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 #82: HFWH Vertical Treatment Zone
Elizabeth F. Ashley, Wendy Butterfield, Jodie M. Cole, John Chandler II, Kristina M. Cross, Julie Johns, Anna-Christene Leszczynski, Sara M. Leszczynski, Timothy Manning, Christopher D. Nedzlek, Elizabeth Plemmons, Rene Rivas, Toni Silas, Dr. Spencer, Kellie C. Strevel, and Vanessa L. Wargosie
Problem Statement: Limited Emergency Department bed capacity and increased acuity resulted in increased left without completing service (LWCS) resulting in increased patient safety risk.
Goal: Design a new patient throughput workflow to provide safe, timely and quality patient-centered care resulting in decreased LWSC, decreased arrival to provider times, decreased LOS of the discharged patient, and increased patient satisfaction.
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Project #96: Why Not Home Program Reduces SNF Discharges
Robert Behrendt and Adele Myszenski
Hospitals are discharging a high rate of patients to Skilled Nursing Facilities (SNF) which negatively impacts post-acute care costs and performance on value-based care contracts and poses health risks to patients.
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Project #65: Reducing Door to Balloon Time in STEMI: Celebrating the EMS, ED and Cardiology QI Collaboration
Satheesh Gunaga, Kristina M. Cross, Timothy Manning, Kerri Myshok, Toni Silas, Christian Fisher, Mustafa Hashem, Diane Fidler, Elizabeth F. Ashley, Elizabeth Plemmons, Brooke M. Buckley, Kim M. Meeker, and Jennifer Eslinger
Project Aim: To employ a multidisciplinary approach, engaging local emergency medical services (EMS), emergency department (ED), and cardiology teams to assure that STEMI patients in our community receive prompt, equitable, consistent, safe, and high-quality revascularization of their coronary arteries; and to deploy a variety of educational, operational and feedback tools to initiatve early prehospital EKG transmission and Cath lab activation for patients in our community suffering from ST segment... Read More
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Project #91: Optimizing Vascular Access to Reduce CLABSI
Melissa Jackson, Kristen Ludwig, Megan M. Cahill, Carole Backman, Thomas Bebekoski, Stephanie Borngesser, Heather Cronovich, Dennis Cunningham, Brandie DeVos, Najia Huda, Nasir Husain, Chad A. Hutchinson, Pamela Isca, Angela Job, Kyle J. Kulas, Lori Leman, Michael Markel, Rebecca May, Christopher Milback, Matthew Misch, Christie Morgan, Jill D. Murphy, Sarah M. Olechowski, Omokayode Osobamiro, Prashant Patel, Kathy A. Repetto, Rhonda Ross, Brooke Sherman, Adam Sinistaj, Kathleen Smith, Amanda Tiseo, and Rose Turner
Henry Ford Macomb Hospital experienced an increase in Central Line Associated Bloodstream Infections (CLABSI) in 2021. A significant portion were occurring in the MICU and were associated with Candida sp. Bloodstream infections negatively impact patient outcomes, provider workload, and are costly, with a median cost of $48,108 based on a meta-analysis conducted by AHRQ in 2017. By end of 2022, HFM aimed to reduce CLABSI incidence by 50%.
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Project #97: Home Palliative Care Program
Julie Kaczor, Susan Zoelling, and Peter Watson
HAP wanted to offer a program that allows members with serious illness to be home with their families, especially during end-of-life care, which increases the quality of life. HAP partnered with Aspire to offer a palliative care program that provides in-home and telehealth support and care at no cost to members. The overarching goal of the program is to improve the symptoms of the disease process while decreasing hospitalizations.... Read More
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Project #67: Pre-Scheduling Protocol
Josie Palazzolo, Lucie Bower, and Daniel Myers
Nonuniform processes result in patients receiving different experiences across the Radiology product line. We observed continuous rescheduled patients over Henry Ford Health's Radiology history due to incorrect scheduling/scanning of a patient's high tech modality order. In 2019, 2 of 5 business units had implemented a process to review orders prior to scheduling, however this was only done by medical group radiologists.
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Project #24: Reducing Skilled Nursing Facilities Length of Stay Readmissions
Gloria Rey and Susan Craft
Aim: Improve outcomes of patients discharged from Skilled Nursing Facilities (SNF) to community, thereby reducing readmission rates to hospital; reduce length of stay of patients in skilled nursing facilities; and promote utilization of primary care physician after discharge from SNF to reduce readmissions and improve organization leakage.
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Project #20: Greening the OR
Sonalee Shah and Chip Amoe
Health care is responsible for 10 percent of U.S. greenhouse gas (GHG) emissions, with hospitals representing more than one-third of those emissions. A study in The Lancet found anesthetic gases make up 51 percent of an average U.S. operating room's GHG emissions. Inhaled anesthetics and nitrous oxide are potent GHG. Commonly used inhaled, or volatile, anesthetics are Desflurane, Isoflurane, and Sevoflurane. Global warming potential (GWP) is a measure of... Read More
