DHM Quality Post - July 2021 thequalitypostGreetings from Cat, Saj, Ari and Jenica Welcome to the 124th edition of The Quality Post! In this issue, we (re)introduce our QI/Value enterprise, provide updates on discharge standard work, feature complex discharge planning efforts, offer an Individual Provider Dashboard tip, give a PFAC announcement and showcase the latest performance on our True North Quality Metrics. inthisissue
QI Updates
How Inclusive Leaders Talk
The Revamped UCSF Discharge Guide
Complex Discharge Planning
Individual Provider Dashboard Tip
PFAC Updates
FY21 DHM True North Quality Metric Performance QI Updates Welcome to the new Academic Year! We wanted to (re)orient you to our QI enterprise at DHM (see organizational chart). We encourage you to join us at one of our many meetings or simply reach out if you want to learn more. Below are some exciting quality, safety, and value projects in the pipeline. The Virtual Transitions of Care Program (VToC) team hopes to learn from (and replicate the success of) UCSD’s virtual discharge follow-up appointment program, which led to a marked reduction in readmissions (contact: Michelle Mourad, Saj Patel). The DHM Dashboard team plans to introduce “push” performance reports (to all of you!), introduce new metrics, and study differences in performance patterns (contact: Saj Patel) The Advance Care Planning (ACP) team is working towards reducing disparities in ACP documentation among LatinX and non-LatinX patients (contact: Molly Kantor, Michelle Mourad, REFLECT residents). The Throughput Taskforce continues to tackle our increasing length of stay by improving our Estimated Discharge Date (EDD), removing discharge barriers (Pharmacy and MRI Kaizens), piloting weekend mini-MDR, updating discharge standard work which includes Discharge Milestones, and learning best practices from our hospitalists with short lengths of stay (contact: Cat Lau, Sarah Apgar, Armond Esmaili). Other new exciting projects include Reducing Stigmatizing Language in the EHR, Improving Identification of Social Determinants of Health, a physician-patient communication project called Back to Basics, Improving Sleep, and Achieving Zero Harm (CAUTI, CLABSI, C. diff). If you are interested in joining any of these projects (or have a project idea of your own), please email sajan.patel@ucsf.edu or clau@ucsf.edu. How Inclusive Leaders Talk Did you pledge to become a more inclusive leader this year? If so don't only focus on your institution's policies and procedures -- your communication style is just as important. Researchers have identified three key ways inclusive leaders talk. First, they use audience-centered language. Take the time to understand the needs of the people you're speaking to and personalize your language. Use second-person pronouns (i.e. "you") to take the focus off yourself and bring the audience into your message. Next, demonstrate subject matter expertise. Cite relevant research, but also be sure to use language that signals your open-mindedness and receptiveness to other points of view. And don't just explain the "what" -- give context and relevance that helps your audience understand the "why" behind your message. Finally, be authentic. Don't put on a show: Speaking naturally conveys that you truly believe in what your'e saying. And above all, your words must match your intentions and actions. All of these behaviors will help you earn your audience's trust and convey that you really care that they feel included. This tip is adapted from “What Inclusive Leaders Sound Like” by Noah Zandan and Lisa Shalett The Revamped UCSF Discharge Guide As we warmly welcome over 20 new members of the DHM family, we are proud to present the revamped UCSF Discharge Guide. This guide was originally created by Michelle Mourad and our case management team, and was updated this year as a part of the Medicine LOS Sprint improvement work to help address the lack of discharge standard work amongst ordering providers. Please click the button below to access the guide. It is also easily accessible through the Inpatient Discharge Report in APeX as per the screenshot below (see page 27 if you haven't wrenched in this report yet) and by going to https://tiny.ucsf.edu/DischargeGuide. Once a final few edits are made to the Discharge Guide, we plan on placing laminated copies in team workrooms. Of note, although the Discharge Guide is not brief, there are hyperlinks that you can click on in the Table of Contents that will take you directly to the material you want to view. In addition, please continue to follow the revamped DHM follow-up appointment workflow, which is different than what is currently included in the Discharge Guide. A copy of the DHM follow-up appointment workflow is also accessible by clicking on the button below. Individual Provider Dashboard Tip Dashboard Tip #7 - 7/2021 You can compare your performance on Goldman Service vs. UC Wards on our 6 carefully selected metrics over time periods of your choosing. Navigate to the "Goldman vs. Wards Comparison" page in the drop-down menu to get a sense of how your performance compares by service! 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! PFAC Announcement |