The Quality Expo is an opportunity for improvement projects created by employees to be shared as part of the Henry Ford Health culture of continuous process improvement.
For more information, visit https://onehenry.hfhs.org/departments/qualityandsafety/Pages/Quality-Expo.aspx
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Project #5: Using Robotic technology for preparing and dispensing solid oral medications in compliance packaging (pill organizers/Blister Packs) at the HF CSI Pharmacy
Mina Ishak, Heidi Schultz, Trevor Leggett, and Elona Lici
The purpose of this project was to increase efficiency, speed and accuracy of dispensing solid oral medications in compliance packaging (blister packs). This upgrade from a manual production process had an ultimate goal of improving quality, ensuring patient safety and reducing costs. Automated robotic technology, in conjunction with workflow process improvements, aimed to safely increase production and adherence rates to increase capabilities for continued expected growth.
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Project #35: The Long-term Sustainability of the Respiratory Culture Nudge on Antibiotic Prescribing
Corey Medler, Supreet Kaur, Mary Hutton, Rachel M. Kenney, Susan L. Davis, Linoj Samuel, and Allison Weinmann
Unnecessary antibiotic use in respiratory infections contributes to adverse effects and excess cost. Successful and sustainable strategies are needed to encourage optimal antibiotic use, including discontinuation of excess broad-spectrum therapy. In 2016, HFHS Antimicrobial Stewardship Program standardized reporting of microbiology reports to emphasize the absence of certain bacteria in in respiratory culture samples. We previously demonstrated that this intervention improved antibiotic prescribing patterns and outcomes in patients empirically treated... Read More
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Project #40: Collaborative Transition of Medication Care for Patients with Heart Failure
Sandra Nowak, Vanita K. Pindolia, Monika Grewal, Caren J. El-Khoury, Heidi Schultz, Mona Ksar, Adina Feng, Tanya Romain, Lynn Geftos, Michael Morris, Sarah Talia, Nikkie Karana, and Tapan Shah
According to the Centers for Medicare and Medicaid Services (CMS), one in four to five patients will experience a re-admission within 30 days of hospital discharge. Consequently, CMS has developed the hospital readmissions reduction program, a Medicare value-based program, that reduces payments to hospitals with excessive readmissions. This payment reduction can be up to 3% (that is, a payment adjustment factor of 0.97), calculated over a 3-year rolling period.... Read More
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Project #38: Securing High Performance for HAP Medicare 5-Star Program through Collaboration with Pharmacy Advantage and Medication Therapy Management Team
Vanita K. Pindolia, Douglas Samojedny, Ryan Butler, Ken Karges, Sandra Nowak, Amanda Nixon, Scott Backman, Dawn Hall, Michael Andrews, Kamara Little, Jocelyn Allen, Nicole Bailey, Vicki Gresham, Catherine Hook, Sarah Obad, Veronica L. Bryant, Jennifer Rossbach, Peter Watson, and Charles Bloom
Across the US, health plans are given a Star rating of 1 through 5 (5 is best) by the Centers for Medicare & Medicaid Services (CMS) for their combined performance on quality, member experience and plan operations. Health plans that achieve four (4) stars or higher qualify for federal bonus payments that equate to an extra 5% per member per year. For health plans that earn a bonus payment,... Read More
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Project #4: Embedded – Pharmacist Management of Hypertension Using a Data-driven Approach
Kristin K. Soreide, Emily Thomas, Octavia Solomon, Nada M. Farhat, Sarah Kolander, Terry Gottschall, Diane L. George, Ed Szandzik, James Kalus, Roberta Eis, and Denise White-Perkins
Across the Detroit-Northwest, Harbortown, and Academic Internal Medicine clinics, the average blood pressure (BP) control rate between March to September 2019 was only 64% which is below our system-wide goal of 80%. This lack of control is also a problem nationally considering nearly 108 million (45%) American adults are diagnosed with hypertension, yet only one in four patients (24%) have a controlled BP.1 Furthermore, African American patients have the... Read More
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Project #9: Decreasing CLABSIs on P2 through preparation: A collaborative effort between PICC Team and P2
Sadhika Verma, Susan Naster, Robin Williams, Kelsey Hebel, Elena Delgado, Carole L. Dipolma, Sharron Alejandria, and Frederick Giertz
There was an increase in Central Line Associated Bloodstream Infections (CLABSI) on P2 in 2019. There were 16 reported CLABSIs on P2 from Feb 2019 - Jan 2020, 8 of which were patients with PICC Lines. Prior to this project, there was inconsistency noted in staff compliance as well as patient refusal of daily Chlorhexidine Gluconate (CHG) Bathing. Also, there was inadequate patient education leading to lack of patient... Read More
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Project #20: EVS: ATP Audit Program to Increase Cleanliness and Decrease Infection
Brandon Young, Amy M. Stromik, and Kara J. McDonald
In the past our department did not have a process in place to validate that proper disinfecting was being performed after a patient room was cleaned, which is not a characteristic of High Reliable Organization and we knew we needed to change that. A subjective visual audit was being performed per the CDC Best Practices for Cleaning in Healthcare Environments. Implementing ATP auditing provided an objective more structured monitoring... Read More
