DHM Quality Post - August 2021
thequalitypost
Greetings from Cat, Saj, Ari and Jenica
Welcome to the 125th edition of The Quality Post! In this issue, we provide updates on the Medicine Unit Based Leadership Team, highlight the process in choosing our annual DHM True North Metrics, give updates on the Optimal clinic and DHM PFAC, offer an Individual Provider Dashboard tip, and showcase the latest performance on our FY21 True North Quality Metrics.
inthisissue
Medicine UBLT Updates
Talk About Imposter Syndrome
Choosing Our DHM True North Metrics
OPTIMAL Clinic Discharge Referrals
PFAC Updates
Individual Provider Dashboard Tip
FY21 DHM True North Quality Metric Performance
Medicine Unit Based Leadership Team Updates
Welcome, new faculty and fellows! To provide further exposure to our quality improvement work, we'd like to introduce you to our Unit-Based Leadership Team (UBLT). The UCSF Health System utilizes the guiding principles of a Lean Management System to convey the same core mission, vision, values, and priorities across an increasingly complex healthcare environment. The UBLT model was adapted at UCSF from the University of Pennsylvania Health System as an implementation arm for interdisciplinary improvement work. The UBLT both owns projects and serves as an advisory board for projects that impact the Medicine units. The core UBLT triad consists of a medical director, nursing director and an improvement specialist for each inpatient unit or ambulatory practice.
Our Medicine UBLT includes a larger multi-unit leadership team of unit directors, assistant unit directors, case managers, social workers, bedside nurses from 14M, 14L and 15L, and DHM faculty. In addition, we have representation from the Medicine residency and Bridges program (med school).
We encourage you to join us on the first three Tuesdays of the month from 2:10-3pm. Here are some exciting projects that we'll continue to advance in FY22:
- Mobility promotion and falls prevention
- Minimization of sleep disruptions
- RN-MD communication
- Massage therapy pilot
- Beta-Lactam allergy pathway screening
- Complex care coordination
- Harms prevention
- Patient welcome packets
- Length of stay/throughput "sprint" work
To get involved or to learn more, please reach out to Armond Esmaili and/or Jenica Cimino.
Talk About Imposter Syndrome with Your Team
Feelings of imposter syndrome are common in many workplaces, especially among women, people of color, and people with disabilities who are often made to feel like they don't belong. This is a problem that all of us can't ignore.
Addressing the issue starts with having a conversation and listening -- really listening -- to individuals. Consider setting up a meeting where people are encouraged to share their experiences of imposter syndrome, and, to lead by example, share your own experiences as well. Highlight the conditions that triggered that feeling in you, such as chronic underrepresentation, uncredited work efforts, and microaggressions. If you haven't experienced imposter syndrome, say that, and consider what conditions allowed you to feel like you've always belonged. Likewise, ask your team members to share their experiences that led them to discount their success or feel like an undercover outsider.
Be honest about how biases in the way we talk about "presence," competence, and leadership can make people feel like they don't have a seat at the table. It's on all of us to make a conscious effort to create a culture where people don't feel like imposters.
This tip is adapted from “End Imposter Syndrome In Your Workplace” by Ruchika Tulshyan and Jodi-Ann Burey
Choosing our FY22 DHM True North Metrics
The below are the final 10 metrics under consideration, and of these, 4 will be selected to be our FY22 DHM True North Metrics.
MD Treat with Courtesy and Respect
MD Explain in a Way You Understand
Achieving Zero Harm
Professional Interpreter Use for Patients with Limited English Proficiency
Advanced Care Planning Documentation and Reduce Disparity in LatinX Patient Population
Improve Length of Stay
Improve Accuracy of Estimated Discharge Date (EDD) within 24 hrs of Discharge
Delirium Reduction
Glycemic Control Rate
Think Twice, Stick Once / Phlebotomy Utilization
If you were unable to make the August QI lunch and would like to vote on our True North Metrics for this year, please click here to access the Qualtrics voting link and vote by Friday, August 20th. If you have any questions about the proposed metrics, feel free to reach out to Jenica Cimino (Jenica.Cimino@ucsf.edu).
Refer to the OPTIMAL Clinic
A friendly reminder to refer patients with COVID-19 to the OPTIMAL clinic upon discharge. Patients will be seen by a multi-disciplinary team (more info below) following discharge and will be monitored and treated for signs and symptoms of long-haul COVID. As of June 1st, the OPTIMAL clinic is also seeing patients with post-ICU syndrome for follow-up care as well.
To place a referral, enter "amb ref pulm" in Discharge Orders (found in the Discharge navigator). Follow the instructions below to complete the referral. If there are any questions or feedback, contact Dr. Lekshmi Santhosh.
Individual Provider Dashboard Tip
Dashboard Tip #8 - 8/2021
bit.ly/dhmdashboard - bookmark this!
You can click on the drop down menu “Performance Scorecard” on the left side of the Dashboard to view the other pages of the Dashboard, including a summary of your diagnostic ordering costs, your performance on Goldman vs. UC Wards, your performance over time, a description of the metrics, and an opportunity to request your patient-level data (which you should do if you have any questions about the accuracy of the metrics or want to reflect on specific patient cases).
Please email Logan (Logan.Pierce@ucsf.edu) or Saj (sajan.patel@ucsf.edu) with any questions, and check out the DHM Wiki Dashboard Page for more info!
