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 #4: The Effects of a Pharmacist-Led Transitions of Care Program after Hospital Discharge
Rana Dabaja and Caren J. El-Khoury
Our program is designed to help facilitate the transitions of care (TOC) of select patients discharged from Henry Ford Hospital (HFH) with the aim of preventing 30-day readmissions, as well as improving cost avoidance measures. TOC, as defined by the Centers of Medicare and Medicaid, is a complex process requiring several actions and multiple disciplines to work together to ensure effective communication and coordination of care. Transitioning from the... Read More
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Project #20: Comparison of the effectiveness of Etelcalcetide versus Cinacalcet in patients receiving hemodialysis with secondary hyperparathyroidism
Chantale Daifi, Ayah Habhab, and Ashlee Vaclavik
The aim of this project is to address the scarcity of data available and compare the effectiveness of etelcalcetide and cinacalcet in end stage kidney disease patients on hemodialysis at Greenfield Health System (GHS), West Pavilion unit. We secondarily evaluated the cost of cinaclacet and etelcalcetide for Greenfield Health Systems. We hope to apply the results of our project to our patients to improve clinical outcomes.
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Project #51: Revenue Cycle HCC Administration Direct to Specialists Outreach
Robert Drainville and Maureen Brown
When clinics shut down in 2020 due to the pandemic, fewer patients, especially Medicare Advantage (MA) patients, were seen by their doctors. Hierarchical Condition Categories (HCCs) are acute and chronic conditions that CMS requires to be documented annually to ensure MA beneficiaries are receiving quality care. Additionally, HCCs have weight factors that cumulatively represent a population’s risk score. Due to the pandemic interruption in care, our population risk score... Read More
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Project #37: Management Guidelines for Patients with COVID-19: Rapid Cycle Improvement
Rachel M. Kenney, Zachary R. Smith, Amy Beaulac, Erin Eriksson, Shelbye R. Herbin, Shaina Kwiatkowski, Marilen Martinez, Michael P. Veve, Jona Lekura, Smitha Gudipati, Gina Maki, Seema Joshi, Raef Fadel, Anita B. Shallal, Patrick Bradley, Junior Uduman, Jeffrey H. Jennings, Sara Hegab, Jayna Gardner-Gray, Jennifer Swiderek, John J. Stine, Joseph M. Johnson, Kristin M. Griebe, Mathew Jones, Laura Hencken, Long To, Michael Peters, Brian M. Church, Robert McCollom, Scott Kaatz, Indira Brar, Anne Chen, Allison Weinmann, Vivek Kak, Nasir Husain, Asgar Boxwalla, Tricia Stein, Erica Herc, Jonathan Williams, Odaliz Abreu-Lanfranco, Nicholas Yared, John McKinnon, Pallavi Bhargava, Geehan Suleyman, Robert J. Tibbetts, Linoj Samuel, Marcus J. Zervos, George Alangaden, and Mayur Ramesh
Project’s purpose is to rapidly devise, continually improve, educate, and implement a live and changing COVID-19 management guideline based upon emerging best available evidence. This project also aims to optimize the care of patients with COVID-19 and improve patient outcomes.
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Project #17: Impact of Pharmacist Generated Discharge Antimicrobial Cost Inquiry on Access and Patient Outcome
Surafel G. Mulugeta, Nancy C. MacDonald, Caren J. El-Khoury, Susan L. Davis, and Rachel M. Kenney
Identifying barriers to accessing and affording discharge antimicrobials early in the hospitalization course in order to facilitate discharge, enhance compliance, and reduce unnecessary length of stay. In 6/2018, a pharmacist initiated “cost-inquiry” workflow was developed to capture such obstacles. The study evaluated the process and safety of the discharge antimicrobial cost inquiry (DACI) workflow as well as the challenges to accessing discharge antimicrobials. It also assessed the differences in... Read More
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Project #47: The Impact of Acute Care Physical and Occupational Therapy Delivery Models on Discharge to Skilled Nursing Facility
Adele Myszenski, Jennifer Trimpe, Nanette Hannum, and George Divine
To compare the effectiveness of two acute care rehabilitation delivery of care models for patients admitted to general practice units (GPUs) that impact a patient’s discharge disposition: pre-pandemic delivery of care as historical model and 2021 implementation of delivery of care model focused on staffing utilization across 7 days, refined guidelines for treatment frequency and prioritization of patients. Implementation of novel delivery of care model seeks to enhance the... Read More
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Project #25: Improving HFH Overall Hospital Quality Star Rating through CMS Patient Safety Indicators (PSI) 90
Edward Pollak, Santosh Mudiraj, Anna Gurgul, Joshua M. Winowiecki, and Hilda Culberson
This project’s aim is to improve the publicly reported Overall Hospital Quality Star Rating for Henry Ford Hospital as calculated by the Centers for Medicare & Medicaid Services (CMS) through Patient Safety Indicator (PSI) 90 case validation.
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Project #52: Health Alliance Plan - COVID Vaccination Initiative
Peter Watson and Christopher Baringhaus
Since the initial Michigan COVID-19 surge in early 2020, HAP has been collaborating with a variety of partners to educate members on COVID-19 while preparing for COVID mitigation efforts, including vaccination of our member population to improve the health of our membership. Starting in January 2021, HAP employed a variety of data-driven tactics focusing on a goal of 70% membership vaccine coverage (at least once vaccine administered) for the... Read More
