Georgia Hospital Engagement Network

Slides:

Advertisements

Similar presentations

Fast Tracking in Ambulatory Surgery

Advertisements

Practice Quality Improvement: A Resident Perspective Madelene Lewis, MD Radiology Resident, PGY-4 Medical University of South Carolina.

Originally developed by Susan Warman, BN., Helen Gourlay,BN/MN.,and Janet Walker, BN. January 1997 Revised Dec 2005 by Nancy Schuttenbeld -Acute Pain Nurse.

UCSF Perspective: Improving pain management education and care while reducing the opioid burden Mark Schumacher Ph.D., M.D. Professor and Chief, Division.

The Health Roundtable 3-3c_HRT1215-Session_LEMANU_CMDHB_NZ Enhanced Recovery After Laparoscopic Sleeve Gastrectomy: A Randomised Controlled Trial Presenter:

Ron Collins, MD FRCP(C) Clinical Assistant Professor, APT, University of British Columbia Medical Director, Surgical Services Project Lead, Enhanced Recovery.

Medication History: Keeping our patients safe. How do we get all of the correct details?

TEMPLATE DESIGN © Audit of the Enhanced Recovery Programme for Hysterectomy at West Middlesex University Hospital Background.

How to set up Regional Anesthesia Service That improves Theatre Efficiency Prof. Krishna Boddu MBBS, MD (Anes), DNB, FANZCA, MMEd. Department of Anesthesiology.

Agency for Healthcare Research and Quality Advancing Excellence in Health Care HCAHPS: Update for Trustees Mary Therriault RN MS Senior Director,

Sickle Cell Pain Management in the Emergency Department B. Probst, MD; J. Williams, RN; D. Speed, RN, MSN; M. Cichon, DO; C. Jackson, MD; M. Pearlman,

VHA National Pain Management Strategy: Stepped care model implementation Robert D. Kerns, Ph.D. National Program Director Robert D. Kerns, Ph.D. National.

The Medical Director “A Quality Force” Susan L. Goelzer MD, MS, CPE Ralph Waters MD Distinguished Chair Professor of Anesthesiology, Internal Medicine.

M ARYLAND H EALTH Q UALITY AND C OST C OUNCIL Quarterly Meeting December 19, 2014.

Creating and Implementing Standing Orders Linda Mendoza – El Rio Community Health Center.

LANCET COMMISSION PRESENTATION HEALTH CARE DELIVERY SYSTEM IN SIERRA LEONE BY DR EVA HANCILES.

An overview of the Shared Governance structure at Lutheran “I AM Shared Governance”

Call 2: Background of the WHO Surgical Safety Checklist.

Webinar 17: Teamwork in The Operating Room. Summary of Last Week’s Call Case Study Results from Last Week Measuring the Checklist 101: –Checklist Use.

Easing the Pain: Infection Control and Anesthesia Susan A. Dolan, RN, MS, CIC Children’s Hospital Colorado Robin Stackhouse, MD University of California,

Faculty Meeting April 21st 2015 S Kaur MD, M.Sc.HCM.

ICU Safe Care Initiative: Comprehensive Unit-Based Safety Program 1.

Disclosures  Nothing to disclose  No discussion of “off-label” use of medications.

Cultural Competency and Patient Satisfaction: A Pilot Training Project September 24, th National Conference on Quality Health Care for Culturally.

PowerHour Information 03/09/2011.  Background  Description  Vision  Mission  Measurements  Participation Requirements.

Georgia: National Leader in Training an SBIRT Workforce J. Paul Seale, MD Family Physician Professor & Director of Research Dept. of Family Medicine Navicent.

IT MATTERS! RIGHT CARE, RIGHT LOCATION, RIGHT PHYSICIAN BEST OUTCOME! Implementation of an Intensivist Model in the ICU.

Welcome! Please take a seat at any table MA STAAR Learning Session April 23, 2012.

Affiliated with Children’s Medical Services Affiliated with Children’s Medical Services Introduction to the Medical Home Part 4 How Can Assessment Tools.

ARMY MEDICAL DEPARTMENT “SERVING TO HEAL HONORED TO SERVE”

Patient’s Pertinent Prognosis

ENHANCING THE PATIENT EXPERIENCE THROUGH VOLUNTEER SERVICES Presented By: Jennifer Thayer, SPHR, SHRM-SCP.

The Perioperative Surgical Home KSPAN Spring Seminar 3/12/2015 Jeff Oldham, MD Assistant Professor UK Dept of Anesthesiology.

The Role of Specialist Nurses in Lung Cancer Jenny Mitchell Advanced Nurse Practitioner Thoracic Surgery.

An OR Teamwork Faculty Development Program The Center for Medical Simulation’s Comprehensive Program for Operating Room Teamwork.

Malpractice Insurance Incentive for Operating Room Teamwork Training via Simulation Jeffrey B. Cooper, PhD Center for Medical Simulation & Mass. General.

