benefits of the procedure, and alternative treatment option descriptions, risks and benefits

Use Of Standardized Patient Scenarios To Train Medical Assistants In An Ambulatory Rehabilitation Medicine Clinic, Lawrence Asprec, Md, Ashley Depadua, Md, Sarah Durante, Md, Nicholas Freedman, Do, Andy Olsen, Do, H. Kelly O' Donnell, Do

House Staff Quality Improvement and Patient Safety Conference (2016-2019)

Objectives:

To improve the efficiency of our outpatient Rehabilitation Medicine clinic without sacrificing high value/quality patient care.

To clarify the responsibilities of the MA and identify areas of redundancy in the rooming process.

To demonstrate the utility of in-situ simulation for MA training.

To reduce the time it takes for MAs to complete all assigned tasks to 10 minutes or less per encounter in at least 50% of patient encounters within two months from the time of intervention.

To potentially highlight other areas in which to improve clinic efficiency and overall patient satisfaction (e.g. front desk registration process, resident and …

A Quality Improvement Project To Reduce The Wait Time For Initial Appointment In An Urban Outpatient Sleep Center, Anasua Chakraborty, Md, Ritu G. Grewal, Md

House Staff Quality Improvement and Patient Safety Conference (2016-2019)

Project Aim:

In this study we aimed to see if replacing one face to face follow up visit after sleep study with a phone call by a trained office staff will

-decrease the total number of follow up office visits, thus decreasing health care cost

-increase the number of new patients seen during the 6 month follow up period

-Did not decrease patient compliance.

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, Marc Altshuler, Md

House Staff Quality Improvement and Patient Safety Conference (2016-2019)

Study Aims:

Examine the effect of on-site lead screening collection on resulted lead screening rates.

Barriers To Anticoagulation In Atrial Fibrillation Among Cardiologists, Internists And Family Physicians, Jad Al Danaf, Md, Mph, Mitul Kanzaria, Md, John U. Doherty, Md

House Staff Quality Improvement and Patient Safety Conference (2016-2019)

Current Performance:

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.