BIDMC a presence at quality confab
Attracting more than 6,000 participants from around the world, the Institute for Healthcare Improvement's National Forum is the premier meeting on hospital quality and safety. That's why it's so impressive that BIDMC played such a major role at this year's annual conference.
"The process for selecting presentations is highly competitive," said Kenneth Sands, MD MPH, BIDMC's Senior Vice President of Healthcare Quality. "It was therefore remarkable for BIDMC to have such a strong presence at the meeting: a meeting co-chairmanship, two keynote addresses, six workshop sessions, three posters, and two awards. What was most satisfying for me, however, was the diversity of individuals from BIDMC participating in the forum."
Included among the presenters were members of governance, front-line physicians and nurses, social workers, nurses, ethicists, clinician educators, quality improvement professionals, information technologists, human resource professionals, administrators, and patients, said Sands.
"I think this speaks to the teamwork and collaboration that allows BIDMC to be not only successful in terms of clinical outcomes, but also a uniquely rewarding place to work," he said. "It was great to see this recognized on an international stage."
The science of hospital quality improvement is maturing rapidly, said BIDMC Trustee Paula Ivey Henry, PhD, who co-presented a workshop session with Sands titled, "Trying to engage the board? Get them involved".
"There were many members of governance in attendance - some were there to learn what quality improvement is about, and others were there to share their own institution's successes and challenges," said Ivey Henry. "There is extensive desire to develop the governance skills necessary to lead change and to evaluate quality efforts."
Rather than making the case that a revolution in quality is necessary, the meeting demonstrated widespread demand for and success of improvement in the design and safety of care, she said. "Many organizations have moved beyond experimentation," said Ivey Henry, who teaches at the Harvard School of Public Health. "Information flow and patient participation were among the threads most salient to me. It was evident that leadership from the top to the local level is critical to achieve and sustain improvements."
Among the many proud BIDMC moments at this year's conference was receiving the Duncan Neuhauser Award (second place) for curricular innovation in recognition of the Department of Medicine's Stoneman Rotation in Patient Safety/Quality Improvement, which is required of all residents for graduation.
"The Stoneman Rotation has become part of the residency experience here thanks to collaboration with the Department of Healthcare Quality," said Anjala Tess, MD, noting that the award for curricular innovation was started in 2009 to recognize the development, dissemination, and recognition of novel educational resources in the area of safety and quality.
The Stoneman rotation is designed to teach residents the basics of quality improvement and patient safety through mentored adverse event review and performance improvement projects. Residents are assigned an active case of a near miss or adverse event that has been reported. The residents are taught how to complete a chart review, interview care providers in a blame-free manner, and perform a contributing factors analysis. They then present their summary and ideas for systems fixes at the departmental Medical Peer Review Committee. Residents now complete approximately half of all reviews done at the departmental level.
"We have noted a real change in residents over the last 10 years as they now strive not only to call out problems but also contribute to solutions in a meaningful way," said Tess. "This year we will train our 250th resident in QI/PS and it is really rewarding to see some of our graduates now take on leadership positions in quality improvement here at BIDMC and across the country."
Here's the list of BIDMC presenters and their topics:
• Paul Levy, President and CEO - Meeting Co-Chairman
• John Halamka, MD, Chief Information Officer - Keynote Presentation - "National Approach to Health IT"
• Daniel Sands, MD, Medicine/Dave DeBronkart (AKA BIDMC patient and blogger e-patient Dave) - Keynote Presentation - "How patient-provider engagement can transform health care"
• Kenneth Sands, MD, MPH/Paula Ivey Henry, Trustee - Workshop - "Trying to engage the board? Get them involved"
• Kenneth Sands, MD, MPH/Pat Folcarelli, RN, Director, Patient Safety, Healthcare Quality - Workshop - "Eliminating preventable harm - progress and insights"
• Jo Ayoub, Director, Human Resources/Pat Folcarelli, RN, Director, Patient Safety, Healthcare Quality - Workshop - "Nurse leadership development to improve quality"
• Barbara Sarnoff Lee, LCSW, Director, Social Work/Wendy McHugh, RN, Clinical Nurse Ethicist/Pete Clardy, MD, Director, Medical Intensive Care - Workshop - "Developing a model of family centered adult critical care"
• Melissa Mattison, MD, Hospitalist/Kim Sulmonte, RN, Director, PCS Operations, Quality & Safety /Chris Kristeller, RN. Nurse Specialist, geriatrics - Workshop - "Standardizing optimal care for older adults"
• Kathleen Murray, Director, Performance Assessment, Health Care Quality/Kalon Ho, MD, Director of Quality Assurance, Interventional Cardiology - Poster - "AMI Care: perfection is possible"
• David Feinbloom, MD, Hospitalist - Poster - "Human Factors approach to automated medication reconciliation"
• Jane Foley, RN, Director of Operations, Patient Care Services - Poster - "Lean methodology improves hourly rounding at BIDMC"
• Anjala Tess, MD, Hospitalist/Kenneth Sands, MD, MPH - Award - "Duncan Neuhauser Award (second place) for curricular innovation" (recognizing the Department of Medicine Silverman QI rotation).