DR.JAMES FREIJE DR.JAMES FREIJE. A head and neck surgeon at Mount Nittany Physician’s Group, Dr. James Freije currently provides otolaryngology services.

Communication and Optimal Resolution (CANDOR) Toolkit Module 3 – Preparing for Implementation: Change Readiness and Gap Analysis.

Using CUSP as a Framework for Improving Patient Safety Steve Levy Director of Operations MHA PSO.

Patient Experience of Care Surveys

Obesity in the Closed Claims Database

Improving Pain Control and Reducing Opioid Related Adverse Events

Enhanced Recovery after Surgery (ERAS)

Communication & organizational professionalism in clinical settings

Step by Step Approach for Implementation & Sustainability of the Bundled Payment Model Jeff Peters CEO, Surgical Directions.

ASPIRE Collaborative Meeting

Implementation of an ERAS Program for Gynecological Oncology Surgery

Hassan El Solh, MD CMO, AUBMC Director July 10, 2017

Ann Intern Med. 2014;160(11): doi: /M Figure Legend:

MacColl Center for Health Care Innovation

Flint Water Crisis: Background and Next Steps

Fig 1 The healthcare system as a basic cybernetic feedback loop based upon monitoring quality indicators. Information concerning outputs from the current.

Quality of Trauma Care: Is Your Skin in the Game?

Enhanced Recovery after Surgery (ERAS)

Hereditary Cancer Today:

Perioperative Pain Management: Challenges in the Era of the Opioid Crisis Roy Soto, MD Professor, Oakland University William Beaumont School of Medicine.

Enhanced Primary Care for Patients with Serious Mental Illness

Time to pain resolution Pain impact on quality of life

Elder Wellness Program focused on Delirium Prevention

Evidence of a Current and Lasting National Anesthesia Personnel Shortfall: Scope and Implications Armin Schubert, MD, MBA, Gifford Eckhout, MD, Todd.

Principal recommendations

Acute pain service: organization, the view of the physician

Pain Management & Anesthesia. What you center needs to know

J. Benn, G. Arnold, I. Wei, C. Riley, F. Aleva

Roy Soto, MD, Branden Yaldou, MD Journal of PeriAnesthesia Nursing

Welcome! MA STAAR Learning Session April 23, 2012

48 Hours 58% 8.5% Phoenix Children’s Hospital

Office Or Outpatient Centers Are The Best Place To Perform Most Arterial And Venous Interventional Treatments: Precautions And Current Status Of Their.

Opioid Stewardship Johnathan Goree, MD

Presentation transcript:

Georgia Hospital Engagement Network Hospital Acquired Condition Affinity Webinar Series 3/19/2014

Dr. Roy Soto Dr. Soto is an anesthesiologist at William Beaumont Hospital in Royal Oak Michigan. Following his residency training at UCLA, he joined the faculty of the University of South Florida in Tampa, and then the State University of New York at Stony Brook. In 2007 he was recruited to Beaumont Hospital to start an anesthesiology training program, and he currently is the Residency Program Director. He also serves as a Professor of Anesthesiology at the hospital's affiliated medical school, and his research interests include patient safety, enhanced recovery after surgery, care standardization, and service excellence/patient satisfaction

Re-evaluating Safe Perioperative Pain Management National Procedural NO Harm Affinity Group Roy Soto, M.D.

Case Presentation 52yo s/p posterior cervical fusion BMI 34 OR pain meds: 0.5mg hydromorphone PACU pain meds: 2.5mg hydromorphone Hospital course: dead within 2hr of arrival on ward

Overview Assumptions MHA pain management toolkit MHA data measures

Pain is Poorly Controlled 6 6

Opioids Cause Harm 2001 2012

Pain Control Drives Satisfaction Hospital X HCAHPS/Hospital Compare

Pain Control Enhances Recovery ↓opioids/↑multimodal analgesia leads to Earlier return of gut motility Earlier enteral feedings Earlier mobilization Earlier removal of drains/catheters

Implementation Baseline data collection Implementation of MOSS tool Gap analysis Outcome and process data Implementation of MOSS tool Education Physician Nursing Patient Reassessment and refinement

Implementation

Implementation Patient Education

Gap Analysis Tool

Michigan Opioid Safety Score

Process & Outcome Measures MHA Derived measures (numerator/denominator) % pts readmitted within 30d/total number surg proc HCAHPS q13 Process Measures (numerator/denominator) # surg pts receiving opioids/total number surg proc # pts eval with MOSS/total number surg proc Outcome Measures(numerator/denominator) # surg pts rec Narcan/# surg pts receiving opioids # RRT opioid calls/# surg pts receiving opioids 15

Process & Outcome Measures 16

Educational Product Powerpoint with voiceover Live presentations Surgeon Anesthesia Nursing Live presentations +/- CME/CE Patient print product

Dynamic Processes

Contact Information Michelle Norcross, MSA Michigan Health & Hospital Association Keystone Center Project Manager 517-886-8357 mnorcross@mha.org Roy Soto, MD Beaumont Health System roy.soto@beaumont.edu