thequalitypostGreetings from Cat, Saj, Ari and Jenica Welcome to the 117th edition of The Quality Post! In this issue, we feature a reflection piece on gratitude; share specifics on what you can do to help us meet our QI goal to improve care of patients with alcohol use disorder; offer a Provider Dashboard Tip of the Month; and share our True North Metric performance for FY21. inthisissue
Reflection on Gratitude
HBR Tip on Mindfulness
Improving Care of Patients with Alcohol Use Disorder
Provider Dashboard Tip of the Month
FY21 DHM True North Metric Performance Reflection on Gratitude and our DHM Community Pictured above is my oldest son's school community art project titled One People, One Heart. At the start of the school year, each student was given a square to decorate on their own during remote learning, and these were then pulled together to create a beautiful communal tapestry. The artwork conveys the importance of each individual's identity and style to create the collective final product, and that the strength and heart of the school's community stems from each individual student and educator. I was certainly touched to see the final product, which was bigger and better than what I had envisioned when I saw my son decorating his square. As this challenging year comes to a close, I am reflecting a lot on how grateful I am for all of you as friends and colleagues. Each of us has been challenged professionally and/or personally over the past several months, and I can say that I have definitely had my good and bad days. What has helped me tremendously this year is the immense amount of pride and gratitude that I have for all of you as individuals in our collective community. Each of your actions and efforts to continue to provide the best possible patient care, adapt quickly to new protocols and realities, educate our learners and ourselves, provide integral leadership and administrative support, volunteer to serve our communities, and connect in new ways (Zoom happy hours and Monday lunch meeting breakout rooms anybody?) has been awe-inspiring. We are truly a stronger community because of all of your collective, individual actions; and seeing all of our physically distanced, "individual squares" come together to create an impressive and beautiful tapestry has been one of the highlights of my year. In spite of this, I also know and acknowledge the difficulties we have all shouldered, and I greatly encourage you to check out the UCSF COPE program (text COPE to 83973), even if you aren't entirely sure how it may be helpful to you at the moment. Please take care of yourselves and each other, and I hope we can all gather in-person as a community at some point in 2021! Make Mindfulness Part of Your Routine From less stress to better decision making, many of us know about the benefits of mindfulness, but it's not always easy to sustain the habit over time. To make it a part of your routine, commit to a regular, non-negotiable time for your practice. Try finding a community, rather than going it alone. Practicing mindfulness in a group, whether it's with family, friends, or colleagues, provides accountability and solidarity. But don't expect linear progress. Our minds can have a hard time quieting down. The trick is to see this as a sign that you're on the right track, not that you should throw in the towel. Consistent practice is essential to reaping the benefits of mindfulness. You have to do it regularly so that over time your distractible mind learns to rest in open awareness. This tip is adapted from "Make Mindfulness a Habit" by Matthias Birk Screen, Identify, and Treat: Improving Care of Patients with Alcohol Use Disorder Every year, our residents choose a quality improvement project to work on through the Graduate Medical Education office's REFLECT (Residents and Fellows Leading Inter-professional Continuous Improvement Teams) program. The REFLECT QI goal this year is to improve the care of patients with alcohol use disorder (AUD) though three main aims: 1) Screen all hospital medicine patients for specifics of alcohol use and document this information in the alcohol section of the APeX Social Determinants of Health wheel that can be found at the bottom of the patient banner. 2) Identify patients with AUD using DSM-V criteria. This criteria can be accessed through the ".alcoholuse" dotphrase. 3) Treat patients with AUD via behavioral counseling and pharmacologic therapy, which can be ordered through the Alcohol Use Disorder Order Set. If there are any questions, you can reach out to the substance use disorder advice service at 443-6272. Our goal is to get to 75% screening for alcohol use and 30% of patients with AUD receiving a prescription for pharmacotherapy by June 2021. This is also one of our Division's True North goals for this year, and we greatly appreciate your efforts in helping us meet our important goal! The DHM Dashboard DHM Dashboard Tip #2: The radar graph on the main screen quickly shows you your normalized data (Yellow) compared to DHM Targets (Blue) – Yellow outside Blue means you’re performing above the DHM Target (also indicated by the Green text), whereas Yellow inside Blue means you’re performing below DHM Targets (also indicated by Red text). The box to the right shows you how many days on GMS and UCW service you did compared to the median, as well as the average Case Mix Index (i.e. complexity) of the patients you cared for. 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! |